ABSITE Comprehensive Study Plan – Weekly Strategy Guide, QBank Tactics, and High-Yield Answer Review

ABSITE Comprehensive Study Plan – Weekly Strategy Guide, QBank Tactics, and High-Yield Answer Review This document provides an in-depth weekly ABSITE (American Board of Surgery In-Training Examination) study plan with annotated QBank questions and detailed answer explanations. It covers high-yield surgical topics including GI pathology, endocrine surgery, trauma, and oncologic management. It is ideal for surgical residents preparing for the ABSITE exam, offering concise rationales and study tips to boost exam scores. 1.Several days following an uneventful laparoscopic cholecystectomy, the pathology reveals gallbladder cancer that is invasive into the submucosa of the specimen. The most appropriate management is: a.) observation and close follow-up b.) chemotherapy with a 5-fluorouracil (5-FU)-based regimen c.) laparotomy with 2-3 cm wedge resection of the gallbladder liver bed d.) laparotomy with 2-3 cm wedge resection of the gallbladder liver bed C regional lymphadenectomy including the portal C hepatic nodes e.) radiation to the gallbladder liver bed - -CORRECT ANS- -(d) If T1a (confined only to lamina propria) cholecystectmy; anything else, then skeletonize area, plus wedge segment 4/5 liver and regional nodes 2.A 35yr old presents with pancreatitis. Subsequent ERCP reveals a congenital cystic diverticulum from CBD. Which of the following statements regarding this problem is true? a.) Treatment consists of internal drainage via choledochoduodenostomy b.) Malignant changes may occur within this structure c.) The risk of cancer increases with size of the cyst d.) Cystic dilation of the intrahepatic biliary tree may coexist and is managed in a similar fashion e.) Surgery should be reserved for symptomatic clients - -CORRECT ANS- -(b) The present recommendation is for complete resection of the cyst and Roux-en-Y choledochojejunostomy. 3.A 30yr undergoes an ex-lap for a gunshot wound to the RUQ. A hematoma is present in the area of the portal traid. An injury to the common bile duct is discovered, with a loss of more than 50% of the circumference of the wall of the duct. Further exploration reveals incomplete transection of the portal vein. Which of the following is the appropriate management of these injuries? a.) Ligation of the portal vein, debridement of the duct, and primary anastomosis with a stent. b.) Resection of the portal vein with end-to-end anastomosis, debridement of the duct, and primary anastomosis with a stent. c.) Venous interposition repair of the portal vein C Roux-en-Y choledochojejunostomy without a stent d.) Lateral venorrhaphy and Roux-en-Y choledochojejunostomy with a stent e.) Lateral venorrhaphy and ligation of the common bile duct with formation of a cholecystojejunostomy - -CORRECT ANS- -(d) <50% of circumference injury may be repaired over a stent; otherwise go with choledochojejunostomy 4.What is the risk for associated malignancy if high grade dysplasia in Barrett's esophagus? a.) 0.6 b.) 0.1 c.) 1 d.) 6 - -CORRECT ANS- -(a)