ABSITE EXAM ACTUAL EXAM QUESTION BANK
COMPLETE 600 QUESTIONS AND CORRECT SOLUTIONS
LATEST UPDATE THIS YEAR
QUESTION: In hyperacute rejection of a recently transplanted kidney, the event associated with
organ loss is:
a.) Direct antibody effect on interstitial stromal cells.
b.) Ischemia.
c.) Antigen antibody complexes obstructing the proximal convoluted tubule.
d.) Direct antibody effect on the glomerulus.
e.) Destruction of the Loop of Henle. - ANSWER-(b)
Preformed anti-donor antibodies that then target the surface of vascular endothelial cells and
graft parenchymal cells. (occurs with minutes to hours and treatment is removal of organ)
Circulating complement is fixed in the vascular compartment and the environment changes from
anticoagulant to procoagulant and vascular thrombosis occurs. Death of the organ is secondary
to ischemia.
QUESTION: Which of the following statements about fetal circulation are true?
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a.) Approximately 25% of all blood volume is passed through the fetal lung; the remainder is
shunted into the left ventricle.
b.) The umbilical arteries carry oxygenated blood from the placenta to the fetus.
c.) Failure of pulmonary vascular resistance to fall immediately following birth will result in
neonatal respiratory failure.
d.) The ductus arteriosus closes anatomically in the first hour of life. - ANSWER-(c)
With the first breath, the oxygen delivered to the neonatal lung stimulates a fall in pulmonary
vascular resistance. This results in a decrease, then obliterated, right-to-left shunt through the
foramen ovule and ductus arteriosus.
Only 7% of blood is sent to the lungs in utero
QUESTION: Follicular thyroid carcinoma
a.) Is the most common thyroid cancer
b.) Is readily diagnosed with FNA
c.) Spreds via the hematogenous route
d.) Is commonly multifocal - ANSWER-(c)
QUESTION: What genetic mutation is associated with MEN syndromes?
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a.) RET
b.) APC
c.) MSH2
d.) p53
e.) N-myc - ANSWER-(a)
RET-proto-oncogene
QUESTION: What is the treatment of failed chemo/radiation for anal canal cloacogenic
carcinoma?
(a) LAR
(b) More chemo/radiation
(c) APR
(d) Sigmoid colectomy - ANSWER-(c)
In cases followed up with surveillance bipsies, if positive can undergo salvage APR (abdomino-
perineal resection)
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QUESTION: Most common groin hernia in women?
a.) Direct inguinal
b.) Femoral
c.) Indirect inguinal
d.) Obturator - ANSWER-(c)
Indirect inguinal hernia is still the most common, even in women
QUESTION: What is the most common visceral arterial aneurysm?
a.) SMA
b.) Splenic
c.) GDA
d.) Celiac - ANSWER-(b)
Splenic artery aneurysm, fix when > 2.5cm or symptomatic
Which nutrient is poorly absorbed in achlorhydria?
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