©THEBRIGHT 2025 ALL RIGHTS RESERVED 11:11AM.
ABSITE Exam Questions And Answers 2025
Update.
Nerve implicated in Frey syndrome — parasympathetic postganglionic fibers to parotid -
Answer✔Auriculotemporal nerve
Management recommendations for BRCA and don't want children or any more - Answer✔BSO,
bilateral mastectomy, HRT until 50
Next step for spontaneous skin ulceration in arm in post modified radical mastectomy patient -
Answer✔Incisional biopsy because likely lymphangiosarcoma/Stewart-Treves syndrome and
therapy will be WLE +/- isolated limb perfusion
First line treatment for acute limb ischemia of the lower extremity - Answer✔Percutaneous
transluminal angioplasty unless long segment or multiple segments, then open approach
Technique for SMA embolectomy - Answer✔Transverse incision of proximal SMA, just distal to
middle colic, 2-3 fogarty proximal and distal, close with interrupted prolene
Is BRCA1 or 2 higher risk for breast cancer? For ovarian cancer - Answer✔BRCA 1 for both
Organism associated with human bites - Answer✔Eikenella corrodens
Organism associated with lymphangitis - Answer✔Strep pyrogenes
Management for rhabdomyolysis - Answer✔IV fluids and alkalinization of the urine
How is vitamin K synthesized in the body? - Answer✔Colonic bacteria
Anticoagulation recommendations for mechanical and bioprosthetic valves -
Answer✔Mechanical must be on vit K anticoagulant w/target INR for aortic and high risk mitral
3 and 2.5 for others, and add low dose asa if low bleeding risk. Surgical aortic: asa for 3 mo, and
surgical mitral or tricuspid vit K anticoagulant x3 mo, and low dose asa indefinitely for these if
low bleeding risk. Transcatheter aortic: dual anti-plt therapy 3-6 mo and low dose asa
indefinitely
Pathophysiology of gynecomastia - Answer✔Decreased androgen production and either
increased estrogen production or estrogen precursors are the main cause. Also can have
1
, ©THEBRIGHT 2025 ALL RIGHTS RESERVED 11:11AM.
decreased androgen to receptor binding and increased androgen binding to sex hormone
binding globulin
Octreotide mechanism of action for varices treatment - Answer✔Splanchnic vasoconstriction
and decreases portal htn
Liver abscess treated with flagyl - Answer✔Amoebic liver abscesses from entamoeba histolytica
Liver abscess treated with albendazole - Answer✔Hydratid liver cysts
Treatment for resectable gallbladder carcinoma - Answer✔Tis and T1a (invasion of lamina
propria) chole is sufficient. T1b-T3 chole + 4b/5 hepatectomy, and regional lymphadenectomy
pH changes by how much with a change in PaCO2 of 10 mmHg - Answer✔0.08
Contraindications for ketamine - Answer✔Angina/ischemic heart disease because it increases
sympathetic nervous system increasing myocardial O2 consumption. Also contraindicated in
space-occupying brain lesions and increased IOP
MOA of desmopressin - Answer✔Stimulates endothelial release of factor viii and vWF
MOA of propranolol for asymptomatic prophylactic treatment of esophageal varices -
Answer✔Non-selective beta blockers inhibit beta2 receptors inhibiting vasodilation is
splanchnic circulation, and they decrease cardiac output with beta 1 blockade
Pager-schroetter syndrome - Answer✔Exercise induced thrombosis of the subclavian and
axillary veins
Pathway of beta 2 stimulation - Answer✔GPCR that activates cAMP
Receptors that dobutamine activates - Answer✔Beta1 with low dose and beta2 higher doses
SMA site of occlusion for embolic vs thrombotic etiology and pattern of ischemia -
Answer✔Embolic usually distal SMA and causes ischemia from mid-jejunum through transverse
colon. Thrombotic is usually proximal SMA and causes ischemia from proximal jejunum through
transverse colon. Embolic spares proximal jejunal branches
Management of mediastinitis - Answer✔Open debridement and pectoral muscle flaps
What do you give for beta blocker overdose? - Answer✔glucagon
What is first line treatment for diltiazem overdose? - Answer✔Insulin -- those refractory can be
treated with lipid emulsion therapy or transcutaneous pacing
Most common organism cultured from septic thrombophlebitis 2/2 contiguous severe
pharyngitis or peritonsillar abscess - Answer✔Fusibacterium necrophorum (gram negative rod -
- gram negative rods or polymicrobial infections are most common cause of septic
thrombophlebitis from secondary, contiguous source
2
ABSITE Exam Questions And Answers 2025
Update.
Nerve implicated in Frey syndrome — parasympathetic postganglionic fibers to parotid -
Answer✔Auriculotemporal nerve
Management recommendations for BRCA and don't want children or any more - Answer✔BSO,
bilateral mastectomy, HRT until 50
Next step for spontaneous skin ulceration in arm in post modified radical mastectomy patient -
Answer✔Incisional biopsy because likely lymphangiosarcoma/Stewart-Treves syndrome and
therapy will be WLE +/- isolated limb perfusion
First line treatment for acute limb ischemia of the lower extremity - Answer✔Percutaneous
transluminal angioplasty unless long segment or multiple segments, then open approach
Technique for SMA embolectomy - Answer✔Transverse incision of proximal SMA, just distal to
middle colic, 2-3 fogarty proximal and distal, close with interrupted prolene
Is BRCA1 or 2 higher risk for breast cancer? For ovarian cancer - Answer✔BRCA 1 for both
Organism associated with human bites - Answer✔Eikenella corrodens
Organism associated with lymphangitis - Answer✔Strep pyrogenes
Management for rhabdomyolysis - Answer✔IV fluids and alkalinization of the urine
How is vitamin K synthesized in the body? - Answer✔Colonic bacteria
Anticoagulation recommendations for mechanical and bioprosthetic valves -
Answer✔Mechanical must be on vit K anticoagulant w/target INR for aortic and high risk mitral
3 and 2.5 for others, and add low dose asa if low bleeding risk. Surgical aortic: asa for 3 mo, and
surgical mitral or tricuspid vit K anticoagulant x3 mo, and low dose asa indefinitely for these if
low bleeding risk. Transcatheter aortic: dual anti-plt therapy 3-6 mo and low dose asa
indefinitely
Pathophysiology of gynecomastia - Answer✔Decreased androgen production and either
increased estrogen production or estrogen precursors are the main cause. Also can have
1
, ©THEBRIGHT 2025 ALL RIGHTS RESERVED 11:11AM.
decreased androgen to receptor binding and increased androgen binding to sex hormone
binding globulin
Octreotide mechanism of action for varices treatment - Answer✔Splanchnic vasoconstriction
and decreases portal htn
Liver abscess treated with flagyl - Answer✔Amoebic liver abscesses from entamoeba histolytica
Liver abscess treated with albendazole - Answer✔Hydratid liver cysts
Treatment for resectable gallbladder carcinoma - Answer✔Tis and T1a (invasion of lamina
propria) chole is sufficient. T1b-T3 chole + 4b/5 hepatectomy, and regional lymphadenectomy
pH changes by how much with a change in PaCO2 of 10 mmHg - Answer✔0.08
Contraindications for ketamine - Answer✔Angina/ischemic heart disease because it increases
sympathetic nervous system increasing myocardial O2 consumption. Also contraindicated in
space-occupying brain lesions and increased IOP
MOA of desmopressin - Answer✔Stimulates endothelial release of factor viii and vWF
MOA of propranolol for asymptomatic prophylactic treatment of esophageal varices -
Answer✔Non-selective beta blockers inhibit beta2 receptors inhibiting vasodilation is
splanchnic circulation, and they decrease cardiac output with beta 1 blockade
Pager-schroetter syndrome - Answer✔Exercise induced thrombosis of the subclavian and
axillary veins
Pathway of beta 2 stimulation - Answer✔GPCR that activates cAMP
Receptors that dobutamine activates - Answer✔Beta1 with low dose and beta2 higher doses
SMA site of occlusion for embolic vs thrombotic etiology and pattern of ischemia -
Answer✔Embolic usually distal SMA and causes ischemia from mid-jejunum through transverse
colon. Thrombotic is usually proximal SMA and causes ischemia from proximal jejunum through
transverse colon. Embolic spares proximal jejunal branches
Management of mediastinitis - Answer✔Open debridement and pectoral muscle flaps
What do you give for beta blocker overdose? - Answer✔glucagon
What is first line treatment for diltiazem overdose? - Answer✔Insulin -- those refractory can be
treated with lipid emulsion therapy or transcutaneous pacing
Most common organism cultured from septic thrombophlebitis 2/2 contiguous severe
pharyngitis or peritonsillar abscess - Answer✔Fusibacterium necrophorum (gram negative rod -
- gram negative rods or polymicrobial infections are most common cause of septic
thrombophlebitis from secondary, contiguous source
2
