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ABSITE 1 EXAM WITH COMPLETE SOLUTIONS LATEST UPDATE % PASS
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ABSITE 1 EXAM WITH COMPLETE SOLUTIONSLATEST UPDATE 2025-2026 100% PASS
A thermal burn from the explosion of a gas cylinder in his factory was sustained by a
35-year-old male. The Burns were extending onto the whole of his face, neck, chest,
abdomen, back, arms, hands, and legs; more than 50 % of his bum area was deep
dermal in nature over 75% of his total body surface area. Crystalloids resuscitation was
started and appropriate dry sterile dressings were placed over his wounds. Within 12
hours of admission, he developed respiratory distress, high-grade tempera¬ture, and a
pressor requirement. Which of the following should be included in subsequent
manage¬ment?
A. Allow burn wounds to demarcate
B. Stop all enteral feeds
C. Obtain a wound biopsy
D. Initiate antibiotics on the basis of WBC count and fever - ANSWER C. Obtain a wound
biopsy
A 33 yo male was extricated from a house fire and at the scene was found to have
second-degree burns to his trunk and extremitires totalling 35% of total body surface
area. Primary survey showed singed nasal vibrissae and soot in the oropharynx, but
unlabored breathing. He did not have rales, rhonchi, or wheezing and his o2 saturation
was 94% on room air. In this patient, development of hypoxia on hospital day 1 is most
likely due to which of the following?
A. Upper airway obstruction and asphyxia
B. bronchospasm
C. ARDS
D. Pulmonary edema - ANSWER A. Upper airway obstruction and asphyxia
A 54 yo man with atrial fibrillation refractory to multiple cardioversions and
antiarrhythims underwent attempted endocardial catheter ablation by a cardiac
electrophysiologist. After unsuccessful catheter ablation, he is referred to a cardiac
surgeon for evaluation. Which of the following is true regarding the modified maze
,procedure?
A. It is possible to perform the modified maze procedure off cardiopulmonary bypass.
B. The modified maze procedure is contraindicated in patients with a stroke risk.
C. Restoration of sinus rhythm via the modified maze procedure ranges from - 40% to
50%.
D. The myocardium surrounding the tricuspid valve is incised and then sutured to
disrupt aberrant circuits during the modified maze procedure. - ANSWER A. The
modified maze procedure can be done off cardiopulmonary bypass.
A 52-year-old man with no history of medical illness describes episodic tachycardia,
nausea, and diaphoresis that are relieved by snacks. He has had a 10-lb weight gain
over the past 3 months and has felt increasingly irritable. The patient's internist orders a
monitored fast and makes the diagnosis of an insulinoma. A CT scan with IV contrast
fails to localize the tumor. The next step in the management of the patient is to
A. to perform somatostatin receptor scintigraphy
B. to perform exploratory laparotomy and use intraoperative ultrasonography
C. to perform endoscopic ultrasonography
D. to perform selective arterial calcium stimulation
with hepatic venous insulin sampling
E. to recommend judicious carbohydrate intake and a trial of octreotide - ANSWER C. to
perform endoscopic ultrasonography
A 52-year-old male undergoes truncal vagotomy and antrectomy for peptic ulcer
disease. He develops diarrhea postoperatively. Which of the following physio¬logic
alterations is due to the truncal vagotomy alone?
A. Accelerated emptying of solids
B. Increase in gastric acid secretion
C. Increased intragastric pressure
D. Decreased gallbladder distention
E. Decrease in gastrin production - ANSWER C. Increased intragastric pressure
,A 63-year-old woman is referred to your clinic for management of biopsy-proven,
1.7-mm-thick, level IV non-ulcerative melanoma on the center of her back. Lymph nodes
are normal to palpation. What is an appropriate surgical margin to take during excision
to minimize local recurrence
A. >2cm
B. 2cm
C. lcm
D. None - ANSWER B. 2cm
On routine annual examination a 78-year-old man has a 2-cm circular peripheral density
in his right upper lobe on chest radiograph. To help establish a diagnosis, what should
come next in the workup of this finding?
A. Sputum analysis
B. Lactate dehydrogenase level
C. Contrast-enhanced thoracic CT
D. 18F-2-fluoro-2-deoxy-D -glucose- positron emission tomography
E. Fiberoptic bronchoscopy - ANSWER C. Contrast-enhanced thoracic CT
Which of the following statements regarding the scalenus
muscle is true?
A. The anterior body inserts into the first rib posterior to the subclavian vein.
B. The middle body inserts into the first rib anterior
to the brachial plexus.
C. The phrenic nerve crosses the anterior body from the medial to lateral aspects.
D. The muscle originates from the transverse processes of CI through C6. - ANSWER A.
The anterior body inserts into the first rib posterior to the subclavian vein
Which of the following describes a characteristic of T3 colon cancer?
A. Lesion not penetrating the submucosa
, B. Lesion invading through the muscularis propria into the serosa
C. Lesion invading through the submucosa into the muscularis propria
D. Lesion invading through the serosa into adjacent organs
E. Lesion invading through the serosa into the free peritoneal cavity
ANSWER B. Lesion invading through the muscularis propria into the serosa
A 23-year-old man is referred to the surgical oncology clinic after an ERCP has
demonstrated a type I choledochal cyst. What is the preferred method of surgical
management?
A. Complete excision with Roux-en-Y hepaticojejunostomy
B. Cyst gastrostomy
C. Cyst jejunostomy
D. Cholecystectomy
E. Complete excision, partial hepatectomy, and
Roux-en-Y hepaticojejunostomy - ANSWER A. Complete excision with Roux-en-Y
hepaticojejunostomy
A 54-year-old female with a low rectal cancer undergoes an abdominoperineal resection
in what proves to be a difficult procedure that lasts 9 hours. Which of the following
would be the earliest sign of lower extremity compartment syndrome?
A. Paresis
B. Pallor
C. pain
D. Pulselessness E. Paralysis - ANSWER C. pain
A 40-year-old male presents to the clinic with complaints of air passing through his
urethra, cramping abdominal pain, distension and loose bowel movements for the last 2
days. He was diagnosed with Crohn disease of the terminal ileum 6 months ago and has
been noncompliant with his medication regimens. Physical exam is notable for oral
temperature 38.9"C, HR 120 beats per minute, and blood pressure 100/86 mm Hg. His
skin is dry and he is tremulous. The patient has leukocyte count of 19,000 per cubic
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