2026/2027 COMPLETE & ACCURATE EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS WITH DETAILED
RATIONALES (100% CORRECT VERIFIED ANSWERS)
CURRENTLY UPDATED VERSION 2026 EDITION
|GUARANTEED PASS A+ |FULL REVISED EXAM
For which of the following tumors would transanal excision be an
acceptable technique?
a.) T2 pedunculated polyp with 20% circumference 15cm from verge
b.) T1 sessile polyp with 30% circumference 8cm from the verge
c.) A poorly differentiated polyp with palpable inguinal nodes
d.) T1 pedunculated polyp with a 40% circumference 8cm from the
verge
e.) A pedunculated polyp 10cm from the verge with lymphovascular
invasion
(d)
stage - polyp or T1; circumference - <40%; location - within 8-10cm
of anal verge; if invasive must be: 1) no lymphovascular invasion; 2)
not poorly differentiated
,A 60yr old has rectal pain and a tender 2-cm mass at the anal canal.
Sigmoidoscopy shows normal rectosigmoid mucosa. Biopsy of the
mass shows squamous cell carcinoma of the anus. The most
appropriate management is
a.) circumferential anoplasty with coloanal anastomosis
b.) chemotherapy only
c.) abdominoperineal resection
d.) local excision with a Y-V plasty
e.) radiation plus chemotherapy
(e)
Nigro protocol → chemo (5-FU/mitomycin) + radiation; surgery
reserved for failures
,Which of the following statements regarding the human sphincter of
Oddi is correct?
a.) Influenced by hormonal but not neural factors.
b.) Actively pumps bile and pancreatic juice in response to a meal.
c.) Has phasic wave activity which increases in response to
cholecystokinin.
d.) Prevents reflux of duodenal contents into the biliary tree.
e.) Plays no role in refilling an empty gallbladder.
(d)
The intact sphincter of Oddi functions to separate duodenal
contents from the biliary tree. Flow of bile between the gallbladder
& the duodenum is dependent on the relaxation of this sphincter.
Simultaneous to meal-induced gallbladder contraction, CCK
induces an indirect relaxation effect on the sphincter of Oddi. This is
a neurohumoral reflex mediated by vasoactive intestinal peptide
(VIP). VIP is a neuropeptide present throughout the gut that acts as a
neurotransmitter to cause smooth muscle relaxation.
, The treatment of malignant hyperthermia involves administration of
all of the following EXCEPT:
a.) Oxygen.
b.) Mannitol.
c.) Potassium supplementation.
d.) Bicarbonate.
e.) Dantrolene.
(a)
Potassium salts may actually trigger susceptible patients. In addition,
serum potassium levels are usually increased due to acidosis.
Additionally, renal dysfunction may develop leading to elevated
potassium levels.
Fluid administration and mannitol administration should take place
to ensure brisk diuresis.
The most common presentation of blunt myocardial injury
a.) Atrioventciular block
b.) Atrial flutter
c.) PVCs
d.) PACs
e.) Atrial fibrillation
(c)