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The most common type of choledochal cyst Ans: Type 1-cystic, fusiform or saccular dilation of CBD CBD is abnormal, CHD is normal TX with RenY hepaticojejeuenostomy with end to side anastamosis Origin of replaced right hepatic artery Ans: SMA Type 5 choledochal cyst Ans: Caroli's disease-intrahepatic ducts, lobectomy vs. transplant for tx Common bile duct size Ans: 6mm is normal, +1 for every 10 years over 40, 10mm can be normal in elderly people Mirizzi's sydrome Page | 2 Ans: compression of bile ducts by distended GB or gallstone MC bugs in cholangitis Ans: E coli, klebsiella, Enterococcus Pancreatitis severity prediction Ans: APACHE-II Ranson's criteria Ans: Pancreatitis (prognosis), more appropriate for ETOH pancreatitis Gallstone ileus Ans: Intestinal obstruction, pneumobilia, calcified stone distant from GB Gallstone ileus tx Ans: Enterotomy proximal to stone, extract stone, close enterotomy. +/- SBR, +/- chole and fistula closure if stable All rights reserved © 2025/ 2026 | Page | 3 Gallbladder polyps Ans: 1cm is cancer until proven otherwise. Any size is cancer until proven otherwise in the setting of PSC Gallbladder cancer Ans: DO NOT biopsy as you can seed the tract Klatskin tumor Ans: cholangiocarcinoma located at the hepatic hilum, @ junction of R. & L. hepatic ducts, intrahepatic dilation. TX with resection and RenY bilioenteric reconstruction Cholangiocarcinoma Ans: Bili often 10 with average of 18, MRCP is imaging of choice Cholecystectomy, post-op bile leak

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ABSITE Questions and Correct Answers/
Latest Update / Already Graded
Which nutrient is poorly absorbed in achlorhydria?



a.) Vitamin D

b.) Vitamin B12

c.) Bile salts

d.) Proteins

e.) Fats

Ans: (b)


Vitamin B12


Hypophosphatemia has been associated with all of the following
EXCEPT:



a.) impaired diaphragmatic contractility

b.) treated diabetic ketoacidosis

c.) malabsorption coupled with carbohydrate refeeding

d.) chronic alcoholism

All rights reserved © 2025/ 2026 |

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e.) respiratory muscle hyperresponsiveness

Ans: (e)


It is seen in patients with chronic alcoholism, diabetic
ketoacidosis, sepsis, and severe malnutrition after
carbohydrate refeeding. It can also be seen in surgical patients
who are not receiving enough phosphate repletion from
parenteral nutrition. Hypophosphatemia causes muscle
weakness, and probably affects the diaphragm more than other
muscles, therefore leading to respiratory failure. Studies have
shown lower contractility of the diaphragm
Phosphorus deficiency may lead to insulin resistance as well


What is the main nutrient for colonocytes?



a.) Glutamine

b.) Alanine

c.) Short chain fatty acids

d.) Glucose

Ans: (c)


Short chain fatty acids

All rights reserved © 2025/ 2026 |

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(Note: the primary fuel source though for enterocytes is
glutamine)


What chemotherapy agent leads to pulmonary fibrosis?



a.) Doxorubicin

b.) Methotrexate

c.) Bleomycin

d.) Vincristine

e.) Cyclophosphamide

Ans: (c)


What is the most useful serum marker for cancer screening?



a.) PSA

b.) CEA

c.) AFP

d.) CA 19-9

e.) CA 15-3

Ans: (a)
All rights reserved © 2025/ 2026 |

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All others are used for follow-up or diagnosis


What is the embryologic origin of the inferior parathyroid gland?



a.) 4th arch

b.) 4th pouch

c.) 3rd arch

d.) 3rd pouch

Ans: (d)


Derivatives of the 3rd pouch include the inferior parathyroid
glands and the thymus. The main nerve supply is the
glossopharyngeal nerve. Superior parathyroids come from the
4th pouch


What is the cause of hypotension and decreased EtCO2 during
laparoscopic surgery



a.) Tension pneumothorax

b.) Inferior vena cava compression

All rights reserved © 2025/ 2026 |

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