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ABSITE questions and answers
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ABSITE questions and answers
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Name: Score:198 Multiple choice questions
Term 1 of 198
5 yr survival for stage I, IIA, IIB, IIIA, B, C, IV Colon cancer
MHC and if donor and host are matched with the same MHC then the T cells react to
minor histocompatibility antigens
Percutaneous transluminal angioplasty unless long segment or multiple segments, then
open approach
I: 92%, IIA: 87%, IIB:63%, IIIA: 89%, IIIB: 69%, IIIC: 53%, IV: 11% but 40-50% if resectable
liver or lung mets
Bilateral axillary incision from chest to abdomen +/- transverse across at top and bottom
to make a box
Term 2 of 198
Best topical antimicrobial for burn MRSA infection
malignancy
0.7 u/ml
Mupirocin
1) Fusiform dilation of the CBD (90%) -- treat with cyst excision and roux-y
hepaticojejunostomy; 2) CBD diverticulum -- treat with cyst excision and closure of the
choledochotomy; 3) CBD cyst within the duodenal -- transduodenal marsupialization or
cyst excision; 4) multiple extrahepatic cyst +/- intrahepatic cysts (b); 5) Caroli's disease
,Term 3 of 198
Treatment of hyponatremia
Long clot time: FFP or PCC; MCF (maximal clotting factor = clotting strength) if abnormal
analyze FIBTEM and if normal then plts. If FIBTEM abnormal, fibrin problem and give
cryo. High lysis index indicates shows need TXA (Inhibits plasmin)
Right hemicolectomy and ileocolic anastomosis
Tis and T1a (invasion of lamina propria) chole is sufficient. T1b-T3 chole + 4b/5
hepatectomy, and regional lymphadenectomy
If severe (<120) and acute, treat with bolus of hypertonic saline (3%) with goal to increase
by 4-6 mEq in a couple hours. If mild-moderate chronic, then fluid restriction, can also
employ fluid restriction if asymptomatic.
Term 4 of 198
Muir-Torre syndrome
hMLH1, hMSH2; sebaceous adenomas and colon cancer (can also have GU malignancies
and BCC)
Associated gene is APC. Characterized by adenomas throughout the GI tract (colon,
ileal, duodenal) desmoid tumors, osteomas
Superficial and deep flexor on the ventral aspect and extensor on the dorsal aspect
Similar to Lynch but with sebaceous gland tumors in addition to colorectal cancer.
Autosomal dominant
,Term 5 of 198
ROTEM, when do transfuse what?
Rate in adults: 5-15%; peds: 10-25%. If presents early: transaminitis and fulminant liver
failure. If late, biliary strictures, hepatic abscesses, recurrent bacteremja — can great
non-op temporarily but ultimately will need new transplant
A clip is placed btwn the infundibulum and the cystic duct, and then a linear incision is
made in the cystic duct , and a cholangiocatheter is placed in the cystic duct and the
biliary system is visualized via fluoroscopy
Rare complication after vascular access procedure, more common in women and
diabetics, where blood flow is shunted away from the nerves distal to the arterioveneous
fistula resulting in neurological defects. Pulses still present. Requires immediate fistula
ligation
Long clot time: FFP or PCC; MCF (maximal clotting factor = clotting strength) if abnormal
analyze FIBTEM and if normal then plts. If FIBTEM abnormal, fibrin problem and give
cryo. High lysis index indicates shows need TXA (Inhibits plasmin)
Term 6 of 198
How is vitamin K synthesized in the body?
Mupirocin
Cytomegalovirus
Colonic bacteria
100-250 mEq
Term 7 of 198
Management of splenic vein thrombosis and portal vein thrombosis
Enucleation if symptomatic
Both anticoagulation
Open drainage thoracostomy (Eloesser flap) and serial packing of the wound with 2-3x
day dressing changes a day until sterilization, and then instill antibiotic solution and
close chest primarily w/o a chest tube (Clagett method)
IV fluids and alkalinization of the urine
, Term 8 of 198
Gene in MRSA that confers ß-lactamase resistance
Adults: 0.5-1 cc/kg, and peds: 1-1.5 cc/kg
Running suture with full-thickness bites
1st: cryo; 2nd: aminocaproic acid
mecA -- encodes a PCN-binding protein
Term 9 of 198
Fourth degree burn
Amoebic liver abscesses from entamoeba histolytica
Involve deeper structures such as muscle and bone
Right hemicolectomy and ileocolic anastomosis
IV fluids and alkalinization of the urine
Term 10 of 198
Liver abscess treated with flagyl
Amoebic liver abscesses from entamoeba histolytica
Hormonal therapy with tamoxifen +/- NSAIDs
Pledgetted non-absorbable sutures in horizontal mattress to avoid coronary vessels
Colonic bacteria
Term 11 of 198
How long does it take for the stomach, small bowel, and colon take to regain function after
abdominal surgery?
Kocher maneuver -- medial rotation of the duo
20%, 40%, and 6-8% respectively
D2 cells in the pancreas; body and tail
24 hr, 3 days, and 5 days respectively
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