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ABSITE EXAM WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|NEWEST|GUARANTEED PASS |LATEST UPDATE$20.49
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ABSITE EXAM 2024-2025 WITH
ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED
ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS
|ALREADY GRADED
A+|NEWEST|GUARANTEED PASS
|LATEST UPDATE
A 67-year-old man with chronic obstructive pulmonary disease is in his third postoperative day following
right lower lobe lung resection for adenocarcinoma of the lung. His clinical course has been complicated
by a bronchopleural fistula with a rising partial pressure of carbon dioxide in arterial blood PaCO2. What
is the optimal mode of mechanical ventilation to reduce his bronchopleural fistula?
A. Pressure-controlled ventilation
B. Synchronized intermittent mandatory ventilation
C. High-frequency jet ventilation
D. Inverse-ratio pressure-control ventilation
C. High-frequency jet ventilation
On postoperative day 3, after undergoing an exploratory laparotomy, distal pancreatectomy,
splenectomy, and fixation of a left femur fracture, after a motor vehicle collision, a 46-year-old man is
found to be lethargic, confused, and vomiting. His blood pressure is 90/40 mm Hg, serum glucose is 45
mg per deciliter, serum sodium is 121 mEq per liter, and serum potassium is 53 mEq per liter, and
hemoglobin 11.2 mg per deciliter. Which of the following is the most likely cause accounting for his
condition?
A. Volume overload with LR solution B. Pulmonary embolism
C. Internal bleeding
D. Acute adrenal Insufficiency
E. Pituitary Infarction
D. Acute adrenal Insufficiency
1|Page
,Two days after undergoing an abdominoperineal resection, a 64 yo man's colostomy stoma is dusky. On
evaluation at the bedside on postoperative day 3 the dark bowel extends below the level of the
abdominal wall fascia. What is the most appropriate management?
A. Exploration and revision in the operating room
B. Observation
C. wet-to-dry dressings to stoma
D. Arteriography
A. Exploration and revision in the operating room
A 58-year-old woman is experiencing bright red rectal bleeding after undergoing a lumbar laminectomy
3 days ago. She has been stable and was transferred out of the ICU in the morning following her surgery.
What is the most likely etiology of her rectal bleeding?
A. Injury to the middle rectal artery during surgery
B. Injury to the median sacral artery during surgery
C. constipation
D. Injury of the sacral plexus during surgery
E. Rectal cancer
C. constipation
After a prolonged, open AAA repair, requiring large volumes of fluid resuscitation, a 75-year-old man
remains paralyzed and sedated, on full ventilatory support in the ICU. Although he is hemodynamically
sta¬ble, his core body temperature is only 34 C. What would have been the most effective way to
maintain his core temperature intraoperatively?
A. Using forced-air warming devices
B. warmed IV fluids
C. Keeping the room temperature elevated
D. Warming intra-abdominal irrigation fluids
E. Surrounding the patient with blankets
A. Using forced-air warming devices
A 72 yo diabetic man is admitted for an infected left second toe. He has been previously treated with
oral antibiotics for several weeks, with little benefit. On physical examination, he has a nonhealing
infected ulcer on the volar aspect of his left second distal phalanx. The ulcer is purulent at the base and
cultures reveal polymicrobial infection. What is the most appropriate next step in the management of
this patient?
A. IV antibiotics
B. Single toe amputation
C. IV antibiotics and tight glucose control
D. Single toe amputation and IV antibiotics
D. Single toe amputation and IV antibiotics
An opera singer who recently underwent total thyroidectomy returns for her postoperative visit
report¬ing voice fatigue and an inability to sing high notes. Her total calcium level is 9.1 mg per deciliter
(normal, 9 to 10.5 mg per deciliter). This complication could have been prevented by:
2|Page
,A. the use of an intra-operative functional nerve stimulator to localize the recurrent laryngeal
B. ligating individual branches of the superior thyroid artery at the level of the thyroid capsule
C. performing a careful dissection to avoid injury to the parathyroid glands
D. nothing; it is unavoidable; symptoms are due to transient postoperative hypocalcemia and will
resolve
B. ligating individual branches of the superior thyroid artery at the level of the thyroid capsule
While eating breakfast on the morning after undergoing resection of the right middle lobe of her lung, a
65-year-old woman has acute abdominal pain. Her stomach is distended and tympanitic; she is
bradycardic, hypotensive, tachypneic, and sweating profusely. What is the most appropriate course of
action?
A. Emergency exploratory surgery
B. Obtain supine and erect abdominal x-rays
C. Place a nasogastric tube
D. Increase the patient's pain medication
C. Place a nasogastric tube
A 24yo man is brought to the ED after being stabbed it the right flank. Urine is grossly positive for blood
and CT shows contrast extravasation from the superior pole of the right kidney. Operative exploration
confirms cortical injury, but no injury is noted to the hilum or pelvis. How should this kidney be
managed?
A. Debride devitalized tissue and repair it primarily
B. divert the right ureter to the left ureter
C. Perform a partial right nephrectomy
D. Wash out and pack the right kidney
E. Perform a right nephrectomy
A. Debride devitalized tissue and repair it primarily
A 24-year-old man who tests positive for HIV presents to the emergency department with acute-onset
pain and redness in his scrotum, penis, and perineum. Upon examination, you feel crepitance over the
erythematous area described, which emits a foul-smelling gray dis¬charge. What is the most
appropriate management for this patient's illness?
A. Initiate highly active antiretroviral treatment
B. Initiate penicillin G Infusion
C. Perform surgical debridement of affected tissue
D. Apply topical polymycin ointment
E. Give hydrocortisone Infusion
C. Perform surgical debridement of affected tissue
A 27-year-old construction worker is brought to the emergency department after suffering a fall from 15
ft On arrival, he is tachypenic with rapid shallow breaths and considerable pain on chest wall palpation.
A CT scan of the chest, abdomen, and pelvis reveals fractures of ribs 6 through 10 on the left side and a
left lower lung lobe contusion. He is gradually becoming hypoxic What is the most effective method of
treatment for this patient?
3|Page
, A. endotracheal Intubation and mechanical ventilation
B. Fentanyl patient control analgesia
C. Fentanyl plus morphine thoracic epidural
E. Bupjvacaine thoracic paravertebral block
E. Bupjvacaine thoracic paravertebral block
A 38-year-old woman undergoes left-side thyroid lobectomy for a palpable nodule with indeterminate
pathology on preoperative FNA. The specimen is sent to pathology for examination. Which of the
following factors paired with the appropriate diagnosis is associ¬ated with the poorest prognosis for this
patient?
A. Psammoma bodies with anaplastic carcinoma
B. MEN-2b with medullary carcinoma
C. Encapsulated, noncystic follicles with follicular carcinoma
D. presence of lymph node disease with papillary carcinoma.
E. 1.7-cm solitary nodule with medullary carcinoma
B. MEN-2b with medullary carcinoma
You are consulted by an emergency medicine physi¬cian who is treating a 48-year-old alcoholic man
with painless jaundice. She says that the man has appeared drunk in the emergency department on
numerous other occasions and was admitted to the medical serv¬ice for pancreatitis. She calls you now
because he ap¬pears to have intrahepatic biliary ductal deilation on CT scan. The bilirubin level is 12.6
mg per deciliter with other liver function tests normal. Upon careful review of the CT scan with the
radiologist, you can detect no obstructing mass. Magnetic resonance cholangiopan¬creatography
demonstrates no stones in his biliary tree and dilation extending to the pancreas. The most likely cause
of his ductal dilation is:
A. gallbladder carcinoma
B. pancreatic pseudocyst
C. pancreatic cancer
D. benign common bile duct stricture
D. benign common bile duct stricture
A 24-yr-old African-American woman presents to your clinic for excision of a suspicious skin lesion on
her chest. She reports a history of keloid formation, as evidenced by a hypertrophic midline incision for
a cesarean delivery from 6 months prior. Which of the
following techniques has the most favorable results for
inhibiting keloid formation?
A. Tumor necrosis factor-a (TNF-a) Injection following keloid excision
B. intralesional steroid injection following keloid excision
C. Tocopherol (vitamin E) topical application following keloid excision
D. Radiotherapy following keloid excision
E. Tretinoin ointment application following keloid excision
B. intralesional steroid injection following keloid excision
4|Page
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