Exam (elaborations)

absite 1 Questions and Answers

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Course
ABSITE

Institution
ABSITE

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. ...

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Uploaded on August 28, 2024
Number of pages 110
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absite 1 questions and answers

Institution ABSITE
Course ABSITE

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1
Elscores: Aug. 27, 24- 2024/2025

absite 1 Questions and Answers
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

 :-- D. Administer desmopressin (DDAVP)

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 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

 :-- C. 60% at 5 yrs

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

 :-- A. 5-fluorouracil and interferon alpha

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, 2
Elscores: Aug. 27, 24- 2024/2025

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

 :-- D. Thickened mesenteric lymph nodes on radiographic imaging

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

C. Type II diabetes mellitus D. Unilateral duplicated collecting system

E. Current cocaine usage

 :-- D. Unilateral duplicated collecting system

A 39-year-old man is referred to your clinic for treatment of a cecal mass diagnosed by

surveillance colonoscopy. His father, paternal grandmother, and paternal uncle all developed

colon cancer by their fifth decade. Mutation of which of the following genes is associated with

this man's disease? A. K-Ras B. hMSH2

D. APC E. BRCA2

 :-- B. hMSH2

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, 3
Elscores: Aug. 27, 24- 2024/2025

A 68-year-old man presents with pain In his left leg. Exanimation and workup confirms

diagnosis of a popliteal aneurysm. What is the most common complication that would result in

the patient's leg pain? A. Popliteal aneurysm rupture B. Nerve impingement by the popliteal

aneurysm C. Venous obstruction by the popliteal aneurysm D. Thromboembolic events

associated with the popliteal aneurysm

 :-- D. Thromboembolic events associated with the popliteal aneurysm

A 52-year-old woman presents to your clinic with a palpable thyroid nodule. Ultrasonography

shows a 3-cm lesion in the right thyroid lobe with solid and cystic components. Ultrasonography

-guided fine needle aspiration (FNA) reveals a thyroid cancer. Which of the following is the most

likely diagnosis?

A. Papillary carcinoma

B. Anaplastic carcinoma

C. Follicular carcinoma

D. Medullary carcinoma

 :-- A. Papillary carcinoma

A 60-year-old man who suffers from chronic alcoholism was admitted to the hospital with a

bout of acute pancreatitis. He has suffered similar episodes in the past, all of which have resolved

without complications. On laboratory studies, he is found to have an elevated serum amylase

level. A 4-cm pancreatic pseudocyst is found on CT scan. What would be the best treatment?

A. Percutaneous drainage B. Simple aspiration C. observation and serial CT scans D. Surgical

intervention

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, 4
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 :-- C. observation and serial CT scans

Which of the following is a characteristic of Merkel cell carcinoma?

A. Slow-growing, well-defined cutaneous lesion

B. Early distant metastases

C. Locally aggressive tumor with low chance of distant spread

D. FrequentIy cured with wide local excision alone

E. Histologically similar to squamous cell carcinoma

 :-- B. Early distant metastases

A 70-year-old man with ascites secondary to cirrhosis presents for elective umbilical hernia

repair. Should he be offered repair of his hernia?

A. Yes, if it is significantly affecting lib lifestyle.

B. Yes, If he Is leaking ascites from the hernia

C. Yes, If he Is on the liver transplant list

D. No, he should not be offered repair

 :-- B. Yes, If he Is leaking ascites from the hernia

A 68-year-old man with atrial fibrillation presents to the emergency department with a cool,

pulseless right foot Sensation Is Intact Duplex ultrasonography of the right leg reveals multiple

femoral stenoses and tibioperoneal thrombosis with poor tibial flow, What Is the most

appropriate management?

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