ABSITE 2024 UPDATED Exam Questions
and CORRECT Answers
ideal length of ileal j pouch - CORRECT ANSWER- 15 to 20 centimeters in length
Intrahepatic cholangiocarcinoma - CORRECT ANSWER- considered a contraindication to
liver transplantation because of very poor posttransplant survival; however, studies have
shown that neoadjuvant therapy may improve posttransplant survival.
Rutherford criteria - CORRECT ANSWER-
BIRADS Classification - CORRECT ANSWER- 1: negative
2: benign findings
3: probably benign, f/u in 6 months
4: suspicious for malignancy
5: highly suggestive of malignancy
Hypomagnesemia - CORRECT ANSWER- A risk factor for hypomagnesemia is chronic PPI
use. Hypocalcemia can develop as hypomagnesemia progresses; magnesium is a cofactor for
parathyriod hormone
Tokyo Guidelines for acute cholecystitis - CORRECT ANSWER-
Perforated duodenal ulcers - CORRECT ANSWER- Pyloroplasty can be used for duodenal
repairs smaller than 3 cm that incorporate the perforation
Primary repair of duodenal injury is used mostly for perforations smaller than 1 cm. A
Graham patch repair can be used for perforations up to roughly 3 cm; however, the patient
still requires an acid-reducing procedure. For larger perforations (>3 cm), the defect can be
closed by application of a jejunal serosal patch. This technique can be considered in large
duodenal injuries when a patient is critically unstable.
Cutoff for nephrectomy - CORRECT ANSWER- Generally speaking, relative function of less
than 15% to 20% is the cutoff for nephrectomy.
, LRINEC scoring system for nec fas - CORRECT ANSWER- WBC count (>15), CRP (>150),
Hgb (<13.5), sodium (<135), Cr (>1.6), and glucose (>180), are used in a points-based
scoring system. A LRINEC score ≥6 heightens suspicion for necrotizing fasciitis
HIT - CORRECT ANSWER- Argatroban is compatible with patients who require
hemodialysis, Dabigatran, rivaroxaban, and apixaban are not recommended for use in patients
with end-stage renal disease requiring dialysis.
IOC common bile duct stones are identified - CORRECT ANSWER- common treatment is to
administer glucagon to relax the sphincter of Oddi and flush the bile tract to move the stones
into the small bowel
Nerve transected during AKA - CORRECT ANSWER- The sciatic nerve originates from the
L4-S3 segments of the sacral plexus. It travels in the posterior thigh. During an above-knee
amputation, it must be ligated and transected. It is important to ligate this nerve to prevent
neuroma formation.
pancreas transplant - CORRECT ANSWER- Visual examination at the time of procurement
remains the most reliable metric to assess graft quality. The ideal pancreas should be pliable,
without fibrosis or nodularity (indicative of limited or no history of pancreatitis in the donor),
and free of fat. There is no role for intraoperative serum amylase, lipase, or insulin
measurements in assessing graft viability.
Chronic pancreatitis surgical intervention - CORRECT ANSWER- The modified Puestow
procedure (lateral pancreaticojejunostomy) is performed when there is pancreatic duct
dilation secondary to duct stones or strictures 1 to 2 cm away from the papilla.
Frey procedure is performed for obstructions within the head of the pancreas in a similar
manner as the Puestow procedure, except that the head of the pancreas is resected, excluding
a 1-cm rim of tissue around the duodenal margin. This should be done when a
pancreaticoduodenectomy cannot be safely performed.
The Beger procedure is performed for focal inflammatory masses in the head of the pancreas
without duct dilation when malignancy has been ruled out. In this procedure, the head of the
pancreas is removed, and a Roux-en-Y is created to anastomose to the remaining pancreas at
two places (proximally and distally). The Beger procedure includes a larger pancreatic head
resection than the Frey procedure.
and CORRECT Answers
ideal length of ileal j pouch - CORRECT ANSWER- 15 to 20 centimeters in length
Intrahepatic cholangiocarcinoma - CORRECT ANSWER- considered a contraindication to
liver transplantation because of very poor posttransplant survival; however, studies have
shown that neoadjuvant therapy may improve posttransplant survival.
Rutherford criteria - CORRECT ANSWER-
BIRADS Classification - CORRECT ANSWER- 1: negative
2: benign findings
3: probably benign, f/u in 6 months
4: suspicious for malignancy
5: highly suggestive of malignancy
Hypomagnesemia - CORRECT ANSWER- A risk factor for hypomagnesemia is chronic PPI
use. Hypocalcemia can develop as hypomagnesemia progresses; magnesium is a cofactor for
parathyriod hormone
Tokyo Guidelines for acute cholecystitis - CORRECT ANSWER-
Perforated duodenal ulcers - CORRECT ANSWER- Pyloroplasty can be used for duodenal
repairs smaller than 3 cm that incorporate the perforation
Primary repair of duodenal injury is used mostly for perforations smaller than 1 cm. A
Graham patch repair can be used for perforations up to roughly 3 cm; however, the patient
still requires an acid-reducing procedure. For larger perforations (>3 cm), the defect can be
closed by application of a jejunal serosal patch. This technique can be considered in large
duodenal injuries when a patient is critically unstable.
Cutoff for nephrectomy - CORRECT ANSWER- Generally speaking, relative function of less
than 15% to 20% is the cutoff for nephrectomy.
, LRINEC scoring system for nec fas - CORRECT ANSWER- WBC count (>15), CRP (>150),
Hgb (<13.5), sodium (<135), Cr (>1.6), and glucose (>180), are used in a points-based
scoring system. A LRINEC score ≥6 heightens suspicion for necrotizing fasciitis
HIT - CORRECT ANSWER- Argatroban is compatible with patients who require
hemodialysis, Dabigatran, rivaroxaban, and apixaban are not recommended for use in patients
with end-stage renal disease requiring dialysis.
IOC common bile duct stones are identified - CORRECT ANSWER- common treatment is to
administer glucagon to relax the sphincter of Oddi and flush the bile tract to move the stones
into the small bowel
Nerve transected during AKA - CORRECT ANSWER- The sciatic nerve originates from the
L4-S3 segments of the sacral plexus. It travels in the posterior thigh. During an above-knee
amputation, it must be ligated and transected. It is important to ligate this nerve to prevent
neuroma formation.
pancreas transplant - CORRECT ANSWER- Visual examination at the time of procurement
remains the most reliable metric to assess graft quality. The ideal pancreas should be pliable,
without fibrosis or nodularity (indicative of limited or no history of pancreatitis in the donor),
and free of fat. There is no role for intraoperative serum amylase, lipase, or insulin
measurements in assessing graft viability.
Chronic pancreatitis surgical intervention - CORRECT ANSWER- The modified Puestow
procedure (lateral pancreaticojejunostomy) is performed when there is pancreatic duct
dilation secondary to duct stones or strictures 1 to 2 cm away from the papilla.
Frey procedure is performed for obstructions within the head of the pancreas in a similar
manner as the Puestow procedure, except that the head of the pancreas is resected, excluding
a 1-cm rim of tissue around the duodenal margin. This should be done when a
pancreaticoduodenectomy cannot be safely performed.
The Beger procedure is performed for focal inflammatory masses in the head of the pancreas
without duct dilation when malignancy has been ruled out. In this procedure, the head of the
pancreas is removed, and a Roux-en-Y is created to anastomose to the remaining pancreas at
two places (proximally and distally). The Beger procedure includes a larger pancreatic head
resection than the Frey procedure.
