ABSITE EXAM ACTUAL EXAM 3 VERSIONS AND
PRACTICE EXAM ALL 600 QUESTIONS AND CORRECT
SOLUTIONS LATEST UPDATE THIS YEAR
ABSITE EXAM 1
QUESTION: A 72-year-old man undergoes percutaneous transhepatic cholangiography and
percutaneous biliary drainage for obstructive jaundice secondary to pancreatic cancer,
Following the percutaneous transhepatic cholangiography and percutaneous biliary drainage,
he develops melena and blood is seen in the biliary drain. Laboratory work reveals a drop in
hematocrit and an increase in his liver function tests. What is the definitive treatment for this
change in his condition?
A. Catheter embolization
B. Hepatic resection
C. Endoscopic epinephrine injection at the site of the bleeding vessel
D. Biliary stent placement
E. Whipple procedure - ANSWER-A. Catheter embolization
QUESTION: During resection of a pelvic tumor, the left ureter is
inadvertently transected below the level of the pelvic
brim. Which of the following do you choose for immediate treatment of this problem?
A. Primary repair
B. Primary repair with ureteral stent
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C. Diversion with ureteroentereostomy
D. Ureterocystostomy
E. Delayed repair and percutaneous drainage of urinoma - ANSWER-D. Ureterocystostomy
QUESTION: Four weeks after a cadaveric renal transplant, the recipient returns to the
emergency department with bilateral lower extremity edema. In spite of normal fluid intake, he
reports that he has had minimal urine output over the past 18 hours. Serum creatinine is now
elevated to 1.4 mg per deciliter from the postoperative 1.0 mg per deciliter. After failure to
respond to a fluid challenge, an ultrasound is obtained. This reveals good perfusion, minimal
hydronephrosis and a 3x4x6-cm hypoechoic mass adjacent to the renal pelvis of the allograft.
What is the most likely cause of the patient's oliguria?
A. lymphocele formation
B. Ureteroneocystostomy stenosis
C. Renal artery thrombosis
D. Renal artery stenosis
E. Compressive hematoma - ANSWER-A. lymphocele formation
QUESTION: Eighteen months after undergoing an aortobifemoral artery bypass, a 74-year-old
man presents with a painful swelling in his left-side groin. Ultrasonography demon¬strates a
pseudoaneurysm at the site of the distal anastomosis with surrounding fluid. What Is the likely-
underlying cause of this condition?
A. Graft failure
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B. Atheroembolism
C. Graft infection
D. Graft thrombosis
E. Suture failure - ANSWER-C. Graft infection
QUESTION: A 38-year-old woman is referred to your clinic after an elevated 24-hour urine
cortisol measurement. She is not on any steroids, What is the most likely cause of this patient's
disease?
A. Ovarian cancer
B. Adrenal adenoma
C. Adrenal carcinoma
D. Pituitary adenoma - ANSWER-D. Pituitary adenoma
QUESTION: You receive a phone call to your office by a 36-year-old woman who underwent
banding for a hemorrhoid 6 days prior. She has a small amount of blood on toilet paper after
defecation, but she denies increasing pain and fever. Which of the following do you tell her?
A. This is normal, start taking stool softeners and aspirin.
B. Go to the emergency room immediately.
C. Come in to my office as soon as possible.
D. This Is normal, start taking fiber supplements and sitz baths. - ANSWER-D. This Is normal,
start taking fiber supplements and sitz baths.
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QUESTION: A 32-year-old man is brought to the emergency de¬partment after his left leg was
pinned between two cars. Upon examination, his left leg is swollen and tense be¬low the knee,
and you suspect compartment syndrome. Which nerve is most commonly injured during
fasciotomy of the lower leg? A. Superficial peroneal nerve B. Tibial nerve C. Deep peroneal
nerve D. Saphenous nerve - ANSWER-A. Superficial peroneal nerve
QUESTION: During an elective laparoscopic cholecystectomy, you encounter difficulty during
the initial placement of tro¬cars. During visualization of the gallbladder, the anes¬thesiologist
informs you that the patient has a heart rate (HR) of 130 beats per minute and a dropping
blood pressure, What do you do next?
A. Decrease Insufflation pressure
B. Give IV fluids
C. Stop insufflation
D. Place the patient in the left lateral decubitus position
E. Give an inotropic agent for blood pressure - ANSWER-C. Stop insufflation
QUESTION: Eighteen months after undergoing an aortobifemoral ar¬tery bypass;, a 69-year-old
woman presents with a draining, cellulitic wound in her right-side groin, with exposed poly-
tetrafluoroethylene graft. What la the most likely pathogen infecting this graft?
A. S. eptdermidis
B. Klebsiella pneumoniae
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