Page |1
ABSITE 2021 Questions and Correct
Answers/ Latest Update / Already Graded
Nerve implicated in Frey syndrome — parasympathetic postganglionic
fibers to parotid
Ans: Auriculotemporal nerve
Management recommendations for BRCA and don't want children or
any more
Ans: BSO, bilateral mastectomy, HRT until 50
Next step for spontaneous skin ulceration in arm in post modified
radical mastectomy patient
Ans: 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
Ans: Percutaneous transluminal angioplasty unless long
segment or multiple segments, then open approach
Technique for SMA embolectomy
All rights reserved © 2025/ 2026 |
, Page |2
Ans: 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
Ans: BRCA 1 for both
Organism associated with human bites
Ans: Eikenella corrodens
Organism associated with lymphangitis
Ans: Strep pyrogenes
Management for rhabdomyolysis
Ans: IV fluids and alkalinization of the urine
How is vitamin K synthesized in the body?
Ans: Colonic bacteria
All rights reserved © 2025/ 2026 |
, Page |3
Anticoagulation recommendations for mechanical and bioprosthetic
valves
Ans: 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
Ans: Decreased androgen production and either increased
estrogen production or estrogen precursors are the main cause.
Also can have decreased androgen to receptor binding and
increased androgen binding to sex hormone binding globulin
Octreotide mechanism of action for varices treatment
Ans: Splanchnic vasoconstriction and decreases portal htn
Liver abscess treated with flagyl
Ans: Amoebic liver abscesses from entamoeba histolytica
All rights reserved © 2025/ 2026 |
, Page |4
Liver abscess treated with albendazole
Ans: Hydratid liver cysts
Treatment for resectable gallbladder carcinoma
Ans: 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
Ans: 0.08
Contraindications for ketamine
Ans: 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
Ans: Stimulates endothelial release of factor viii and vWF
All rights reserved © 2025/ 2026 |
ABSITE 2021 Questions and Correct
Answers/ Latest Update / Already Graded
Nerve implicated in Frey syndrome — parasympathetic postganglionic
fibers to parotid
Ans: Auriculotemporal nerve
Management recommendations for BRCA and don't want children or
any more
Ans: BSO, bilateral mastectomy, HRT until 50
Next step for spontaneous skin ulceration in arm in post modified
radical mastectomy patient
Ans: 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
Ans: Percutaneous transluminal angioplasty unless long
segment or multiple segments, then open approach
Technique for SMA embolectomy
All rights reserved © 2025/ 2026 |
, Page |2
Ans: 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
Ans: BRCA 1 for both
Organism associated with human bites
Ans: Eikenella corrodens
Organism associated with lymphangitis
Ans: Strep pyrogenes
Management for rhabdomyolysis
Ans: IV fluids and alkalinization of the urine
How is vitamin K synthesized in the body?
Ans: Colonic bacteria
All rights reserved © 2025/ 2026 |
, Page |3
Anticoagulation recommendations for mechanical and bioprosthetic
valves
Ans: 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
Ans: Decreased androgen production and either increased
estrogen production or estrogen precursors are the main cause.
Also can have decreased androgen to receptor binding and
increased androgen binding to sex hormone binding globulin
Octreotide mechanism of action for varices treatment
Ans: Splanchnic vasoconstriction and decreases portal htn
Liver abscess treated with flagyl
Ans: Amoebic liver abscesses from entamoeba histolytica
All rights reserved © 2025/ 2026 |
, Page |4
Liver abscess treated with albendazole
Ans: Hydratid liver cysts
Treatment for resectable gallbladder carcinoma
Ans: 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
Ans: 0.08
Contraindications for ketamine
Ans: 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
Ans: Stimulates endothelial release of factor viii and vWF
All rights reserved © 2025/ 2026 |
