ABSITE - GI – QUESTIONS WITH CORRECT ANSWERS 2025

ABSITE - GI – QUESTIONS WITH CORRECT
ANSWERS 2025
AMpatientMwithMknownMulcerativeMcolitisMisMadmittedMwithMaMfever,Mleukocytosis,Mtachycardia,MandMabdo
minalMpainMwithMdistention.MOnMexamMsheMdemonstratesMsignsMofMperitonitis.MAnMabdominalMXRMshows
MdilatedMcolonMthroughout.MWhatMisMnextMbestMtreatmentMforMthisMpatient?M-MCORRECTMANSWERM-

totalMabdominalMcolectomy,MendMileostomy

(InMaMpatientMwithMperitonitisMandMsignsMofMsepsis,MsurgicalMtherapyMisMindicated.MTheMbestMprocedureMi
nMthisMnon-
electiveMcaseMisMaMstagedMprocedureMwithMtotalMabdominalMcolectomyMandMendMileostomyMdoneMinitially
.MEventuallyMtheMpatientMcanMbeMbroughtMbackMforMcompletionMproctectomyMandMIPAA.)



AM40MyearMoldMmaleMpresentsMwithMdysphagiaMandMregurgitationMofMfoul-
smellingMfoodMmatterMconsistingMofMfoodMeatenM1-
2MdaysMprior.MHisMevaluationMincludesManMesophagogramMthatMrevealsMaMmoderateMsizedMoutpouchingMd
isplacingMandMcompressingMtheMposteriorMwallMofMtheMesophagusMatMtheMC5MandMC6McervicalMspineMlevel
.MThisMpouchMopacifiesMwithMcontrastMasMwell.MWhichMofMtheMfollowingMisMtrueMregardingMthisMpatient'sM
condition?M-MCORRECTMANSWERM-
ItsMmostMcommonMlocationMisMbetweenMtheMobliqueMandMhorizontalMfibersMofMtheMcricopharyngealMmus
cle.

(Zenker'sMorMpharyngoesophagealMdiverticulaMareMtheMmostMcommonMtypeMofMdiverticulaMofMtheMesoph
agus.MTheyMoccurMatMKillian'sMtriangle,MwhichMisManManatomicMweaknessMinMtheMposteriorMpharyngealMco
nstrictorMmuscleMjustMaboveMtheMcricopharyngeusMmuscle,MmostMcommonlyMbetweenMtheMobliqueMandM
horizontalMfibersMofMtheMcricopharyngeusMmuscle.MTheseMareMpulsion-
typeMpseudodiverticulaMandMresultMfromMaMcombinationMofMtheManatomicMweaknessMatMKillian'sMtriangle
MandManMunderlyingMmotilityMdisorderMmanifestedMbyMincoordinatedMorMincompleteMrelaxationMofMtheMu

pperMesophagealMsphincterM(cricopharyngeus)MduringMswallowing.MAlmostMallMpatientsMhaveMassociatedM
hiatalMherniaMandMmanyMpatientsMhaveMgastroesophagealMrefluxMandMrefluxMesophagitis.MAnyMsurgicalMa
pproachMtoMaMZenker'sMdiverticulumMmustMaddressMtheMunderlyingMmotilityMdisorderMtoMbeMsuccessful,M
becauseMdiverticulectomyMaloneMhasManMunacceptablyMhighMrecurrenceMrate.MAMcricopharyngealMmyoto
myMisMrequiredMtoMproduceMaMdurableMresult.)



AM36-year-
oldMmanMhasMbeenMtakingMantacidsMforMheartburnMforMoneMyear.MHeMhasManMexacerbationMofMsymptoms
MandMesophagoscopyMshowsMsalmon-

McoloredMmucosaMextendingMapproximatelyM6McmMupMtheMdistalMesophagus.MBiopsyMshowsMcolumnarMep

itheliumMwithMmildMdysplasia.MTheMmostMappropriateMinitialMmanagementMisM-MCORRECTMANSWERM-
omeprazoleMtherapy

, Barrett'sMesophagusM-MCORRECTMANSWERM-shouldMbeMfollowedMbyMendoscopicMsurveillance



FollowingMaMlargeMmeal,MaMmanMvomitsMseveralMtimesMandMdevelopsMsevereMupper-
abdominalMpainMradiatingMthroughMtoMhisMback.MAMchestMx-
rayMshowsMslightMbluntingMofMtheMleftMcostophrenicMangle.MTheMnextMstepMinMmanagementMshouldMbeM-
MCORRECTMANSWERM-aMGastrografinMstudyMofMtheMesophagusMandMstomach



(Boerhaave'sMSyndrome)



TheMmostMcommonMbenignMtumorMofMtheMesophagusMisMaM-MCORRECTMANSWERM-leiomyoma



SmallMbowelMdistensionMisMdistinguishedMfromMcolonMand/orMstomachMonMradiographicMimagingMbyMwhic
hMofMtheMfollowing?M-MCORRECTMANSWERM-ValvulaeMconniventes

(SmallMbowelMdistensionMisMdistinguishableMfromMtheMcolonMandMstomachMonMradiographsMbyMtheMvalvul
aeMconniventesMwhichMtransverseMtheMentireMbowelMlumen.MColonicMhaustraMcrossMonlyMpartMofMtheMbo
welMwallMandMtypicallyMinterdigitateMwhenMvisualizedMduringMgaseousMdistensionMofMtheMcolon.MPneuma
tosisMcystoidesMintestinalisMisMairMwithinMtheMbowelMwallMwhichMisMaMsignMofMbowelMstrangulationMasMisM
mucosalMthumbMprinting.MAnMinvertedMUMconfigurationMalongMwithMairMfluidMlevelsMandMdistendedMbowe
lMloopsMsuggestsMmechanicalMobstruction.)



WhichMagentMhasMbeenMshownMtoMsignificantlyMdecreaseMtheMseverityMofMnauseaMandMvomitingMandMpat
ientMdiscomfortMinMpatientsMwithMmalignantMbowelMobstruction?M-MCORRECTMANSWERM-Octreotide

(ThreeMprospectiveMrandomizedMtrialsMshowedMthatMoctreotideMsignificantlyMdecreasedMnauseaMandMvo
mitingMandMindicatedMaMsubjectiveMdecreaseMinMpatientMdiscomfort.MThisMallowedMforMaMdiscontinuingMof
MnasogastricMdecompressionMinMtheseMpatients.)




WhichMphysicalMexamMfindingMisMmostMsensitiveMandMspecificMtoMindicateMunderlyingMstrangulatedMbowe
l?M-MCORRECTMANSWERM-NoMphysicalMexamMfindingsMareMsensitiveMorMspecificMforMstrangulatedMbowel.



WhichMofMtheMfollowingMstatementsMconcerningMmalrotationMofMtheMintestinalMtractMisMtrue?

-MItMoccursMinM20%MofMpatientsMwithMcongenitalMdiaphragmaticMhernia

-MItMisMseldomMdiagnosedMbyMbariumMenema

-MNormalMintestinalMrotationMoccursMinMaMclockwiseMdirectionMaroundMtheMsuperiorMmesentericMartery

-MItMcanMbeMassociatedMwithMvolvulusMofMtheMintestinesMaroundMtheMinferiorMmesentericMartery