ABSITE Competency study guide Exam test questions with approved Answers updated version 2024/2025
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Course
ABSITE
Institution
ABSITE
ABSITE Competency study guide Exam test questions with approved Answers updated version 2024/2025
Which vitamin has been shown to help wound healing in patients on steroids? - correct answer A
Enterochromaffin-like cells secrete what? - correct answer Histamine
Most common location for sma...
Most common location for small bowel lymphoma - correct
answer Ileum
Where is the hernia sac most often located in an indirect inguinal
hernia? - correct answer Deep to the cremaster muscle, and
anterior and superior to the spermatic cord structures
Initial management of severe ulcerative colitis - correct
answer Resuscitation, NG decompression, systemic steroids
(either IV methylpred 20 mg q8 or hydrocortisone 100 mg q8),
and +/- IV antibiotics (if fulminant colitis, toxic megacolon,
peritoneal signs, and/or signs of systemic toxicity). Only operate
if perforation, life threatening bleeding, toxic megacolon,
fulminant colitis refractory to medical treatment
Types of choledochal cysts and their treatment - correct
answer 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
Volatile gas anesthetic with the least myocardial depression -
correct answer Nitrous oxide, but doesn't produce enough
anesthesia to be used as a single agent. Isoflurane the next best.
Adverse effects of halothane - correct answer Hepatic
necrosis and ventricular arrhythmias
Non-depolarizing paralytic not metabolized by the liver or kidney
- correct answer Atracurium or its cis isomer cisatracurium --
ester hydrolysis and hoffman elimination
Treatment of cecal volvulus - correct answer Right
hemicolectomy and ileocolic anastomosis
Treatment for acute limb ischemia - correct answer If
Rutherford type IIa or less can attempt catheter-directed
thrombolysis or if acute thrombosis of chronic disease, but if
Rutherford type IIb an embolectomy should be done
Best topical antimicrobial for burn MRSA infection - correct
answer Mupirocin
, What is mafenide acetate good for? - correct answer
Pseudomonas burn infection and eschar penetration
How does a slipped gastric band look on radiograph? - correct
answer Band is oriented horizontally vs. obliquely (45 degree
angle) as it should and fundus is above the band
How should the anastomosis btwn the stomach and pseudocyst
be done for a cystogastrostomy? - correct answer Running
suture with full-thickness bites
What is included in the preoperative evaluation of a pt with lung
cancer? - correct answer PFTs, PET CT, and mediastinum
evaluation either with EBUS or mediastinoscopy
Most common site of metastasis for GIST - correct answer
liver
Resection margins for a GIST - correct answer Grossly
negative
Rate of hepatic artery thrombosis after liver transplant and
presentation - correct answer 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
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