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ABSITE - 2023 questions and answers
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ABSITE - 2023 questions and answers
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Name: Score:226 Multiple choice questions
Term 1 of 226
MC malignant tumor of the small bowel
Steroids (budesonide)
Mets from another primary (MELANOMA)
Adenocarcinoma (rare)
Enterochromaffin-like cells (aka kulchitsky cells)
Term 2 of 226
What causes inhalation injuries?
Exposure to cold temperatures (causing frostbite)
Inhaled toxins (heat is dissipated in the upper airways)
Consuming spicy foods (leading to gastrointestinal irritation)
Physical trauma to the chest (resulting in rib fractures)
Term 3 of 226
Aldosterone to renin ratio a/w Conn syndrome
> 10
> 30
> 20
> 40
,Term 4 of 226
Most potent stimulator of bile secretion
Gastrin
Cholecystokinin
Secretin
Insulin
Term 5 of 226
Most effective tool for rewarming of patients with severe hypothermia
Cystic fibrosis
Extracorporeal membrane oxygenation (ECMO)
Insertion of a laryngoscope for deep suctioning
Ventricular assist device (vad)
Term 6 of 226
Why do we use hypotonic saline in children under 2 years old?
Vascular, lymphatic, and perineural spaces
Decreased ability to concentrate urine
Breastfeeding and any trimester pregnancy
Prolonged ventilation > 48 hours and coagulopathy
,Term 7 of 226
Impediments to spontaneous closure of fistulas
FRIEND mnemonic (foreign body, radiation, inflammation/infection, epithelialization,
neoplasia, distal obstruction).
In addition, fistulas that are high-output (> 500 mL/day), short (< 2 cm), or multiple in
number are less likely to close spontaneously
Exogenous PO intake is about 2000 ml
Saliva 1500 ml
Stomach 1000-2000 ml
Biliary 500 ml
Pancreatic 500-1500 ml
Small bowel 1500 ml
Most of those 9 liters are absorbed in the small and large bowels as the following:
Small bowel 8500 ml
Large bowel 400 ml
Net loss of fluid with stool is about 100-200 ml/day
Renal impairment increases the risk of meperidine toxicity, as its metabolites are cleared
by the kidneys.
Normeperidine can accumulate to toxic levels, leading to life-threatening seizures and
CNS irritability.
Parathyroid adenoma: A single focus of chief cells, surrounded by a compressed rim of
normal tissue
Parathyroid hyperplasia: A diffuse proliferation of clear cells with little remaining normal
tissue
Parathyroid malignancy: Marked mitotic activity, dense fibrous stroma, and evidence of
local invasion into the capsule or surrounding vessels
, Term 8 of 226
Heart rate change after insufflation
Tachycardia due to decreased intra-abdominal pressure
Hypotension secondary to increased abdominal perfusion pressure
Bradycardia 2/2 increased pneumoperitoneum causing stretch of vasovagal receptors
Cystic fibrosis
Term 9 of 226
Presentation with neuroblastoma called MS (previously called 4S)
Enlarged lymph nodes and splenomegaly
Localized tumor with no metastases
Subcutaneous metastases, positive bone marrow, and massive hepatomegaly due to
hepatic metastasis
Lung nodules and pleural effusion
Term 10 of 226
Mutation a/w metastatic pheochromocytoma
Angiodysplasia (MC location = ileum)
SDHB (succinate dehydrogenase subunit B)
Diep (deep inferior epigastric perforator) flap
Bevacizumab, 5-FU, Oxaliplatin
"FOB"
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