ABSITE LATEST 2026 EXAM FINAL PAPER QUESTIONS
AND ANSWERS GRADED A+
✔✔The most common intra-abdominal tumor in children is
a.) Leukemia
b.) Nephroblastoma
c.) Neuroblastoma
d.) Sarcoma - ✔✔(c)
Neuroblastoma is the most common intra-abdominal tumor in children. It is the 3rd most
common malignancy among children after leukemias and brain tumors
✔✔How to distinguish between staph scalded skin (SSSS) vs. TEN/Stevens-Johnson?
a.) Degree of erythema
b.) Bullae formation
c.) Extent of exfoliation (spares mucus membranes)
d.) Response to steroids - ✔✔(c)
SSSS spares the mucous membranes, TEN/SJS will not
SJS is just more severe TEN
✔✔Congenital diaphgragmatic hernia in children
a.) Requires emergency operation if respiratory distress is present
b.) Bochdalek hernia is the most common type
c.) Morgagni hernia presents on the right side
d.) Is rarely associated with underlying lung pathology - ✔✔(b)
Bochdalek hernia (85% left)
✔✔The first step in management of an asymptomatic child with a Morgagni hernia is?
a.) IV fluids
b.) Intubation
c.) Orogastric tube & intubation
d.) Emergent OR - ✔✔(c)
The majority of hernias occur retrosternal/anterior on the right side of the body and are
generally asymptomatic; However newborns may present with respiratory distress at
birth similar to Bochdalek hernia
✔✔Clinical features of Hirschprung's disease include
,a.) Diagnosis is made by barium enema
b.) Enterocolitis is the leading cause of death
c.) Mainly affects females
d.) Shows absent nerve trunks in the aganglionic segments - ✔✔(b)
Characteristics include:
Delayed passage of meconium
Abdominal distension/Constipation
Chronic Enterocolitis
✔✔Most common organism of prosthetic vascular graft infection is
a.) Staph epi
b.) Strep
c.) E. Coli
d.) Staph aureus - ✔✔(a)
staph epidermidis
✔✔Which of the following statements about chronic mesenteric ischemia due to
atherosclerosis is/are correct?
a.) Postprandial pain is due to gastric hyperacidity and is relieved with H2 blockers.
b.) Men are more often affected than women.
c.) Mesenteric endarterectomy is the surgical treatment of choice, since long-term
patency rates are superior to mesenteric bypass.
d.) Arteriography is no longer necessary since noninvasive diagnosis can be
established using duplex ultrasound.
e.) Surgical treatment is indicated to prevent intestinal infarction in symptomatic
patients. - ✔✔(e)
The precise cause of postprandial pain in patients with chronic mesenteric ischemia is
unknown. Hyperacidity has been observed in some patients with this disease, but no
medical therapy, including H2 blockers, has provided symptomatic relief. Unlike most
syndromes of ischemia due to atherosclerosis (coronary, cerebrovascular, etc), chronic
mesenteric ischemia occurs more frequently in women. The long-term success rates for
bypass and endarterectomy are equivalent; either technique is acceptable. While duplex
scanning is a useful noninvasive screening technique in these cases, arteriography is
required for definitive diagnosis and to plan revascularization. Elective surgical
revascularization is indicated in symptomatic patients with severe mesenteric arterial
occlusive disease.
✔✔What is the treatment of DVT in pregnancy?
a.) IV heparin alone
b.) IV heparin with Coumadin for 6 months
,c.) IV heparin with therapeutic Lovenox shots
d.) SQ heparin alone
e.) SQ therapeutic Lovenox alone - ✔✔(c)
Generally should start IV heparin then bridge to LMWH (Lovenox) SQ with a therapeutic
dose until term (Remember Warfarin crosses the placenta)
✔✔Most accurate method to diagnose traumatic aortic arch injury is
a.) Upright chest XR
b.) Chest CT angiogram
c.) MRI
d.) TEE - ✔✔(b)
Diagnosis is made with aortogram (which is the gold standard but invasive & operator
dependent) or CT angiogram. TEE has a limited role in screening for TAI
✔✔Lung resection is contraindicated based on which of the following pre operative
testing values?
a.) Resting pO2 = 60mmHg
b.) Resting pCO2 = 50mmHg
c.) FEV1 = 1L
d.) FEV1/FVC = 75%
e.) A vital capacity 75% of predicted value - ✔✔(b)
preop resting pCO2 > 45 (or pO2 < 50)
pneumonectomy FEV > 2L
lobectomy FEV1 > 1L
wedge resection FEV > 0.6L
Need predicted postop FEV1 > 0.8L
✔✔Most common cause of SBO during pregnancy is
a.) Volvulus
b.) Compression from the uterus
c.) Adhesions
d.) Appendicitis
e.) Diverticular disease - ✔✔(a)
✔✔A contraindication to the use of ketamine is which of the following?
a.) Hypotension
b.) Head injury
c.) Asthma
, d.) Hypoventilation - ✔✔(b)
✔✔Regarding the anatomy of the esophagus
a.) The cervical esophagus lies to the right of the midline
b.) The thoracic esophagus is anterior to the aortic arch
c.) The cervical portion is supplied by the inferior thyroid artery
d.) The abdominal portion is supplied by the right gastric artery
e.) The left vagus nerve passes posterior to the esophagus - ✔✔(c)
The abdominal portion is supplied by the left gastric artery. The thoracic by the
bronchial branches which come off of the aorta.
✔✔The most common anterior mediastinal tumor is
a.) Thymoma
b.) Retrosternal goiter
c.) Lymphoma
d.) Teratoma - ✔✔(a)
The most common mediastinal masses are neurogenic tumors (20% of mediastinal
tumors), usually found in the posterior mediastinum, followed by thymoma (15-20%)
located in the anterior mediastinum.
Masses in the anterior mediastinum are more likely to be malignant than those in other
compartments
✔✔Post operative cardiac events are more likely if preoperative electrocardiogram
shows which of the following rhythms?
a.) ST changes
b.) Bundle branch block
c.) Left ventricular hypertrophy
d.) Q-wave - ✔✔(d)
Pathologic Q waves are usually markers of previous myocardial infarcations, with
subsequent fibrosis. It is included as a major risk factor in all the major cardiac risk
indices
✔✔An early sign of lidocaine toxicity is
a.) Arrhythmia
b.) Muscle twitching
c.) Respiratory depression
d.) Hypotension - ✔✔(b)
AND ANSWERS GRADED A+
✔✔The most common intra-abdominal tumor in children is
a.) Leukemia
b.) Nephroblastoma
c.) Neuroblastoma
d.) Sarcoma - ✔✔(c)
Neuroblastoma is the most common intra-abdominal tumor in children. It is the 3rd most
common malignancy among children after leukemias and brain tumors
✔✔How to distinguish between staph scalded skin (SSSS) vs. TEN/Stevens-Johnson?
a.) Degree of erythema
b.) Bullae formation
c.) Extent of exfoliation (spares mucus membranes)
d.) Response to steroids - ✔✔(c)
SSSS spares the mucous membranes, TEN/SJS will not
SJS is just more severe TEN
✔✔Congenital diaphgragmatic hernia in children
a.) Requires emergency operation if respiratory distress is present
b.) Bochdalek hernia is the most common type
c.) Morgagni hernia presents on the right side
d.) Is rarely associated with underlying lung pathology - ✔✔(b)
Bochdalek hernia (85% left)
✔✔The first step in management of an asymptomatic child with a Morgagni hernia is?
a.) IV fluids
b.) Intubation
c.) Orogastric tube & intubation
d.) Emergent OR - ✔✔(c)
The majority of hernias occur retrosternal/anterior on the right side of the body and are
generally asymptomatic; However newborns may present with respiratory distress at
birth similar to Bochdalek hernia
✔✔Clinical features of Hirschprung's disease include
,a.) Diagnosis is made by barium enema
b.) Enterocolitis is the leading cause of death
c.) Mainly affects females
d.) Shows absent nerve trunks in the aganglionic segments - ✔✔(b)
Characteristics include:
Delayed passage of meconium
Abdominal distension/Constipation
Chronic Enterocolitis
✔✔Most common organism of prosthetic vascular graft infection is
a.) Staph epi
b.) Strep
c.) E. Coli
d.) Staph aureus - ✔✔(a)
staph epidermidis
✔✔Which of the following statements about chronic mesenteric ischemia due to
atherosclerosis is/are correct?
a.) Postprandial pain is due to gastric hyperacidity and is relieved with H2 blockers.
b.) Men are more often affected than women.
c.) Mesenteric endarterectomy is the surgical treatment of choice, since long-term
patency rates are superior to mesenteric bypass.
d.) Arteriography is no longer necessary since noninvasive diagnosis can be
established using duplex ultrasound.
e.) Surgical treatment is indicated to prevent intestinal infarction in symptomatic
patients. - ✔✔(e)
The precise cause of postprandial pain in patients with chronic mesenteric ischemia is
unknown. Hyperacidity has been observed in some patients with this disease, but no
medical therapy, including H2 blockers, has provided symptomatic relief. Unlike most
syndromes of ischemia due to atherosclerosis (coronary, cerebrovascular, etc), chronic
mesenteric ischemia occurs more frequently in women. The long-term success rates for
bypass and endarterectomy are equivalent; either technique is acceptable. While duplex
scanning is a useful noninvasive screening technique in these cases, arteriography is
required for definitive diagnosis and to plan revascularization. Elective surgical
revascularization is indicated in symptomatic patients with severe mesenteric arterial
occlusive disease.
✔✔What is the treatment of DVT in pregnancy?
a.) IV heparin alone
b.) IV heparin with Coumadin for 6 months
,c.) IV heparin with therapeutic Lovenox shots
d.) SQ heparin alone
e.) SQ therapeutic Lovenox alone - ✔✔(c)
Generally should start IV heparin then bridge to LMWH (Lovenox) SQ with a therapeutic
dose until term (Remember Warfarin crosses the placenta)
✔✔Most accurate method to diagnose traumatic aortic arch injury is
a.) Upright chest XR
b.) Chest CT angiogram
c.) MRI
d.) TEE - ✔✔(b)
Diagnosis is made with aortogram (which is the gold standard but invasive & operator
dependent) or CT angiogram. TEE has a limited role in screening for TAI
✔✔Lung resection is contraindicated based on which of the following pre operative
testing values?
a.) Resting pO2 = 60mmHg
b.) Resting pCO2 = 50mmHg
c.) FEV1 = 1L
d.) FEV1/FVC = 75%
e.) A vital capacity 75% of predicted value - ✔✔(b)
preop resting pCO2 > 45 (or pO2 < 50)
pneumonectomy FEV > 2L
lobectomy FEV1 > 1L
wedge resection FEV > 0.6L
Need predicted postop FEV1 > 0.8L
✔✔Most common cause of SBO during pregnancy is
a.) Volvulus
b.) Compression from the uterus
c.) Adhesions
d.) Appendicitis
e.) Diverticular disease - ✔✔(a)
✔✔A contraindication to the use of ketamine is which of the following?
a.) Hypotension
b.) Head injury
c.) Asthma
, d.) Hypoventilation - ✔✔(b)
✔✔Regarding the anatomy of the esophagus
a.) The cervical esophagus lies to the right of the midline
b.) The thoracic esophagus is anterior to the aortic arch
c.) The cervical portion is supplied by the inferior thyroid artery
d.) The abdominal portion is supplied by the right gastric artery
e.) The left vagus nerve passes posterior to the esophagus - ✔✔(c)
The abdominal portion is supplied by the left gastric artery. The thoracic by the
bronchial branches which come off of the aorta.
✔✔The most common anterior mediastinal tumor is
a.) Thymoma
b.) Retrosternal goiter
c.) Lymphoma
d.) Teratoma - ✔✔(a)
The most common mediastinal masses are neurogenic tumors (20% of mediastinal
tumors), usually found in the posterior mediastinum, followed by thymoma (15-20%)
located in the anterior mediastinum.
Masses in the anterior mediastinum are more likely to be malignant than those in other
compartments
✔✔Post operative cardiac events are more likely if preoperative electrocardiogram
shows which of the following rhythms?
a.) ST changes
b.) Bundle branch block
c.) Left ventricular hypertrophy
d.) Q-wave - ✔✔(d)
Pathologic Q waves are usually markers of previous myocardial infarcations, with
subsequent fibrosis. It is included as a major risk factor in all the major cardiac risk
indices
✔✔An early sign of lidocaine toxicity is
a.) Arrhythmia
b.) Muscle twitching
c.) Respiratory depression
d.) Hypotension - ✔✔(b)
