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ABSITE Questions And Correct Answers LatestUpdate 100% Correct
The most common thyroid cancer and usually has a good prognosis is that of the
papillary thyroid cancer. Papillary cancer is associated with many key findings on both
pathology and clinical exam, such as the "lateral aberrant thyroid tissue"
Characteristic pathologic findings include Orphan Annie nuclei and psammoma bodies
A 70kg man sustained partial thickness burns to his entire right arm, right hand, left
hand, and anterior torso while attempting to light a campfire. He was taken directly to
the local burn center after his injury and received the initiation of IV fluid resuscitation.
At what rate should the IV fluids start? ANSWER This patient, by the rule of nines, has
29% of his total body surface area burned. The Parkland Formula estimates volume
resuscitation.
The Parkland Formula: Total volume of resuscitation = weight in kg x % TBSA burned x 4
70 kg x 29% x 4= 8120 mL. Half of this volume, or 4060 mL must be given over eight
hours so the rate of IV fluid for the first eight hours is 4060 mL/8 hours or approximately
500mL/hour
All of the following are true about metastatic renal cell carcinoma (RCC) EXCEPT:
a. Alpha-IFN is an immunomodilator which has shown promise in metastatic RCC.
b. No effective chemotherapy is available for metastatic RCC.
c. The best responders to biological response modifiers include patients with low tumor
burden and lung metastases only.
d. Metastatic RCC is resistant to radiation.
,e. Interleukin-3 has shown promise in metastatic RCC. - ANSWER E.
The combination of neoadjuvant nephrectomy and IL-2 and interferon (α-IFN)
immunotherapies represent the standard of care for patients with metastatic RCC-that
is, resistant to XRT and standard chemotherapies
Any patient with a solid testicular mass, confirmed on ultrasound studies, is presumed
to have testicular cancer until proven otherwise, and should undergo a _____ to make a
definitive diagnosis - ANSWER Radical orchiectomy via an inguinal approach
*CT scan is the study of choice for staging
A 52-year-old female with a history of a laparoscopic splenectomy for ITP presents to
your office for her follow up visit. She explains that she is continuing to have nosebleeds
and gingival bleeding, and that her symptoms have not improved.
What is the BEST next step in management?
a. Restart steroids
b. Initiate IVIG
c. Perform a CT scan with contrast
d. Send for a peripheral smear
e. Re-exploration - ANSWER Send for a peripheral smear
A peripheral smear can show the presence of residual splenic tissue postsplenectomy
→ The absence of Howell-Jolly bodies indicates some residual splenic tissue is present.
Radionucleotide imaging can also be used to locate the accessory spleen. Treatment is
re-operation and removal of all splenic tissue.
A 35-year-old woman with long-standing insulin-dependent diabetes is admitted for a
,work-up of early satiety, nausea, and vomiting.
After a negative upper endoscopy, the next BEST test to confirm the diagnosis is:
-ANSWER Nuclear medicine gastric emptying study
Diabetic gastroparesis is a consequence of the delayed emptying of the stomach. The
prevalent symptoms are nausea, vomiting, and early satiety. The most accepted test for
its diagnosis is the nuclear medicine gastric emptying study.
A 25-yr-old female who is in her 12th week of pregnancy comes to her PCP with a
thyroid nodule she has found herself at home. She is eventually diagnosed with papillary
thyroid cancer after complete workup. Which of the following is the most appropriate
treatment in the above scenario? a. Thyroidectomy in second trimester b. High doses of
propylthiouracil c. Thyroidectomy followed by Iˆ131 prior to delivery
d. Thyroidectomy 6 weeks post-delivery - ANSWER The treatment of choice for thyroid
cancer and hyperthyroidism in pregnancy is thyroidectomy in the 2nd trimester;
radioactive iodine is contraindicated in all pregnant patients as I131 can destroy the
fetal thyroid gland
A 67 yr male with a history of colon cancer that was resected two years ago, now
presents with metastatic disease to the liver. He is being considered for
chemoembolization.
What is the rationale for chemoembolization in hepatic metastasis?
( A ) Despite the higher incidence of side effects, the response rates are better than
systemic chemotherapy
( B ) Hepatic metastases derive their blood supply from the hepatic artery
( C ) It allows high local concentrations with hepatic extraction rates of 75%
( D ) It has better rates of survival and less morbidity than surgical resection
( E ) It can perhaps cure patients of disease - ANSWER B.
Hepatic metastases preferentially receive their blood supply from the hepatic arterial
circulation, hence chemoembolization provides better responses than systemic
chemotherapy due to higher concentrations at the level of the tumor.
, The following statements are true about prerenal azotemia EXCEPT:
( A ) BUN:Cr ratio >20
( B ) Fractional excretion of Na of <1%
C. Inappropriately high urine osmolarity
D. High ratio of serum creatinine to urine creatinine
E. High ratio of urine urea to serum urea - D.
FeNa = (urine Na/serum Na)/(urine creatinine/serum creatinine) × 100
A urinalysis will usually reveal decreased urine sodium, appropriately high urine
creatinine-to-serum creatinine ratio, a high urine urea-to-serum urea ratio, and
concentrated urine appropriately as evidenced by osmolality and specific gravity;
Prerenal azotemia usually involves a BUN:Cr ratio > 20, fractional excretion of Na is less
than 1%, and urine osmolarity is suitably high
A 33-year-old male presents with decreased sensation and dark black discoloration of
his index, middle and ring fingers on his left hand. He states he was skiing all day and
upon removal of his gloves noticed the changes.
Which of the following is the MOST appropriate next step?
A) Amputation of the involved digits
B) Immersion of his left hand in warm water
C - Surgical debridement of the involved areas
D - Immobilization w/ wrist splint extending to finger tips
E - Gradual re-warming of his hand over several hrs - ANSWER B.
The initial management of an extremity with frostbite is rapid rewarming of the affected
limb.
A 66-yr-old female has been subjected to a workup for suspected hepatocellular
carcinoma including appropriate radiography and liver biopsy.
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