Absite 2023 - Study guides, Class notes & Summaries

ABSITE question with complete solution 2023 verifiedMUTYH-associated polyposis (MAP) - correct answer Type of polyp: Adenomatous Assoc. Ca: Gastric, Duodenum, breast, ovarian, bladder Extracolonic: N/A Gene: MUTYH Other: Predominately right-sided polyps, ~10 Familial Adenomatous Polyposis (FAP) - correct answer Type of polyp: Adenomatous Assoc. Ca: Duodenum (MC), gastric, pancreatic, desmoid, thyroid, CNS, hepatoblastoma Extracolonic: Osteomas, dental, hypertrophy of retinal epithelium,...

Aortic Injury - MC Location in Blunt Trauma - MC Location in Penetrating Trauma - Which is worse? - MC Location in Blunt Trauma = Isthmus - MC Location in Penetrating Trauma = Infra-renal aorta (+IVC) - Which is worse?: suprarenal injuries, so generally blunt MCCOD in Blunt Trauma Brain Injury EGD Findings a/w increase ulcer re-bleeding (3) 1. Active Bleeding / Oozing 2. Visible Vessel 3. Adherent Clot DDx Inguinal Ulcer/Lesion (3) 1. Hidratenitis: affects apocrin...

desmoid tumor - most stay stable or regress - watchful waiting appropriate for most, especially abdominal wall or near vasculature - CT more appropriate than MRI - heterogenous, enhancing mass - dx with percutaneous core needle biopsy - CTNNBI mutation common for benign - APC mutation for Gardner's Syndrome chyle leak classification high output > 1L, need ligation moderate 500-1000 mL, NPO, TPN, small-med chain FAs, octreotide exudative vs. transudative effusions Li...

ABSITE questions with correct answers 2023 updated T-Tube s/p cholecystectomy - correct answer T-tubes are commonly inserted whenever there is a concern for retained gallstones after a CBD exploration to decompress the biliary tree. Usually a T-tube cholangiography is done 2 weeks post-operatively to evaluate any retained stones and for possible removal of the T-tube. A minimum of 4-6 weeks should pass before any instrumentation is performed to allow for the tract to mature. Neck Zones - cor...

ABSITE questions with correct answers to pass 2023 Operative intervention for what chest tube output parameters? - correct answer The commonly used cutoffs for chest tube output are greater than 1500 mL on initial placement or greater than 200 mL/h for 3hrs High-risk' stigmata of BD-IPMN per the Fukuoka Consensus - correct answer Obstructive jaundice secondary to pancreatic head cystic lesion Enhanced solid component Main pancreatic duct size >10 mm 'Worrisome-features' of BD-IPMN...

Initial treatment of 50 year-old female with metastatic breast CA to ribs & spine with ↑Ca²⁺ Bisphosphonates [Fluid + Lasix + mithramycine/bisphos/calcitonin/ aldaronic acid] Contraindications to SLNBx 1. Clinically suspicious axillary LN 2. T3/T4 3. Large biopsy cavity 4. Prior axillary surgery 5. Recent mammoplasty/breast implant 6. Likely intraductal papilloma Young woman with bloody nipple discharge & normal mammogram → Likely intraductal papilloma → ductal ...

ABSITE - Esophagus – Questions and correct answers 2023 rated A+A 75-year-old male presents to the clinic with a feeling of fullness in his throat and trouble swallowing. He complains of a worsening cough and more recently, bad breath to the point he avoids going out in public. What is the most appropriate first diagnostic test? A. Plain chest x-ray B. Barium esophagram C. Upper endoscopy D. Manometry E. CT of the chest - correct answer Barium esophagram Correct. This patient presents w...

ABSITE - Anorectal – Questions & answers 2023 updatedA 32-year-old male presents to the clinic with a complaint of intermittent bloody anal discharge for 6 months duration. He has no family history of malignancy. The drainage occurs several times weekly and stains his underclothing. He denies incontinence to flatus. Examination demonstrates a 3-mm area of elevated granulation tissue 1.5 cm from the anus in the posterior midline. Digital rectal and anoscopy are otherwise unremarkable. Which of ...

2 weeks after a whipple operation, your patient continues to have early satiety with oral intake. You decide to start metoglopramide (Reglan) and erythromycin. What receptor does erythromycin bind to increase gastrointestinal motility? Motilin (found primarily in the stomach, duodenum, and colon) Proteins are synthesized from: a. mRNA b. tRNA c. dsDNA d. ssDNA mRNA 1 week after an APR, our patient develops urosepsis requiring volume resuscitation, antibiotics, and moderate ...

Which nutrient is poorly absorbed in achlorhydria? a.) Vitamin D b.) Vitamin B12 c.) Bile salts d.) Proteins e.) Fats (b) Vitamin B12 Hypophosphatemia has been associated with all of the following EXCEPT: a.) impaired diaphragmatic contractility b.) treated diabetic ketoacidosis c.) malabsorption coupled with carbohydrate refeeding d.) chronic alcoholism e.) respiratory muscle hyperresponsiveness (e) It is seen in patients with chronic alcoholism, diabetic ketoacidos...