ABSITE EXAM TEST BANK 2025/2026 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED
ANSWERS|FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST|BRAND NEW
VERSION!!!|GUARANTEED PASS
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 & 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
(d)
<50% of circumference injury may be repaired over a stent; otherwise go with
choledochojejunostomy
Which of the following statements about Crohn's disease is correct?
a.) Adenocarcinoma of the small bowel is a recognized complication of Crohn's disease
b.) When operative resection is required, the sites of
1|Page
,anastomosis should be completely normal
c.) Strictureplasty is associated with a much higher surgical morbidity than resection
d.) Perianal Crohn's disease is more commonly associated with Crohn's jejunitis than colitis
e.) Hemorrhoidectomy should be performed as early as necessary because severe symptoms
are likely
(a)
Which of the following is NOT a necessary vaccine to receive after splenectomy for trauma?
a.) H. flu
b.) Staph
c.) Influenza
d.) Strep
e.) Nisseria
(b)
Encapsulated organisms only
What is the treatment for gastric varices with splenic vein thrombosis?
a.) Variceal banding
b.) Octreotide
c.) EGD
d.) Splenectomy
e.) Distal pancreatectomy & splenectomy
(d)
Which of the following statements about the diagnosis and treatment of esophageal
leiomyomas is/are correct?
a.) The majority are diagnosed after they cause dysphagia and chest pain.
b.) Biopsy is indicated at the time of esophagoscopy, to rule out carcinoma.
c.) Full-thickness elliptical excision of the esophageal wall is the preferred surgical approach.
d.) Endoscopic ultrasonography is a reliable means of following leiomyomas conservatively.
e.) Recurrence of resected leiomyomas is minimized by wide local excision.
(d)
Most esophageal leiomyomas are asymptomatic when discovered on a barium esophagogram
2|Page
,or upper gastrointestinal series. When suspected biopsy should not be performed so that
subsequent extramucosal resection will not be complicated by scarring. Submucosal
enucleation if > 5cm or symptomatic, without wide local excision via thoracotomy
A 51yr old with GE reflux disease presents with a 6 hour history of persistent chest pain that
began after repeated episodes of emesis. He has never had symptoms like this before. Chest x-
ray demonstrates mediastinal fluid. The most appropriate management would be:
a.) esophagoscopy
b.) tube thoracostomy
c.) video-assisted thoracic surgery (VATS) with tube drainage
d.) expectant management
e.) thoracotomy
(e)
What layer does the stomach have which is not present in the esophagus?
a.) Mucosa
b.) Submucosa
c.) Adventitia
d.) Serosa
(d)
Serosa
Which of the following statement is true concerning the surgical anatomy of the esophagus?
a.) Surgical exposure of the cervical esophagus is best gained via the right neck
b.) Spontaneous esophageal perforation tends to be associated with leakage into the left chest
c.) Access to the entire thoracic esophagus can be obtained only via the left chest
d.) The lower esophageal sphincter can be recognized distinctly by inspection of the
gastroesophageal junction
(b)
The cervical esophagus is about 5 cm long and the surgical approach to this portion of the
esophagus may be from either side of the neck, the left side is chosen if possible. A left
thoracotomy is most useful for performing procedures involving the lower esophagus.
However, access to the entire thoracic esophagus can be obtained only from the right chest.
3|Page
, This incision, however, limits access to intraabdominal organs by the position of the liver and
therefore normally requires a separate upper abdominal incision.
What is treatment for Barrett's esophagus with high grade dysplasia?
a.) PPI only
b.) Endoscopic surveillance & PPI
c.) Endoscopic surveillance & Heller myotomy
d.) Esophagectomy
(d)
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
(a)
Barrett esophagus is a premalignant condition. Its malignant sequela, esophageal
adenocarcinoma, has a mortality rate of over 85%. The risk of developing esophageal
adenocarcinoma in people who have Barrett esophagus has been estimated to be 6-7 per
1000 person-years
A patient has been taking antacids for heartburn for 1 year. He has an exacerbation of
symptoms & esophagoscopy shows salmon-colored mucosa extending approximately 6 cm up
the distal esophagus. Biopsy shows columnar epithelium with mild dysplasia. The most
appropriate initial management is:
a.) Omeprazole & follow up
b.) Observation & biopsy in 3 months
c.) Lap Nissen fundoplication
d.) Esophagectomy
(a)
The first thing to recognize here is the patient has a low grade Barrets. The treatment involves
endoscopic surveillance + treatment of reflux (surgical or medical, no clear answer). The best
answer given is thus the PPI with follow up
4|Page
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED
ANSWERS|FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST|BRAND NEW
VERSION!!!|GUARANTEED PASS
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 & 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
(d)
<50% of circumference injury may be repaired over a stent; otherwise go with
choledochojejunostomy
Which of the following statements about Crohn's disease is correct?
a.) Adenocarcinoma of the small bowel is a recognized complication of Crohn's disease
b.) When operative resection is required, the sites of
1|Page
,anastomosis should be completely normal
c.) Strictureplasty is associated with a much higher surgical morbidity than resection
d.) Perianal Crohn's disease is more commonly associated with Crohn's jejunitis than colitis
e.) Hemorrhoidectomy should be performed as early as necessary because severe symptoms
are likely
(a)
Which of the following is NOT a necessary vaccine to receive after splenectomy for trauma?
a.) H. flu
b.) Staph
c.) Influenza
d.) Strep
e.) Nisseria
(b)
Encapsulated organisms only
What is the treatment for gastric varices with splenic vein thrombosis?
a.) Variceal banding
b.) Octreotide
c.) EGD
d.) Splenectomy
e.) Distal pancreatectomy & splenectomy
(d)
Which of the following statements about the diagnosis and treatment of esophageal
leiomyomas is/are correct?
a.) The majority are diagnosed after they cause dysphagia and chest pain.
b.) Biopsy is indicated at the time of esophagoscopy, to rule out carcinoma.
c.) Full-thickness elliptical excision of the esophageal wall is the preferred surgical approach.
d.) Endoscopic ultrasonography is a reliable means of following leiomyomas conservatively.
e.) Recurrence of resected leiomyomas is minimized by wide local excision.
(d)
Most esophageal leiomyomas are asymptomatic when discovered on a barium esophagogram
2|Page
,or upper gastrointestinal series. When suspected biopsy should not be performed so that
subsequent extramucosal resection will not be complicated by scarring. Submucosal
enucleation if > 5cm or symptomatic, without wide local excision via thoracotomy
A 51yr old with GE reflux disease presents with a 6 hour history of persistent chest pain that
began after repeated episodes of emesis. He has never had symptoms like this before. Chest x-
ray demonstrates mediastinal fluid. The most appropriate management would be:
a.) esophagoscopy
b.) tube thoracostomy
c.) video-assisted thoracic surgery (VATS) with tube drainage
d.) expectant management
e.) thoracotomy
(e)
What layer does the stomach have which is not present in the esophagus?
a.) Mucosa
b.) Submucosa
c.) Adventitia
d.) Serosa
(d)
Serosa
Which of the following statement is true concerning the surgical anatomy of the esophagus?
a.) Surgical exposure of the cervical esophagus is best gained via the right neck
b.) Spontaneous esophageal perforation tends to be associated with leakage into the left chest
c.) Access to the entire thoracic esophagus can be obtained only via the left chest
d.) The lower esophageal sphincter can be recognized distinctly by inspection of the
gastroesophageal junction
(b)
The cervical esophagus is about 5 cm long and the surgical approach to this portion of the
esophagus may be from either side of the neck, the left side is chosen if possible. A left
thoracotomy is most useful for performing procedures involving the lower esophagus.
However, access to the entire thoracic esophagus can be obtained only from the right chest.
3|Page
, This incision, however, limits access to intraabdominal organs by the position of the liver and
therefore normally requires a separate upper abdominal incision.
What is treatment for Barrett's esophagus with high grade dysplasia?
a.) PPI only
b.) Endoscopic surveillance & PPI
c.) Endoscopic surveillance & Heller myotomy
d.) Esophagectomy
(d)
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
(a)
Barrett esophagus is a premalignant condition. Its malignant sequela, esophageal
adenocarcinoma, has a mortality rate of over 85%. The risk of developing esophageal
adenocarcinoma in people who have Barrett esophagus has been estimated to be 6-7 per
1000 person-years
A patient has been taking antacids for heartburn for 1 year. He has an exacerbation of
symptoms & esophagoscopy shows salmon-colored mucosa extending approximately 6 cm up
the distal esophagus. Biopsy shows columnar epithelium with mild dysplasia. The most
appropriate initial management is:
a.) Omeprazole & follow up
b.) Observation & biopsy in 3 months
c.) Lap Nissen fundoplication
d.) Esophagectomy
(a)
The first thing to recognize here is the patient has a low grade Barrets. The treatment involves
endoscopic surveillance + treatment of reflux (surgical or medical, no clear answer). The best
answer given is thus the PPI with follow up
4|Page
