ABSITE proficiency Training Exam Questions
and Approved Performance Metrics
2024/2025
NEXUS Criteria for C-Spine clearance? - correct answer No
midline cervical tenderness
Normal level of alertness and consciousness
No evidence of intoxication
Absence of focal neurologic deficits
Absence of painful distracting injury
Tx for anterior urethral injury - correct answer primary
repair with Foley catheter placement is the preferred treatment
option to prevent long-term complications such as stricture.
Which artery with the recurrent laryngeal nerve? - correct
answer inf thyroid art
The most common indication to receive a pancreas transplant
alone - correct answer hypoglycemic unawareness.
What is the WIFI classification? - correct answer It has been
proven effective in determining which patients will benefit from
revascularization, as well as their overall amputation risk. It is
beneficial for patients with chronic limb-threatening ischemia,
especially in the setting of diabetes. It is not effective for
classifying acute limb ischemia or lower extremity trauma,
including the mangled extremity.
,Iming of surgical repair following successful reduction of an
incarcerated inguinal hernia in a child - correct answer
Within 5 days
- correct answer
What is considered high output fistula? - correct answer >
500 ml/d. Administration of isotonic fluid with serial electrolyte
measurement is the most appropriate next step. Antimotility
agents do play a role in the management of high-output fistulae;
they can sometimes help mitigate volume loss and manage
output, but this step should follow implementation of appropriate
resuscitation.
Timing of operative management after enterocutaneous fistula -
correct answer Operative intervention is indicated after
failure of a 6- to 8-week week trial of nonoperative management.
What is the minimal period of time needed between formation
and closure of the stoma to allow resolution of both acute
inflammation and dense adhesions? - correct answer 12
weeks
What is the first line pressor for management of septic shock? -
correct answer Norepinephrine
What are the ideal ratios and products included in MTP? -
correct answer 1:1:1
Renal artery stenosis due to atherosclerotic disease, as in this
patient, is most commonly located at: - correct answer
, Proximal main renal arteries at the ostia. Renal artery stenosis
due to fibromuscular dysplasia commonly involves the mid to
distal main renal artery
What to do with a bladder defect after c-section - correct
answer Minimal defects in the bladder dome (eg, a < 2-mm
injury from needle injury) can be managed expectantly. Very
small defects (eg, < 1-cm injuries) may either be repaired or
managed by leaving the bladder catheter in place for 7 days,
followed by a cystogram to confirm closure. All other cystotomies
should be repaired in two layers: close the first layer with a
simple running 3-0 absorbable suture (eg, 3-0 Monocryl) and the
second layer using running imbricating 2-0 or 3-0 absorbable
suture. When the repair is completed, the closure should be
tested to see if it is watertight by instilling methylene blue dye or
sterile milk into the Foley catheter. Cystoscopy and visual
confirmation of flow from the bilateral ureteral jets can confirm
that the ureters were not kinked during the cystotomy repair.
For a young patient with chronic pancreatitis with a nondilated
duct.and pain refractory to medical management, surgical
intervention would be recommended - correct answer Total
pancreatectomy with islet cell autotransplantation
T or F. Children with hypospadias, should be referred for
circumcision - correct answer F. Circumcision should be
avoided
What is one complication of anterior scalene block? - correct
answer Iatrogenic hemidiaphragmatic paralysis. Phrenic nerve,
which originates from the C3, C4, and C5 nerve roots, travels
over the surface of the anterior scalene muscle on its way to the
diaphragm
and Approved Performance Metrics
2024/2025
NEXUS Criteria for C-Spine clearance? - correct answer No
midline cervical tenderness
Normal level of alertness and consciousness
No evidence of intoxication
Absence of focal neurologic deficits
Absence of painful distracting injury
Tx for anterior urethral injury - correct answer primary
repair with Foley catheter placement is the preferred treatment
option to prevent long-term complications such as stricture.
Which artery with the recurrent laryngeal nerve? - correct
answer inf thyroid art
The most common indication to receive a pancreas transplant
alone - correct answer hypoglycemic unawareness.
What is the WIFI classification? - correct answer It has been
proven effective in determining which patients will benefit from
revascularization, as well as their overall amputation risk. It is
beneficial for patients with chronic limb-threatening ischemia,
especially in the setting of diabetes. It is not effective for
classifying acute limb ischemia or lower extremity trauma,
including the mangled extremity.
,Iming of surgical repair following successful reduction of an
incarcerated inguinal hernia in a child - correct answer
Within 5 days
- correct answer
What is considered high output fistula? - correct answer >
500 ml/d. Administration of isotonic fluid with serial electrolyte
measurement is the most appropriate next step. Antimotility
agents do play a role in the management of high-output fistulae;
they can sometimes help mitigate volume loss and manage
output, but this step should follow implementation of appropriate
resuscitation.
Timing of operative management after enterocutaneous fistula -
correct answer Operative intervention is indicated after
failure of a 6- to 8-week week trial of nonoperative management.
What is the minimal period of time needed between formation
and closure of the stoma to allow resolution of both acute
inflammation and dense adhesions? - correct answer 12
weeks
What is the first line pressor for management of septic shock? -
correct answer Norepinephrine
What are the ideal ratios and products included in MTP? -
correct answer 1:1:1
Renal artery stenosis due to atherosclerotic disease, as in this
patient, is most commonly located at: - correct answer
, Proximal main renal arteries at the ostia. Renal artery stenosis
due to fibromuscular dysplasia commonly involves the mid to
distal main renal artery
What to do with a bladder defect after c-section - correct
answer Minimal defects in the bladder dome (eg, a < 2-mm
injury from needle injury) can be managed expectantly. Very
small defects (eg, < 1-cm injuries) may either be repaired or
managed by leaving the bladder catheter in place for 7 days,
followed by a cystogram to confirm closure. All other cystotomies
should be repaired in two layers: close the first layer with a
simple running 3-0 absorbable suture (eg, 3-0 Monocryl) and the
second layer using running imbricating 2-0 or 3-0 absorbable
suture. When the repair is completed, the closure should be
tested to see if it is watertight by instilling methylene blue dye or
sterile milk into the Foley catheter. Cystoscopy and visual
confirmation of flow from the bilateral ureteral jets can confirm
that the ureters were not kinked during the cystotomy repair.
For a young patient with chronic pancreatitis with a nondilated
duct.and pain refractory to medical management, surgical
intervention would be recommended - correct answer Total
pancreatectomy with islet cell autotransplantation
T or F. Children with hypospadias, should be referred for
circumcision - correct answer F. Circumcision should be
avoided
What is one complication of anterior scalene block? - correct
answer Iatrogenic hemidiaphragmatic paralysis. Phrenic nerve,
which originates from the C3, C4, and C5 nerve roots, travels
over the surface of the anterior scalene muscle on its way to the
diaphragm
