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ABSITE EXAM ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT SOLUTIONS LATEST

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1 | Page ABSITE EXAM ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT SOLUTIONS LATEST QUESTION: Four weeks after a cadaveric renal transplant, the recipient returns to the emergency department with bilateral lower extremity edema. In spite of normal fluid intake, he reports that he h...

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  • October 13, 2024
  • 106
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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ABSITE EXAM ACTUAL EXAM COMPLETE 200
QUESTIONS AND CORRECT SOLUTIONS LATEST
2024-2025
QUESTION: Four weeks after a cadaveric renal transplant, the recipient returns to the
emergency department with bilateral lower extremity edema. In spite of normal fluid intake, he
reports that he has had minimal urine output over the past 18 hours. Serum creatinine is now
elevated to 1.4 mg per deciliter from the postoperative 1.0 mg per deciliter. After failure to
respond to a fluid challenge, an ultrasound is obtained. This reveals good perfusion, minimal
hydronephrosis and a 3x4x6-cm hypoechoic mass adjacent to the renal pelvis of the allograft.
What is the most likely cause of the patient's oliguria?

A. lymphocele formation

B. Ureteroneocystostomy stenosis

C. Renal artery thrombosis

D. Renal artery stenosis

E. Compressive hematoma - ANSWER-A. lymphocele formation




QUESTION: Eighteen months after undergoing an aortobifemoral artery bypass, a 74-year-old
man presents with a painful swelling in his left-side groin. Ultrasonography demon¬strates a
pseudoaneurysm at the site of the distal anastomosis with surrounding fluid. What Is the likely-
underlying cause of this condition?

A. Graft failure

B. Atheroembolism

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C. Graft infection

D. Graft thrombosis

E. Suture failure - ANSWER-C. Graft infection




QUESTION: A 38-year-old woman is referred to your clinic after an elevated 24-hour urine
cortisol measurement. She is not on any steroids, What is the most likely cause of this patient's
disease?

A. Ovarian cancer

B. Adrenal adenoma

C. Adrenal carcinoma

D. Pituitary adenoma - ANSWER-D. Pituitary adenoma




QUESTION: You receive a phone call to your office by a 36-year-old woman who underwent
banding for a hemorrhoid 6 days prior. She has a small amount of blood on toilet paper after
defecation, but she denies increasing pain and fever. Which of the following do you tell her?

A. This is normal, start taking stool softeners and aspirin.

B. Go to the emergency room immediately.

C. Come in to my office as soon as possible.

D. This Is normal, start taking fiber supplements and sitz baths. - ANSWER-D. This Is normal,
start taking fiber supplements and sitz baths.

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QUESTION: A 32-year-old man is brought to the emergency de¬partment after his left leg was
pinned between two cars. Upon examination, his left leg is swollen and tense be¬low the knee,
and you suspect compartment syndrome. Which nerve is most commonly injured during
fasciotomy of the lower leg? A. Superficial peroneal nerve B. Tibial nerve C. Deep peroneal
nerve D. Saphenous nerve - ANSWER-A. Superficial peroneal nerve




QUESTION: During an elective laparoscopic cholecystectomy, you encounter difficulty during
the initial placement of tro¬cars. During visualization of the gallbladder, the anes¬thesiologist
informs you that the patient has a heart rate (HR) of 130 beats per minute and a dropping
blood pressure, What do you do next?

A. Decrease Insufflation pressure

B. Give IV fluids

C. Stop insufflation

D. Place the patient in the left lateral decubitus position

E. Give an inotropic agent for blood pressure - ANSWER-C. Stop insufflation

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

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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




QUESTION: A 46-year-old woman comes to the emergency department describing acute right
lower quadrant pain. How could appendicitis be differentiated from acute ileitis? A. Elevated
WBC count B. Presence of diarrhea C. Development of acute or subacute pain in the right lower
quadrant D. Thickened mesenteric lymph nodes on radiographic imaging E. Colonoscopic biopsy
- ANSWER-D. Thickened mesenteric lymph nodes on radiographic imaging




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

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