©THEBRIGHT 2025 ALL RIGHTS RESERVED 11:11AM.
ABSITE Truelearn Exam Questions And
Answers 2025 Update.
Very high vitamin D levels can cause what? - Answer✔increased mortality and ACS
Monosaccharide glucose and galactose are transported by what mechanism? - Answer✔Sodium
dependent secondary transport
Monosaccharide fructose transported by what mechanism? - Answer✔Na independent
facilitated diffusion
Kidneys use what to perform gluconeogenesis? - Answer✔glutamine and glutamate
Most common etiology for ESRD requiring transplant? - Answer✔DM then HTN
Vitamin deficiency 4-6 weeks after bariatric surgery with peripheral neuropathy? - Answer✔Vit
B1, thiamine. peripheral neuropathy
Recommended protein intake per day? - Answer✔0.8 g/kg/day
Daily nitrogen requirement - Answer✔protein/6.25
Can you do bolus feeds through J tube? - Answer✔No, only gastric
Primary fuel of large bowel - Answer✔short chain fatty acids
Magnesium toxicity - Answer✔confusion, loss of deep tendon reflexes, flaccid paralysis,
hypotension, respiratory failure, cardiac arrhythmia, cardiac arrest
Copper Deficiency - Answer✔pancytopenia, neuropathy with ataxia
When can chemotherapy for breast cancer be given in pregnancy? - Answer✔second trimester
Chylous ascites - Answer✔triglycerides > 110, most common cause in developed world:
lymphoma, most common cause in undeveloped world: infectious
Highly selective vagotomy - 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 - Answer✔increase tidal volume, most likely
atelectasis. Rare but concerning cause would be malignant hyperthermia
1
, ©THEBRIGHT 2025 ALL RIGHTS RESERVED 11:11AM.
Congenital lobar emphysema - Answer✔Can cause severe respiratory distress, looks like
pneumothorax, Chest tube makes it worse. If severe, requires lobectomy
EGD surveillance for various pathologies - 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 - Answer✔balloon angioplasty
Increased risk for hemangiosarcoma - Answer✔vinyl chloride, thorotrast, arsenic
approach to distal trachea injury - Answer✔R posterolateral thoracotomy
TTP - Answer✔thrombocytopenic purpura, neurologic manifestations, hematuria, hemolytic
anemia, fever
Risk factors for sigmoid volvulus - Answer✔psychiatric diseases, elderly population and low
fiber diets
elevated PTH, elevated Ca, neck mass - Answer✔parathyroid carcinoma
Pharmacodynamics - Answer✔biochemical and physiologic effects of drugs
Pharmacokinetics - Answer✔how the organism affects the drug
can intestinalis pneumotosis be caused by pulmonary disease? - Answer✔yes, rule out
intestinal catastrophe first
Blind loop syndrome - Answer✔caused by bacterial overgrowth, leads to fat malabsorption,
steatorrhea and vit deficiency, can occur with crohns
When to use fistulotomy - Answer✔If < 20% sphincter involved
cutting seton vs draining seton - Answer✔use cutting if > 20 % of sphincter is involved ,use
draining if purulent
second degree frostbite - Answer✔milky white blisters, aspirate to prevent prostaglandin
formation
hemorrhagic frostbite blisters - Answer✔do not aspirate
hydatid cysts most frequent organism - Answer✔echinococcus granulosus
hydatid cyst definitive host - Answer✔dogs
CEAP classification - Answer✔Clinical
Etiology
2
, ©THEBRIGHT 2025 ALL RIGHTS RESERVED 11:11AM.
Anatomy
Pathophysiology
Lifethreatening side effect from protamine - Answer✔hypotension
What happens to non absorbed saccharides in the digestive tract? - Answer✔Digested by
intestinal bacteria to form short chain fatty acids
Resuscitation in patient's younger than 2 - Answer✔LR with 5% dextrose for the first 24 hours.
Titrate to 1 cc/kg/hr
Most common benign neoplasm of spleen - Answer✔hemangioma
complications from silvadene - Answer✔neutropenia, hypersensitivity reactions
branched amino acids - Answer✔leucine, isoleucine, valine
Expected excess weight loss after 2 years post lap gastric band? - Answer✔50-60%
During APR, do dissect the levator ani muscles, what is the guide through the perineum? -
Answer✔coccyx to avoid neurovascular bundles
Most common side effect of mycophenalate? - Answer✔leukopenia (1/3 of patients)
Margin of resection for gastric adenocarcinomas - Answer✔5 cm
What anesthesia produces muscle fasciulations? - Answer✔depolarizing neuromuscular
blocking agents, succinylcholine
Parathyroid location - Answer✔posterolateral to the thyroid and above or below the junction of
the inferior thyroid artery with the recurrent laryngeal nerve.
Most common complication in PACU that leads to admission for outpatient procedures -
Answer✔nausea and vomiting
Visceral artery aneurysm most common location - Answer✔Splenic artery
How to close full thickness graft site - Answer✔primarily
Side effects of Trastuzumab - Answer✔increased risk of cardiac events, reversible
Side effects of tamoxifen - Answer✔hot flashes, DVTs, stroke and endometrial cancer
Maneuver to access supraceliac aorta - Answer✔Maddox (left medial visceral rotation)
Maneuver for access to retrohepatic IVC - Answer✔Cattell-Braasch (right medial visceral
rotation)
During Nissen, how do you avoid spleen injury - Answer✔ligating short gastrics
3
ABSITE Truelearn Exam Questions And
Answers 2025 Update.
Very high vitamin D levels can cause what? - Answer✔increased mortality and ACS
Monosaccharide glucose and galactose are transported by what mechanism? - Answer✔Sodium
dependent secondary transport
Monosaccharide fructose transported by what mechanism? - Answer✔Na independent
facilitated diffusion
Kidneys use what to perform gluconeogenesis? - Answer✔glutamine and glutamate
Most common etiology for ESRD requiring transplant? - Answer✔DM then HTN
Vitamin deficiency 4-6 weeks after bariatric surgery with peripheral neuropathy? - Answer✔Vit
B1, thiamine. peripheral neuropathy
Recommended protein intake per day? - Answer✔0.8 g/kg/day
Daily nitrogen requirement - Answer✔protein/6.25
Can you do bolus feeds through J tube? - Answer✔No, only gastric
Primary fuel of large bowel - Answer✔short chain fatty acids
Magnesium toxicity - Answer✔confusion, loss of deep tendon reflexes, flaccid paralysis,
hypotension, respiratory failure, cardiac arrhythmia, cardiac arrest
Copper Deficiency - Answer✔pancytopenia, neuropathy with ataxia
When can chemotherapy for breast cancer be given in pregnancy? - Answer✔second trimester
Chylous ascites - Answer✔triglycerides > 110, most common cause in developed world:
lymphoma, most common cause in undeveloped world: infectious
Highly selective vagotomy - 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 - Answer✔increase tidal volume, most likely
atelectasis. Rare but concerning cause would be malignant hyperthermia
1
, ©THEBRIGHT 2025 ALL RIGHTS RESERVED 11:11AM.
Congenital lobar emphysema - Answer✔Can cause severe respiratory distress, looks like
pneumothorax, Chest tube makes it worse. If severe, requires lobectomy
EGD surveillance for various pathologies - 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 - Answer✔balloon angioplasty
Increased risk for hemangiosarcoma - Answer✔vinyl chloride, thorotrast, arsenic
approach to distal trachea injury - Answer✔R posterolateral thoracotomy
TTP - Answer✔thrombocytopenic purpura, neurologic manifestations, hematuria, hemolytic
anemia, fever
Risk factors for sigmoid volvulus - Answer✔psychiatric diseases, elderly population and low
fiber diets
elevated PTH, elevated Ca, neck mass - Answer✔parathyroid carcinoma
Pharmacodynamics - Answer✔biochemical and physiologic effects of drugs
Pharmacokinetics - Answer✔how the organism affects the drug
can intestinalis pneumotosis be caused by pulmonary disease? - Answer✔yes, rule out
intestinal catastrophe first
Blind loop syndrome - Answer✔caused by bacterial overgrowth, leads to fat malabsorption,
steatorrhea and vit deficiency, can occur with crohns
When to use fistulotomy - Answer✔If < 20% sphincter involved
cutting seton vs draining seton - Answer✔use cutting if > 20 % of sphincter is involved ,use
draining if purulent
second degree frostbite - Answer✔milky white blisters, aspirate to prevent prostaglandin
formation
hemorrhagic frostbite blisters - Answer✔do not aspirate
hydatid cysts most frequent organism - Answer✔echinococcus granulosus
hydatid cyst definitive host - Answer✔dogs
CEAP classification - Answer✔Clinical
Etiology
2
, ©THEBRIGHT 2025 ALL RIGHTS RESERVED 11:11AM.
Anatomy
Pathophysiology
Lifethreatening side effect from protamine - Answer✔hypotension
What happens to non absorbed saccharides in the digestive tract? - Answer✔Digested by
intestinal bacteria to form short chain fatty acids
Resuscitation in patient's younger than 2 - Answer✔LR with 5% dextrose for the first 24 hours.
Titrate to 1 cc/kg/hr
Most common benign neoplasm of spleen - Answer✔hemangioma
complications from silvadene - Answer✔neutropenia, hypersensitivity reactions
branched amino acids - Answer✔leucine, isoleucine, valine
Expected excess weight loss after 2 years post lap gastric band? - Answer✔50-60%
During APR, do dissect the levator ani muscles, what is the guide through the perineum? -
Answer✔coccyx to avoid neurovascular bundles
Most common side effect of mycophenalate? - Answer✔leukopenia (1/3 of patients)
Margin of resection for gastric adenocarcinomas - Answer✔5 cm
What anesthesia produces muscle fasciulations? - Answer✔depolarizing neuromuscular
blocking agents, succinylcholine
Parathyroid location - Answer✔posterolateral to the thyroid and above or below the junction of
the inferior thyroid artery with the recurrent laryngeal nerve.
Most common complication in PACU that leads to admission for outpatient procedures -
Answer✔nausea and vomiting
Visceral artery aneurysm most common location - Answer✔Splenic artery
How to close full thickness graft site - Answer✔primarily
Side effects of Trastuzumab - Answer✔increased risk of cardiac events, reversible
Side effects of tamoxifen - Answer✔hot flashes, DVTs, stroke and endometrial cancer
Maneuver to access supraceliac aorta - Answer✔Maddox (left medial visceral rotation)
Maneuver for access to retrohepatic IVC - Answer✔Cattell-Braasch (right medial visceral
rotation)
During Nissen, how do you avoid spleen injury - Answer✔ligating short gastrics
3
