ABSITE Truelearn UPDATED Exam
Questions and CORRECT Answers
Very high vitamin D levels can cause what? - CORRECT ANSWER- increased mortality and
ACS
Monosaccharide glucose and galactose are transported by what mechanism? - CORRECT
ANSWER- Sodium dependent secondary transport
Monosaccharide fructose transported by what mechanism? - CORRECT ANSWER- Na
independent facilitated diffusion
Kidneys use what to perform gluconeogenesis? - CORRECT ANSWER- glutamine and
glutamate
Most common etiology for ESRD requiring transplant? - CORRECT ANSWER- DM then
HTN
Vitamin deficiency 4-6 weeks after bariatric surgery with peripheral neuropathy? -
CORRECT ANSWER- Vit B1, thiamine. peripheral neuropathy
Recommended protein intake per day? - CORRECT ANSWER- 0.8 g/kg/day
Daily nitrogen requirement - CORRECT ANSWER- protein/6.25
Can you do bolus feeds through J tube? - CORRECT ANSWER- No, only gastric
Primary fuel of large bowel - CORRECT ANSWER- short chain fatty acids
Magnesium toxicity - CORRECT ANSWER- confusion, loss of deep tendon reflexes, flaccid
paralysis, hypotension, respiratory failure, cardiac arrhythmia, cardiac arrest
Copper Deficiency - CORRECT ANSWER- pancytopenia, neuropathy with ataxia
,When can chemotherapy for breast cancer be given in pregnancy? - CORRECT ANSWER-
second trimester
Chylous ascites - CORRECT ANSWER- triglycerides > 110, most common cause in
developed world: lymphoma, most common cause in undeveloped world: infectious
Highly selective vagotomy - CORRECT ANSWER- preserves Latarget's nerves (pylorus),
posterior vagus (small intestine and pancreas) and anterior vagus (liver and gallbladder)
Sudden rise in end tidal CO2 during operation - CORRECT ANSWER- increase tidal
volume, most likely atelectasis. Rare but concerning cause would be malignant hyperthermia
Congenital lobar emphysema - CORRECT ANSWER- Can cause severe respiratory distress,
looks like pneumothorax, Chest tube makes it worse. If severe, requires lobectomy
EGD surveillance for various pathologies - CORRECT ANSWER- Family polyposis: 1-2
years
esophageal varices s/p intervention: 6 weeks
gastric and esophageal ulcer: 6 weeks until healed
Barretts: low risk every 2 years, medium risk every year, high risk every 6 months
SVC syndrome initial treatment - CORRECT ANSWER- balloon angioplasty
Increased risk for hemangiosarcoma - CORRECT ANSWER- vinyl chloride, thorotrast,
arsenic
approach to distal trachea injury - CORRECT ANSWER- R posterolateral thoracotomy
TTP - CORRECT ANSWER- thrombocytopenic purpura, neurologic manifestations,
hematuria, hemolytic anemia, fever
Risk factors for sigmoid volvulus - CORRECT ANSWER- psychiatric diseases, elderly
population and low fiber diets
, elevated PTH, elevated Ca, neck mass - CORRECT ANSWER- parathyroid carcinoma
Pharmacodynamics - CORRECT ANSWER- biochemical and physiologic effects of drugs
Pharmacokinetics - CORRECT ANSWER- how the organism affects the drug
can intestinalis pneumotosis be caused by pulmonary disease? - CORRECT ANSWER- yes,
rule out intestinal catastrophe first
Blind loop syndrome - CORRECT ANSWER- caused by bacterial overgrowth, leads to fat
malabsorption, steatorrhea and vit deficiency, can occur with crohns
When to use fistulotomy - CORRECT ANSWER- If < 20% sphincter involved
cutting seton vs draining seton - CORRECT ANSWER- use cutting if > 20 % of sphincter is
involved ,use draining if purulent
second degree frostbite - CORRECT ANSWER- milky white blisters, aspirate to prevent
prostaglandin formation
hemorrhagic frostbite blisters - CORRECT ANSWER- do not aspirate
hydatid cysts most frequent organism - CORRECT ANSWER- echinococcus granulosus
hydatid cyst definitive host - CORRECT ANSWER- dogs
CEAP classification - CORRECT ANSWER- Clinical
Etiology
Anatomy
Pathophysiology
Questions and CORRECT Answers
Very high vitamin D levels can cause what? - CORRECT ANSWER- increased mortality and
ACS
Monosaccharide glucose and galactose are transported by what mechanism? - CORRECT
ANSWER- Sodium dependent secondary transport
Monosaccharide fructose transported by what mechanism? - CORRECT ANSWER- Na
independent facilitated diffusion
Kidneys use what to perform gluconeogenesis? - CORRECT ANSWER- glutamine and
glutamate
Most common etiology for ESRD requiring transplant? - CORRECT ANSWER- DM then
HTN
Vitamin deficiency 4-6 weeks after bariatric surgery with peripheral neuropathy? -
CORRECT ANSWER- Vit B1, thiamine. peripheral neuropathy
Recommended protein intake per day? - CORRECT ANSWER- 0.8 g/kg/day
Daily nitrogen requirement - CORRECT ANSWER- protein/6.25
Can you do bolus feeds through J tube? - CORRECT ANSWER- No, only gastric
Primary fuel of large bowel - CORRECT ANSWER- short chain fatty acids
Magnesium toxicity - CORRECT ANSWER- confusion, loss of deep tendon reflexes, flaccid
paralysis, hypotension, respiratory failure, cardiac arrhythmia, cardiac arrest
Copper Deficiency - CORRECT ANSWER- pancytopenia, neuropathy with ataxia
,When can chemotherapy for breast cancer be given in pregnancy? - CORRECT ANSWER-
second trimester
Chylous ascites - CORRECT ANSWER- triglycerides > 110, most common cause in
developed world: lymphoma, most common cause in undeveloped world: infectious
Highly selective vagotomy - CORRECT ANSWER- preserves Latarget's nerves (pylorus),
posterior vagus (small intestine and pancreas) and anterior vagus (liver and gallbladder)
Sudden rise in end tidal CO2 during operation - CORRECT ANSWER- increase tidal
volume, most likely atelectasis. Rare but concerning cause would be malignant hyperthermia
Congenital lobar emphysema - CORRECT ANSWER- Can cause severe respiratory distress,
looks like pneumothorax, Chest tube makes it worse. If severe, requires lobectomy
EGD surveillance for various pathologies - CORRECT ANSWER- Family polyposis: 1-2
years
esophageal varices s/p intervention: 6 weeks
gastric and esophageal ulcer: 6 weeks until healed
Barretts: low risk every 2 years, medium risk every year, high risk every 6 months
SVC syndrome initial treatment - CORRECT ANSWER- balloon angioplasty
Increased risk for hemangiosarcoma - CORRECT ANSWER- vinyl chloride, thorotrast,
arsenic
approach to distal trachea injury - CORRECT ANSWER- R posterolateral thoracotomy
TTP - CORRECT ANSWER- thrombocytopenic purpura, neurologic manifestations,
hematuria, hemolytic anemia, fever
Risk factors for sigmoid volvulus - CORRECT ANSWER- psychiatric diseases, elderly
population and low fiber diets
, elevated PTH, elevated Ca, neck mass - CORRECT ANSWER- parathyroid carcinoma
Pharmacodynamics - CORRECT ANSWER- biochemical and physiologic effects of drugs
Pharmacokinetics - CORRECT ANSWER- how the organism affects the drug
can intestinalis pneumotosis be caused by pulmonary disease? - CORRECT ANSWER- yes,
rule out intestinal catastrophe first
Blind loop syndrome - CORRECT ANSWER- caused by bacterial overgrowth, leads to fat
malabsorption, steatorrhea and vit deficiency, can occur with crohns
When to use fistulotomy - CORRECT ANSWER- If < 20% sphincter involved
cutting seton vs draining seton - CORRECT ANSWER- use cutting if > 20 % of sphincter is
involved ,use draining if purulent
second degree frostbite - CORRECT ANSWER- milky white blisters, aspirate to prevent
prostaglandin formation
hemorrhagic frostbite blisters - CORRECT ANSWER- do not aspirate
hydatid cysts most frequent organism - CORRECT ANSWER- echinococcus granulosus
hydatid cyst definitive host - CORRECT ANSWER- dogs
CEAP classification - CORRECT ANSWER- Clinical
Etiology
Anatomy
Pathophysiology
