ABSITE Actual Final Competency Pre
Assessment Study Guide Questions with
verified Marking Scheme latest version
2024/2025
A patient with a known history of abdominal wall desmoid tumors
should be screened for
a.) Lung cancer
b.) Colon polyps
c.) Breast cancers
d.) Medullary thyroid cancer
e.) Pancreatic cancer - correct answer (b)
Gardener's syndrome is colon polyps with desmoid tumors. The
gene responsible is APC and is inherited in a autosomal dominant
pattern
Which chemotherapy agent causes neutropenic enterocolitis
a.) Vincristine
b.) Cisplatin
c.) Cyclophosphamide
d.) 5-FU
e.) Cytarabine - correct answer (e)
Cytarabine
,Which chemotherapy agent causes severe peripheral
neuropathy?
a.) Vincristine
b.) Methotrexate
c.) Tamoxifen
d.) 5-FU
e.) Cisplatin - correct answer (e)
A 43yr old presents with weight loss & watery diarrhea.
Investigation reveals hypokalemia with a pancreatic mass. Which
of the following would support the diagnosis of a VIPoma?
a.) Achlorhydria
b.) Hypoglycaemia
c.) Increased Pancreatic polypeptide
d.) Migratory erythema
e.) Pellagra - correct answer (a)
1.) Watery diarrhea 2.) ↓Cl 3.) Acidosis 4.) ↓K
Which of the following does NOT form part of the
somatostatinoma syndrome?
a.) Hypoglycemia
b.) Gallbladder disease
c.) Diarrhea
d.) Steatorrhea
,e.) None of the above - correct answer (a)
1) Diabetes 2) Diarrhea 3) Gallstones
An inhibitor of platelet aggregation is
a.) Prostacyclin I
b.) Thromboxane A2
c.) Adenosine Diphosphate
d.) Serotonin
e.) vWF - correct answer (a)
It counters the action of Thromboxane A2 which is a potent
vasoconstrictor and platelet aggregator
PGI (prostacyclin): platelet inhibition, vasodilation and
bronchodilation
The most common cause of GI bleeding in children is
a.) Meckels diverticulum
b.) Anal fissure
c.) Intussusception
d.) Upper GI bleed - correct answer (b)
Anal fissure
(Note: the most common MASSIVE GI bleeding is from Meckels)
, Which motility prokinetic drug and its mechanism of action is
correct?
a.) Cisapride -- Anticholinergic
b.) Erythromycin -- Motilin receptor agonist
c.) Metoclopramide -- Serotonin agonist
d.) Domperidone -- Serotonin agonist
e.) All are correct - correct answer (b)
Metoclopramide/Domperidone have unknown mechanisms of
action. Cisapride is a serotonin agonist.
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.
Assessment Study Guide Questions with
verified Marking Scheme latest version
2024/2025
A patient with a known history of abdominal wall desmoid tumors
should be screened for
a.) Lung cancer
b.) Colon polyps
c.) Breast cancers
d.) Medullary thyroid cancer
e.) Pancreatic cancer - correct answer (b)
Gardener's syndrome is colon polyps with desmoid tumors. The
gene responsible is APC and is inherited in a autosomal dominant
pattern
Which chemotherapy agent causes neutropenic enterocolitis
a.) Vincristine
b.) Cisplatin
c.) Cyclophosphamide
d.) 5-FU
e.) Cytarabine - correct answer (e)
Cytarabine
,Which chemotherapy agent causes severe peripheral
neuropathy?
a.) Vincristine
b.) Methotrexate
c.) Tamoxifen
d.) 5-FU
e.) Cisplatin - correct answer (e)
A 43yr old presents with weight loss & watery diarrhea.
Investigation reveals hypokalemia with a pancreatic mass. Which
of the following would support the diagnosis of a VIPoma?
a.) Achlorhydria
b.) Hypoglycaemia
c.) Increased Pancreatic polypeptide
d.) Migratory erythema
e.) Pellagra - correct answer (a)
1.) Watery diarrhea 2.) ↓Cl 3.) Acidosis 4.) ↓K
Which of the following does NOT form part of the
somatostatinoma syndrome?
a.) Hypoglycemia
b.) Gallbladder disease
c.) Diarrhea
d.) Steatorrhea
,e.) None of the above - correct answer (a)
1) Diabetes 2) Diarrhea 3) Gallstones
An inhibitor of platelet aggregation is
a.) Prostacyclin I
b.) Thromboxane A2
c.) Adenosine Diphosphate
d.) Serotonin
e.) vWF - correct answer (a)
It counters the action of Thromboxane A2 which is a potent
vasoconstrictor and platelet aggregator
PGI (prostacyclin): platelet inhibition, vasodilation and
bronchodilation
The most common cause of GI bleeding in children is
a.) Meckels diverticulum
b.) Anal fissure
c.) Intussusception
d.) Upper GI bleed - correct answer (b)
Anal fissure
(Note: the most common MASSIVE GI bleeding is from Meckels)
, Which motility prokinetic drug and its mechanism of action is
correct?
a.) Cisapride -- Anticholinergic
b.) Erythromycin -- Motilin receptor agonist
c.) Metoclopramide -- Serotonin agonist
d.) Domperidone -- Serotonin agonist
e.) All are correct - correct answer (b)
Metoclopramide/Domperidone have unknown mechanisms of
action. Cisapride is a serotonin agonist.
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.
