©THEBRIGHT 2025 ALL RIGHTS RESERVED 11:11AM.
Absite 1 Exam Questions And Answers 2025
Update.
A 76 yo HD dependant woan with a h/o mult abd surgeries presents to the ED with worsening
abd pain. W/U raises your suspicion for ischemic bowel. She last underwent HD three days prior
and is currently uremic. How will you best prepare the patient for emergent celiotomy? A.
Arrange for HD B. Transfuse the patient with PRBCs C. Administer cryoprecipitate D. Administer
desmopressin (DDAVP) E. Administer conjugated estrogens - Answer✔D. Administer
desmopressin (DDAVP)
A 76 yo man with aortoiliac occlusive dz undergoes percutaneious transluminal angioplasty of
his left common iliac artery. What is the patency rate for patients who undergo angioplasty for
Iliac occlusive disease? A. 20% at 5 yrs B. 30% at 5 yrs C. 60% at 5 yrs D. 80% at 5 yrs -
Answer✔C. 60% at 5 yrs
A 39 yo woman presents to the ED after experiencing watery diarrhea and upper abd pain for 2
wks. On w/u and CT can, she is found to have a small mass in the body of the pancreas. Lab
abnormalitites include a hemoglobin of 8.7, WBC of 10, hypokalemia, and metabolic acidosis.
She is subsequently scheduled to have an exploratory laparotomy. Intraoperatively, the mass is
removed from her pancreas and multiple small nodules are found in her liver. Considering the
most likely diagnosis what are her best treatment options? A. 5-fluorouracil and interferon
alpha B. Octreodtide and glucocorticoids C. Intravenous steroids alone D. No further treatment
is indicated E. Repetitive embolization of the hepatic artery - Answer✔A. 5-fluorouracil and
interferon alpha
A 46-year-old woman comes to the emergency department describing acute right lower
quadrant pain. How could appendicitis be differentiated from acute ileitis? A. Elevated WBC
count B. Presence of diarrhea C. Development of acute or subacute pain in the right lower
quadrant D. Thickened mesenteric lymph nodes on radiographic imaging E. Colonoscopic biopsy
- Answer✔D. Thickened mesenteric lymph nodes on radiographic imaging
1
, ©THEBRIGHT 2025 ALL RIGHTS RESERVED 11:11AM.
A 27-year-old man with idiopathic renal failure on hemodialysis is awaiting a kidney transplant.
Multiple family members and friends have been evaluated for possible live donor
transplantation. A sibling to the recipient is found to have a favorable human leukocyte antigen
match. Which of the following conditions is acceptable for live-donor nephrectomy?
A. Uncontrollable hypertension
B. Human immunodeficiency virus (HIV) infection
C. Type II diabetes mellitus D. Unilateral duplicated collecting system
E. Current cocaine usage - Answer✔D. Unilateral duplicated collecting system
A 39-year-old man is referred to your clinic for treatment of a cecal mass diagnosed by
surveillance colonoscopy. His father, paternal grandmother, and paternal uncle all developed
colon cancer by their fifth decade. Mutation of which of the following genes is associated with
this man's disease? A. K-Ras B. hMSH2
D. APC E. BRCA2 - Answer✔B. hMSH2
A 68-year-old man presents with pain In his left leg. Exanimation and workup confirms
diagnosis of a popliteal aneurysm. What is the most common complication that would result in
the patient's leg pain? A. Popliteal aneurysm rupture B. Nerve impingement by the popliteal
aneurysm C. Venous obstruction by the popliteal aneurysm D. Thromboembolic events
associated with the popliteal aneurysm - Answer✔D. Thromboembolic events associated with
the popliteal aneurysm
A 52-year-old woman presents to your clinic with a palpable thyroid nodule. Ultrasonography
shows a 3-cm lesion in the right thyroid lobe with solid and cystic components.
Ultrasonography -guided fine needle aspiration (FNA) reveals a thyroid cancer. Which of the
following is the most likely diagnosis?
A. Papillary carcinoma
B. Anaplastic carcinoma
C. Follicular carcinoma
D. Medullary carcinoma - Answer✔A. Papillary carcinoma
A 60-year-old man who suffers from chronic alcoholism was admitted to the hospital with a
bout of acute pancreatitis. He has suffered similar episodes in the past, all of which have
resolved without complications. On laboratory studies, he is found to have an elevated serum
2
, ©THEBRIGHT 2025 ALL RIGHTS RESERVED 11:11AM.
amylase level. A 4-cm pancreatic pseudocyst is found on CT scan. What would be the best
treatment?
A. Percutaneous drainage B. Simple aspiration C. observation and serial CT scans D. Surgical
intervention - Answer✔C. observation and serial CT scans
Which of the following is a characteristic of Merkel cell carcinoma?
A. Slow-growing, well-defined cutaneous lesion
B. Early distant metastases
C. Locally aggressive tumor with low chance of distant spread
D. FrequentIy cured with wide local excision alone
E. Histologically similar to squamous cell carcinoma - Answer✔B. Early distant metastases
A 70-year-old man with ascites secondary to cirrhosis presents for elective umbilical hernia
repair. Should he be offered repair of his hernia?
A. Yes, if it is significantly affecting lib lifestyle.
B. Yes, If he Is leaking ascites from the hernia
C. Yes, If he Is on the liver transplant list
D. No, he should not be offered repair - Answer✔B. Yes, If he Is leaking ascites from the hernia
A 68-year-old man with atrial fibrillation presents to the emergency department with a cool,
pulseless right foot Sensation Is Intact Duplex ultrasonography of the right leg reveals multiple
femoral stenoses and tibioperoneal thrombosis with poor tibial flow, What Is the most
appropriate management?
A. Amputation
B. Systemic anticoagulation only
C. Percutaneous embolectomy under Local anesthesia
D. Intraarterial site-directed thrombolysis - Answer✔D. Intraarterial site-directed thrombolysis
A 55-year-old woman presents to your clinic with the new diagnosis of tertiary
hyperparathyroidism. Which of the following operations has she most likely previ¬ously
undergone?
3
, ©THEBRIGHT 2025 ALL RIGHTS RESERVED 11:11AM.
A. Colectomy with resection of terminal ileum
B. Parathyroidectomy
C. Renal transplantation
D. Right middle lobectomy - Answer✔C. Renal transplantation
A 63-year-old man presents with a "gnawing" upper ab¬dominal pain. He reports that he was
diagnosed with a gastric ulcer years ago. Which of the following tests is most helpful In
diagnosing the patient with Infection with Helicobacter pylori
A. Urease test of endoscopic antral biopsies
B. Urea breath test
C. Upper gastrointestinal (Gl) radiographic series
D. Histologic examination of endoscopic antral biopsies - Answer✔D. Histologic examination of
endoscopic antral biopsies
Which of the following is a characteristic of cutaneous lymphatic malformation ?
A. Bluish mass with overlying telangiectasias B. Pulsatile ballottable mass C. Cystic mass with
overlying vesicles D. Firm, nodular mass E. Irregular mass fixed to the underlying tissues -
Answer✔C. Cystic mass with overlying vesicles
The fundamental goal of the American College of Surgeons National Surgical Quality
Improvement Program (NSQIP) is which of the following?
A. To monitor surgical costs in order to allocate health care
B. To improve health care in underserved US populations
C. To collect outcomes data to measure and improve surgical care outcomes
D. To Identify those surgeons who deliver excellent surgical care
E. To model systems for improved used of healthcare resources - Answer✔C. To collect
outcomes data to measure and improve surgical care outcomes
A 73-year-old man has developed a pulseless left lower leg 8 days after experiencing a
myocardial infarction (Ml) requiring cardiopulmonary resuscitation. On examination, he has
diminished sensation in his left foot. What is the most appropriate definitive treatment?
4
Absite 1 Exam Questions And Answers 2025
Update.
A 76 yo HD dependant woan with a h/o mult abd surgeries presents to the ED with worsening
abd pain. W/U raises your suspicion for ischemic bowel. She last underwent HD three days prior
and is currently uremic. How will you best prepare the patient for emergent celiotomy? A.
Arrange for HD B. Transfuse the patient with PRBCs C. Administer cryoprecipitate D. Administer
desmopressin (DDAVP) E. Administer conjugated estrogens - Answer✔D. Administer
desmopressin (DDAVP)
A 76 yo man with aortoiliac occlusive dz undergoes percutaneious transluminal angioplasty of
his left common iliac artery. What is the patency rate for patients who undergo angioplasty for
Iliac occlusive disease? A. 20% at 5 yrs B. 30% at 5 yrs C. 60% at 5 yrs D. 80% at 5 yrs -
Answer✔C. 60% at 5 yrs
A 39 yo woman presents to the ED after experiencing watery diarrhea and upper abd pain for 2
wks. On w/u and CT can, she is found to have a small mass in the body of the pancreas. Lab
abnormalitites include a hemoglobin of 8.7, WBC of 10, hypokalemia, and metabolic acidosis.
She is subsequently scheduled to have an exploratory laparotomy. Intraoperatively, the mass is
removed from her pancreas and multiple small nodules are found in her liver. Considering the
most likely diagnosis what are her best treatment options? A. 5-fluorouracil and interferon
alpha B. Octreodtide and glucocorticoids C. Intravenous steroids alone D. No further treatment
is indicated E. Repetitive embolization of the hepatic artery - Answer✔A. 5-fluorouracil and
interferon alpha
A 46-year-old woman comes to the emergency department describing acute right lower
quadrant pain. How could appendicitis be differentiated from acute ileitis? A. Elevated WBC
count B. Presence of diarrhea C. Development of acute or subacute pain in the right lower
quadrant D. Thickened mesenteric lymph nodes on radiographic imaging E. Colonoscopic biopsy
- Answer✔D. Thickened mesenteric lymph nodes on radiographic imaging
1
, ©THEBRIGHT 2025 ALL RIGHTS RESERVED 11:11AM.
A 27-year-old man with idiopathic renal failure on hemodialysis is awaiting a kidney transplant.
Multiple family members and friends have been evaluated for possible live donor
transplantation. A sibling to the recipient is found to have a favorable human leukocyte antigen
match. Which of the following conditions is acceptable for live-donor nephrectomy?
A. Uncontrollable hypertension
B. Human immunodeficiency virus (HIV) infection
C. Type II diabetes mellitus D. Unilateral duplicated collecting system
E. Current cocaine usage - Answer✔D. Unilateral duplicated collecting system
A 39-year-old man is referred to your clinic for treatment of a cecal mass diagnosed by
surveillance colonoscopy. His father, paternal grandmother, and paternal uncle all developed
colon cancer by their fifth decade. Mutation of which of the following genes is associated with
this man's disease? A. K-Ras B. hMSH2
D. APC E. BRCA2 - Answer✔B. hMSH2
A 68-year-old man presents with pain In his left leg. Exanimation and workup confirms
diagnosis of a popliteal aneurysm. What is the most common complication that would result in
the patient's leg pain? A. Popliteal aneurysm rupture B. Nerve impingement by the popliteal
aneurysm C. Venous obstruction by the popliteal aneurysm D. Thromboembolic events
associated with the popliteal aneurysm - Answer✔D. Thromboembolic events associated with
the popliteal aneurysm
A 52-year-old woman presents to your clinic with a palpable thyroid nodule. Ultrasonography
shows a 3-cm lesion in the right thyroid lobe with solid and cystic components.
Ultrasonography -guided fine needle aspiration (FNA) reveals a thyroid cancer. Which of the
following is the most likely diagnosis?
A. Papillary carcinoma
B. Anaplastic carcinoma
C. Follicular carcinoma
D. Medullary carcinoma - Answer✔A. Papillary carcinoma
A 60-year-old man who suffers from chronic alcoholism was admitted to the hospital with a
bout of acute pancreatitis. He has suffered similar episodes in the past, all of which have
resolved without complications. On laboratory studies, he is found to have an elevated serum
2
, ©THEBRIGHT 2025 ALL RIGHTS RESERVED 11:11AM.
amylase level. A 4-cm pancreatic pseudocyst is found on CT scan. What would be the best
treatment?
A. Percutaneous drainage B. Simple aspiration C. observation and serial CT scans D. Surgical
intervention - Answer✔C. observation and serial CT scans
Which of the following is a characteristic of Merkel cell carcinoma?
A. Slow-growing, well-defined cutaneous lesion
B. Early distant metastases
C. Locally aggressive tumor with low chance of distant spread
D. FrequentIy cured with wide local excision alone
E. Histologically similar to squamous cell carcinoma - Answer✔B. Early distant metastases
A 70-year-old man with ascites secondary to cirrhosis presents for elective umbilical hernia
repair. Should he be offered repair of his hernia?
A. Yes, if it is significantly affecting lib lifestyle.
B. Yes, If he Is leaking ascites from the hernia
C. Yes, If he Is on the liver transplant list
D. No, he should not be offered repair - Answer✔B. Yes, If he Is leaking ascites from the hernia
A 68-year-old man with atrial fibrillation presents to the emergency department with a cool,
pulseless right foot Sensation Is Intact Duplex ultrasonography of the right leg reveals multiple
femoral stenoses and tibioperoneal thrombosis with poor tibial flow, What Is the most
appropriate management?
A. Amputation
B. Systemic anticoagulation only
C. Percutaneous embolectomy under Local anesthesia
D. Intraarterial site-directed thrombolysis - Answer✔D. Intraarterial site-directed thrombolysis
A 55-year-old woman presents to your clinic with the new diagnosis of tertiary
hyperparathyroidism. Which of the following operations has she most likely previ¬ously
undergone?
3
, ©THEBRIGHT 2025 ALL RIGHTS RESERVED 11:11AM.
A. Colectomy with resection of terminal ileum
B. Parathyroidectomy
C. Renal transplantation
D. Right middle lobectomy - Answer✔C. Renal transplantation
A 63-year-old man presents with a "gnawing" upper ab¬dominal pain. He reports that he was
diagnosed with a gastric ulcer years ago. Which of the following tests is most helpful In
diagnosing the patient with Infection with Helicobacter pylori
A. Urease test of endoscopic antral biopsies
B. Urea breath test
C. Upper gastrointestinal (Gl) radiographic series
D. Histologic examination of endoscopic antral biopsies - Answer✔D. Histologic examination of
endoscopic antral biopsies
Which of the following is a characteristic of cutaneous lymphatic malformation ?
A. Bluish mass with overlying telangiectasias B. Pulsatile ballottable mass C. Cystic mass with
overlying vesicles D. Firm, nodular mass E. Irregular mass fixed to the underlying tissues -
Answer✔C. Cystic mass with overlying vesicles
The fundamental goal of the American College of Surgeons National Surgical Quality
Improvement Program (NSQIP) is which of the following?
A. To monitor surgical costs in order to allocate health care
B. To improve health care in underserved US populations
C. To collect outcomes data to measure and improve surgical care outcomes
D. To Identify those surgeons who deliver excellent surgical care
E. To model systems for improved used of healthcare resources - Answer✔C. To collect
outcomes data to measure and improve surgical care outcomes
A 73-year-old man has developed a pulseless left lower leg 8 days after experiencing a
myocardial infarction (Ml) requiring cardiopulmonary resuscitation. On examination, he has
diminished sensation in his left foot. What is the most appropriate definitive treatment?
4
