ABSITE EXAM A, B, C AND STUDY GUIDE LATEST UPDATE
THIS YEAR WITH 600 QUESTIONS AND CORRECT
ANSWERS JUST RELEASED
ABSITE EXAM ACTUAL EXAM A
QUESTION: A 27-year-old man with idiopathic renal failure on hemodialysis is awaiting a kidney
transplant. Multiple family members and friends have been evaluated for possible live donor
transplantation. A sibling to the recipient is found to have a favorable human leukocyte antigen
match. Which of the following conditions is acceptable for live-donor nephrectomy?
A. Uncontrollable hypertension
B. Human immunodeficiency virus (HIV) infection
C. Type II diabetes mellitus D. Unilateral duplicated collecting system
E. Current cocaine usage - ANSWER-D. Unilateral duplicated collecting system
QUESTION: A 39-year-old man is referred to your clinic for treatment of a cecal mass diagnosed
by surveillance colonoscopy. His father, paternal grandmother, and paternal uncle all
developed colon cancer by their fifth decade. Mutation of which of the following genes is
associated with this man's disease? A. K-Ras B. hMSH2
D. APC E. BRCA2 - ANSWER-B. hMSH2
QUESTION: A 68-year-old man presents with pain In his left leg. Exanimation and workup
confirms diagnosis of a popliteal aneurysm. What is the most common complication that would
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result in the patient's leg pain? A. Popliteal aneurysm rupture B. Nerve impingement by the
popliteal aneurysm C. Venous obstruction by the popliteal aneurysm D. Thromboembolic
events associated with the popliteal aneurysm - ANSWER-D. Thromboembolic events
associated with the popliteal aneurysm
QUESTION: A 52-year-old woman presents to your clinic with a palpable thyroid nodule.
Ultrasonography shows a 3-cm lesion in the right thyroid lobe with solid and cystic
components. Ultrasonography -guided fine needle aspiration (FNA) reveals a thyroid cancer.
Which of the following is the most likely diagnosis?
A. Papillary carcinoma
B. Anaplastic carcinoma
C. Follicular carcinoma
D. Medullary carcinoma - ANSWER-A. Papillary carcinoma
QUESTION: A 60-year-old man who suffers from chronic alcoholism was admitted to the
hospital with a bout of acute pancreatitis. He has suffered similar episodes in the past, all of
which have resolved without complications. On laboratory studies, he is found to have an
elevated serum amylase level. A 4-cm pancreatic pseudocyst is found on CT scan. What would
be the best treatment?
A. Percutaneous drainage B. Simple aspiration C. observation and serial CT scans D. Surgical
intervention - ANSWER-C. observation and serial CT scans
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QUESTION: Which of the following is a characteristic of Merkel cell carcinoma?
A. Slow-growing, well-defined cutaneous lesion
B. Early distant metastases
C. Locally aggressive tumor with low chance of distant spread
D. FrequentIy cured with wide local excision alone
E. Histologically similar to squamous cell carcinoma - ANSWER-B. Early distant metastases
QUESTION: A 70-year-old man with ascites secondary to cirrhosis presents for elective umbilical
hernia repair. Should he be offered repair of his hernia?
A. Yes, if it is significantly affecting lib lifestyle.
B. Yes, If he Is leaking ascites from the hernia
C. Yes, If he Is on the liver transplant list
D. No, he should not be offered repair - ANSWER-B. Yes, If he Is leaking ascites from the hernia
QUESTION: A 68-year-old man with atrial fibrillation presents to the emergency department
with a cool, pulseless right foot Sensation Is Intact Duplex ultrasonography of the right leg
reveals multiple femoral stenoses and tibioperoneal thrombosis with poor tibial flow, What Is
the most appropriate management?
A. Amputation
B. Systemic anticoagulation only
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C. Percutaneous embolectomy under Local anesthesia
D. Intraarterial site-directed thrombolysis - ANSWER-D. Intraarterial site-directed thrombolysis
A 76 yo HD dependant woan with a h/o mult abd surgeries presents to the ED with worsening
abd pain. W/U raises your suspicion for ischemic bowel. She last underwent HD three days prior
and is currently uremic. How will you best prepare the patient for emergent celiotomy? A.
Arrange for HD B. Transfuse the patient with PRBCs C. Administer cryoprecipitate D. Administer
desmopressin (DDAVP) E. Administer conjugated estrogens - ANSWER-D. Administer
desmopressin (DDAVP)
QUESTION: A 76 yo man with aortoiliac occlusive dz undergoes percutaneious transluminal
angioplasty of his left common iliac artery. What is the patency rate for patients who undergo
angioplasty for Iliac occlusive disease? A. 20% at 5 yrs B. 30% at 5 yrs C. 60% at 5 yrs D. 80% at 5
yrs - ANSWER-C. 60% at 5 yrs
QUESTION: A 39 yo woman presents to the ED after experiencing watery diarrhea and upper
abd pain for 2 wks. On w/u and CT can, she is found to have a small mass in the body of the
pancreas. Lab abnormalitites include a hemoglobin of 8.7, WBC of 10, hypokalemia, and
metabolic acidosis. She is subsequently scheduled to have an exploratory laparotomy.
Intraoperatively, the mass is removed from her pancreas and multiple small nodules are found
in her liver. Considering the most likely diagnosis what are her best treatment options? A. 5-
fluorouracil and interferon alpha B. Octreodtide and glucocorticoids C. Intravenous steroids
alone D. No further treatment is indicated E. Repetitive embolization of the hepatic artery -
ANSWER-A. 5-fluorouracil and interferon alpha
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