ABSITE Review UPDATED Exam Questions
and CORRECT Answers
Where does thyroid cancer tend to mets to? - CORRECT ANSWER - lung, liver and bones
What primary cancers can spread to adrenal? - CORRECT ANSWER - -lung (most
common)
-GI tract, breast, kidney, pancreas, skin (melanoma)
How do you differentiate on the surface between the L and R lobes of the liver? - CORRECT
ANSWER - called the midplane of the liver or Cantlie line, divided by the middle hepatic
vein that extends from gallbladder fossa to IVC
What is the anatomic landmark to distinguish between the anterior and posterior segments of the
right lobe of the liver? - CORRECT ANSWER - R portal vein
What is the anatomical landmark for distinguishing between the medial and lateral segments of
the left lobe of the liver? - CORRECT ANSWER - round ligament at the umbilical fissure
If you have a posterior dislocation of the hip, what are you most likely to injure? - CORRECT
ANSWER - sciatic nerve (peroneal division) injury
If you have a supracondylar humerus fx, what are you most likely to injure? - CORRECT
ANSWER - brachial artery (may lead to Volkmann's ischemic contracture
If you have an anterior dislocation of the shoulder, what are you most likely to injure? -
CORRECT ANSWER - axillary nerve
If you have a distal radius fracture, what are you most likely to injure? - CORRECT
ANSWER - median nerve compression/injury
,If you have a posterior dislocation of the knee, what are you most likely to injure? - CORRECT
ANSWER - popliteal artery injury
What type of melanoma has the best prognosis? - CORRECT ANSWER - lentigo maligna
melanoma, often in sun-exposed elderly, slow growth
What type of melanoma has the worst prognosis? - CORRECT ANSWER - nodular
melanoma- early vertical growth
What does the Pringle maneuver clamp?
If that doesn't control bleeding, where might your bleeding be still coming from? - CORRECT
ANSWER - -Pringle: hepatic artery, portal vein
-if not: retrohepatic IVC or hepatic vein
For facial nerve injuries, how do you proceed if the injury is:
-medial to the lateral canthus of the eye?
-lateral? - CORRECT ANSWER - -medial: facial nerve will likely recover without
operative intervention, just observe
-lateral: surgical exploration necessary within 72h of injury to reapproximate epineural layers vs
nerve interposition graft
CCK:
-where is it produced?
-what things stimulate its release?
-what does it do? - CORRECT ANSWER - -produced by I-cells of duodenum and jejunum
-released after ingestion of fat, protein, and amino acids
-inhibits proximal gastric motility and increases antral/pyloric contraction (inhibits gastric
emptying), relaxes sphincter of Oddi, stimulates gallbladder contraction, stimulates pancreatic
secretions
,manifestations of zinc deficiency - CORRECT ANSWER - failure to thrive, poor wound
healing, skin rash
manifestations of selenium deficiency - CORRECT ANSWER - cardiomyopathy,
hypothyroid, neurologic changes
manifestations of chromium deficiency - CORRECT ANSWER - hyperglycemia,
confusion, peripheral neuropathy
manifestations of copper deficiency - CORRECT ANSWER - pancytopenia, myelopathy
(neuropathy with ataxia)
What does IL-1 do? - CORRECT ANSWER - acts on hypothalamus to cause fever
What does IL-2 do? - CORRECT ANSWER - promotes T-lymphocyte proliferation and Ig
production
What does IL-4 do? - CORRECT ANSWER - stimulates T-cell differentiation and B-cell
activation
What does TNF-a do? - CORRECT ANSWER - -made in macrophages, monocytes, and T-
cells
-released in response to injury or infection
-can cause development of cachexia by increasing catabolism and insulin resistance
What is the most common cause of death in someone with FAP that already had proper surgical
resection? - CORRECT ANSWER - -duodenal cancer. Must get upper endoscopies starting
age 20-25 or when colonic polyps first appear
-brain cancer also seen, but less common
, What disease is associated with Hirschsprung's?
With meconium ileus? - CORRECT ANSWER - -Hirschsprung: Down syndrome
-meconium ileus: Cystic Fibrosis
Side effects of SSD - CORRECT ANSWER - transient leukopenia
side effects of sulfamylon - CORRECT ANSWER - (aka mafenide acetate)
-metabolic acidosis
side effects of bacitracin - CORRECT ANSWER - nephrotoxicity
side effects of silver nitrate - CORRECT ANSWER - hyponatremia and
methemoglobinemia
B3 deficiency manifestations - CORRECT ANSWER - (aka niacin)
diarrhea, dermatitis, dementia
manifestations of essential fatty acid deficiency - CORRECT ANSWER - waxy skin
dermatitis, hair loss, thrombocytopenia
manifestations of vitamin E deficiency - CORRECT ANSWER - hemolytic anemia,
peripheral neuropathy, ataxia
most common tumor to mets to the small bowel? - CORRECT ANSWER - (via
hematogenous spread)
melanoma
Type 1 hypersensitivity reaction - CORRECT ANSWER - -immediate
and CORRECT Answers
Where does thyroid cancer tend to mets to? - CORRECT ANSWER - lung, liver and bones
What primary cancers can spread to adrenal? - CORRECT ANSWER - -lung (most
common)
-GI tract, breast, kidney, pancreas, skin (melanoma)
How do you differentiate on the surface between the L and R lobes of the liver? - CORRECT
ANSWER - called the midplane of the liver or Cantlie line, divided by the middle hepatic
vein that extends from gallbladder fossa to IVC
What is the anatomic landmark to distinguish between the anterior and posterior segments of the
right lobe of the liver? - CORRECT ANSWER - R portal vein
What is the anatomical landmark for distinguishing between the medial and lateral segments of
the left lobe of the liver? - CORRECT ANSWER - round ligament at the umbilical fissure
If you have a posterior dislocation of the hip, what are you most likely to injure? - CORRECT
ANSWER - sciatic nerve (peroneal division) injury
If you have a supracondylar humerus fx, what are you most likely to injure? - CORRECT
ANSWER - brachial artery (may lead to Volkmann's ischemic contracture
If you have an anterior dislocation of the shoulder, what are you most likely to injure? -
CORRECT ANSWER - axillary nerve
If you have a distal radius fracture, what are you most likely to injure? - CORRECT
ANSWER - median nerve compression/injury
,If you have a posterior dislocation of the knee, what are you most likely to injure? - CORRECT
ANSWER - popliteal artery injury
What type of melanoma has the best prognosis? - CORRECT ANSWER - lentigo maligna
melanoma, often in sun-exposed elderly, slow growth
What type of melanoma has the worst prognosis? - CORRECT ANSWER - nodular
melanoma- early vertical growth
What does the Pringle maneuver clamp?
If that doesn't control bleeding, where might your bleeding be still coming from? - CORRECT
ANSWER - -Pringle: hepatic artery, portal vein
-if not: retrohepatic IVC or hepatic vein
For facial nerve injuries, how do you proceed if the injury is:
-medial to the lateral canthus of the eye?
-lateral? - CORRECT ANSWER - -medial: facial nerve will likely recover without
operative intervention, just observe
-lateral: surgical exploration necessary within 72h of injury to reapproximate epineural layers vs
nerve interposition graft
CCK:
-where is it produced?
-what things stimulate its release?
-what does it do? - CORRECT ANSWER - -produced by I-cells of duodenum and jejunum
-released after ingestion of fat, protein, and amino acids
-inhibits proximal gastric motility and increases antral/pyloric contraction (inhibits gastric
emptying), relaxes sphincter of Oddi, stimulates gallbladder contraction, stimulates pancreatic
secretions
,manifestations of zinc deficiency - CORRECT ANSWER - failure to thrive, poor wound
healing, skin rash
manifestations of selenium deficiency - CORRECT ANSWER - cardiomyopathy,
hypothyroid, neurologic changes
manifestations of chromium deficiency - CORRECT ANSWER - hyperglycemia,
confusion, peripheral neuropathy
manifestations of copper deficiency - CORRECT ANSWER - pancytopenia, myelopathy
(neuropathy with ataxia)
What does IL-1 do? - CORRECT ANSWER - acts on hypothalamus to cause fever
What does IL-2 do? - CORRECT ANSWER - promotes T-lymphocyte proliferation and Ig
production
What does IL-4 do? - CORRECT ANSWER - stimulates T-cell differentiation and B-cell
activation
What does TNF-a do? - CORRECT ANSWER - -made in macrophages, monocytes, and T-
cells
-released in response to injury or infection
-can cause development of cachexia by increasing catabolism and insulin resistance
What is the most common cause of death in someone with FAP that already had proper surgical
resection? - CORRECT ANSWER - -duodenal cancer. Must get upper endoscopies starting
age 20-25 or when colonic polyps first appear
-brain cancer also seen, but less common
, What disease is associated with Hirschsprung's?
With meconium ileus? - CORRECT ANSWER - -Hirschsprung: Down syndrome
-meconium ileus: Cystic Fibrosis
Side effects of SSD - CORRECT ANSWER - transient leukopenia
side effects of sulfamylon - CORRECT ANSWER - (aka mafenide acetate)
-metabolic acidosis
side effects of bacitracin - CORRECT ANSWER - nephrotoxicity
side effects of silver nitrate - CORRECT ANSWER - hyponatremia and
methemoglobinemia
B3 deficiency manifestations - CORRECT ANSWER - (aka niacin)
diarrhea, dermatitis, dementia
manifestations of essential fatty acid deficiency - CORRECT ANSWER - waxy skin
dermatitis, hair loss, thrombocytopenia
manifestations of vitamin E deficiency - CORRECT ANSWER - hemolytic anemia,
peripheral neuropathy, ataxia
most common tumor to mets to the small bowel? - CORRECT ANSWER - (via
hematogenous spread)
melanoma
Type 1 hypersensitivity reaction - CORRECT ANSWER - -immediate
