ABSITE EXAM 2024 – 2025 ACTUAL
EXAM COMPLETE 600 QUESTIONS AND
DETAILED VERIFIED ANSWERS WITH
RATIONALES (100% CORRECT
ANSWERS) /ALREADY GRADED A+
A 60yr old patient presents with vague abdominal pain,
weight loss, recent onset diabetes, and a patchy
erythematous rash in the pelvic region as well as around
the mouth and anus. The most likely diagnosis is?
a.) VIPoma
b.) Syphilis
c.) Glucagonoma
d.) Gastrinoma
e.) Insulinoma Correct Answer (c)
Patients with glucagonoma usually have mild diabetes
and a severe dermatitis (necrolytic migratory
erythema). These patients may also demonstrate
malnutrition, anemia, glossitis, and venous
thrombosis. The majority of patients have metastatic
disease at the time of diagnosis.
The most common intra-abdominal tumor in children is
a.) Leukemia
b.) Nephroblastoma
,c.) Neuroblastoma
d.) Sarcoma Correct Answer (c)
Neuroblastoma is the most common intra-abdominal
tumor in children. It is the 3rd most common
malignancy among children after leukemias and brain
tumors
How to distinguish between staph scalded skin (SSSS) vs.
TEN/Stevens-Johnson?
a.) Degree of erythema
b.) Bullae formation
c.) Extent of exfoliation (spares mucus membranes)
d.) Response to steroids Correct Answer (c)
SSSS spares the mucous membranes, TEN/SJS will
not
SJS is just more severe TEN
Congenital diaphgragmatic hernia in children
a.) Requires emergency operation if respiratory distress is
present
b.) Bochdalek hernia is the most common type
c.) Morgagni hernia presents on the right side
d.) Is rarely associated with underlying lung pathology
Correct Answer (b)
Bochdalek hernia (85% left)
,The first step in management of an asymptomatic child
with a Morgagni hernia is?
a.) IV fluids
b.) Intubation
c.) Orogastric tube & intubation
d.) Emergent OR Correct Answer (c)
The majority of hernias occur retrosternal/anterior on
the right side of the body and are generally
asymptomatic; However newborns may present with
respiratory distress at birth similar to Bochdalek
hernia
Clinical features of Hirschprung's disease include
a.) Diagnosis is made by barium enema
b.) Enterocolitis is the leading cause of death
c.) Mainly affects females
d.) Shows absent nerve trunks in the aganglionic
segments Correct Answer (b)
Characteristics include:
Delayed passage of meconium
Abdominal distension/Constipation
Chronic Enterocolitis
Most common organism of prosthetic vascular graft
infection is
a.) Staph epi
, b.) Strep
c.) E. Coli
d.) Staph aureus Correct Answer (a)
staph epidermidis
Which of the following statements about chronic
mesenteric ischemia due to atherosclerosis is/are correct?
a.) Postprandial pain is due to gastric hyperacidity and is
relieved with H2 blockers.
b.) Men are more often affected than women.
c.) Mesenteric endarterectomy is the surgical treatment of
choice, since long-term patency rates are superior to
mesenteric bypass.
d.) Arteriography is no longer necessary since noninvasive
diagnosis can be established using duplex ultrasound.
e.) Surgical treatment is indicated to prevent intestinal
infarction in symptomatic patients. Correct Answer (e)
The precise cause of postprandial pain in patients
with chronic mesenteric ischemia is unknown.
Hyperacidity has been observed in some patients with
this disease, but no medical therapy, including H2
blockers, has provided symptomatic relief. Unlike
most syndromes of ischemia due to atherosclerosis
(coronary, cerebrovascular, etc), chronic mesenteric
ischemia occurs more frequently in women. The long-
term success rates for bypass and endarterectomy
are equivalent; either technique is acceptable. While
duplex scanning is a useful noninvasive screening
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