Absite Exam Test Bank
Absite Exam Test Bank
Exam 3 Questions and Correct
Answers Brand New 2025 A+
What is the MOST likely organism to be associated with a non-aneurysmal aortic infection?
( A ) Streptococcus
( B ) Staphylococcus
( C ) Salmonella
( D ) Pseudomonas
( E ) Klebsiella
- Correct Answer :C.
Staphyloccus is the most prevalent bacteria involved in aortic aneurysmal infections. Salmonella
is the most frequent cause of non-aneurysmal aortic infections.
From anterior to posterior, what is the correct order of the subclavian artery (artery), subclavian
vein (vein), brachial plexus (nerve), and anterior scalene muscle (muscle) in the thoracic outlet?
( A ) Artery, vein, muscle, nerve
( B ) Vein, artery, nerve, muscle
( C ) Vein, muscle, nerve, artery
( D ) Artery, muscle, vein, nerve
( E ) Vein, muscle, artery, nerve
- Correct Answer :E.
From anterior to posterior in the thoracic outlet, the anatomic relationships are as follows:
subclavian vein, anterior scalene muscle, subclavian artery, brachial plexus.
A 22-year-old male is stabbed just above the right clavicle. He is hemodynamically stable but
does not have distal palpable pulses in his right arm. A CT scan is performed, which shows an
injury at the location of the right subclavian and innominate artery junction.
What is the MOST appropriate incision to gain proximal arterial control?
A+ TEST BANK 1
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( A ) Supraclavicular incision
( B ) Infraclavicular incision
( C ) Anteriolateral thoracotomy
( D ) Median sternotomy
( E ) High 3rd interspace anterior thoracotomy
- Correct Answer :D.
The innominate and subclavian vessels are the aortic branches most commonly injured. Patients
typically present with evidence of major hemorrhage, either external bleeding or rapidly
expanding hematoma. A smaller group will present only with a pulse deficit, bruit, or neurologic
compromise.
A+ TEST BANK 2
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The goal is to obtain proximal control of the innominate artery, which can be accomplished with
a median sternotomy (choice D). A median sternotomy is used for injuries to the ascending
aorta, aortic arch, innominate, right subclavian, and left common carotid arteries. It may also be
extended into left and/or right neck incisions.
A high 3rd interspace anterior thoracotomy should be utilized to obtain left subclavian proximal
control (choice E).
A posteriolateral thoracotomy should be performed to gain control of the descending aorta.
A 42-year-old female scheduled to have a thyroidectomy for refractory hyperthyroidism. The
week before her scheduled procedure she developed cellulitis after scraping her arm. She now
presents to the emergency room with fever, diaphoresis, and tachycardia to 130-140 range. She
appears to be extremely restless and confused. All of the following are an accepted treatment
for this patient EXCEPT:
( A ) Preoperative Lugol's solution
( B ) Propanolol
( C ) Dexamethasone
( D ) Phenoxybenzamine
- Correct Answer :D.
Thyroid storm is a life threatening complication of severe thyrotoxicosis that requires emergent
medical intervention.
Treatment is directed at correction of the thyrotoxicosis and the precipitating event. Either PTU
or methimazole should be administered to slow the release of thyroid hormone, unless the
thyroid storm has occurred after thyroidectomy. PTU inhibits peripheral conversion of T4 to T3,
whereas methimazole does not and therefore is the preferred thionamide.
β-blockers such as propranolol are given to block the adrenergic effects (choice B). Doses of β-
blockers must continue until the morning of surgery and should not be stopped abruptly
postoperatively.
Steroids such as dexamethasone may aid in inhibiting peripheral conversion of T4 to T3 (choice
C).
Lugol's solution can be administered as 5 to 10 drops three times daily for 2 weeks
preoperatively to decrease vascularity (choice A).
Alpha blockade preceeds β-blockers in the preoperative treatment of preventing hypertension
crisis associated with pheochromocytoma (choice D).
A+ TEST BANK 3
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All of the following are true concerning renal cell cancer EXCEPT:
( A ) Smoking is the most significant risk factor
( B ) The most common site for metastasis is the liver
( C ) Isolated metastases can be resected
( D ) Associated with elevated PTH related peptide (PTHrp)
( E ) Radical nephrectomy is the treatment of choice
- Correct Answer :B.
Renal cell cancer (RCC) can present with abdominal pain, hematuria, and a flank mass. The major
risk factor associated with RCC is smoking (choice A).
RCC is associated with many paraneoplastic syndromes including erythrocytosis, PTHrp, ACTH,
and renin (choice D).
RCC will most often metastasize to the lung (choice B) and isolated metastatic lesions can be
resected at the time of the operation (choice C).
A radical nephrectomy is the treatment of choice (choice E). A partial nephrectomy is only
indicated in patients who would require dialysis as a result of removing the kidney.
Bottom Line: The most common site of metastasis of RCC is the lung.
Which of the following is TRUE regarding the internal thoracic artery?
( A ) It originates from the thyrocervical trunk off the subclavian artery
( B ) Provides blood supply to the pleural space
( C ) It runs between the external and internal oblique muscles
( D ) It continues on as the superior epigastric artery in the abdomen
A+ TEST BANK 4
Absite Exam Test Bank
Exam 3 Questions and Correct
Answers Brand New 2025 A+
What is the MOST likely organism to be associated with a non-aneurysmal aortic infection?
( A ) Streptococcus
( B ) Staphylococcus
( C ) Salmonella
( D ) Pseudomonas
( E ) Klebsiella
- Correct Answer :C.
Staphyloccus is the most prevalent bacteria involved in aortic aneurysmal infections. Salmonella
is the most frequent cause of non-aneurysmal aortic infections.
From anterior to posterior, what is the correct order of the subclavian artery (artery), subclavian
vein (vein), brachial plexus (nerve), and anterior scalene muscle (muscle) in the thoracic outlet?
( A ) Artery, vein, muscle, nerve
( B ) Vein, artery, nerve, muscle
( C ) Vein, muscle, nerve, artery
( D ) Artery, muscle, vein, nerve
( E ) Vein, muscle, artery, nerve
- Correct Answer :E.
From anterior to posterior in the thoracic outlet, the anatomic relationships are as follows:
subclavian vein, anterior scalene muscle, subclavian artery, brachial plexus.
A 22-year-old male is stabbed just above the right clavicle. He is hemodynamically stable but
does not have distal palpable pulses in his right arm. A CT scan is performed, which shows an
injury at the location of the right subclavian and innominate artery junction.
What is the MOST appropriate incision to gain proximal arterial control?
A+ TEST BANK 1
, Absite Exam Test Bank
( A ) Supraclavicular incision
( B ) Infraclavicular incision
( C ) Anteriolateral thoracotomy
( D ) Median sternotomy
( E ) High 3rd interspace anterior thoracotomy
- Correct Answer :D.
The innominate and subclavian vessels are the aortic branches most commonly injured. Patients
typically present with evidence of major hemorrhage, either external bleeding or rapidly
expanding hematoma. A smaller group will present only with a pulse deficit, bruit, or neurologic
compromise.
A+ TEST BANK 2
, Absite Exam Test Bank
The goal is to obtain proximal control of the innominate artery, which can be accomplished with
a median sternotomy (choice D). A median sternotomy is used for injuries to the ascending
aorta, aortic arch, innominate, right subclavian, and left common carotid arteries. It may also be
extended into left and/or right neck incisions.
A high 3rd interspace anterior thoracotomy should be utilized to obtain left subclavian proximal
control (choice E).
A posteriolateral thoracotomy should be performed to gain control of the descending aorta.
A 42-year-old female scheduled to have a thyroidectomy for refractory hyperthyroidism. The
week before her scheduled procedure she developed cellulitis after scraping her arm. She now
presents to the emergency room with fever, diaphoresis, and tachycardia to 130-140 range. She
appears to be extremely restless and confused. All of the following are an accepted treatment
for this patient EXCEPT:
( A ) Preoperative Lugol's solution
( B ) Propanolol
( C ) Dexamethasone
( D ) Phenoxybenzamine
- Correct Answer :D.
Thyroid storm is a life threatening complication of severe thyrotoxicosis that requires emergent
medical intervention.
Treatment is directed at correction of the thyrotoxicosis and the precipitating event. Either PTU
or methimazole should be administered to slow the release of thyroid hormone, unless the
thyroid storm has occurred after thyroidectomy. PTU inhibits peripheral conversion of T4 to T3,
whereas methimazole does not and therefore is the preferred thionamide.
β-blockers such as propranolol are given to block the adrenergic effects (choice B). Doses of β-
blockers must continue until the morning of surgery and should not be stopped abruptly
postoperatively.
Steroids such as dexamethasone may aid in inhibiting peripheral conversion of T4 to T3 (choice
C).
Lugol's solution can be administered as 5 to 10 drops three times daily for 2 weeks
preoperatively to decrease vascularity (choice A).
Alpha blockade preceeds β-blockers in the preoperative treatment of preventing hypertension
crisis associated with pheochromocytoma (choice D).
A+ TEST BANK 3
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All of the following are true concerning renal cell cancer EXCEPT:
( A ) Smoking is the most significant risk factor
( B ) The most common site for metastasis is the liver
( C ) Isolated metastases can be resected
( D ) Associated with elevated PTH related peptide (PTHrp)
( E ) Radical nephrectomy is the treatment of choice
- Correct Answer :B.
Renal cell cancer (RCC) can present with abdominal pain, hematuria, and a flank mass. The major
risk factor associated with RCC is smoking (choice A).
RCC is associated with many paraneoplastic syndromes including erythrocytosis, PTHrp, ACTH,
and renin (choice D).
RCC will most often metastasize to the lung (choice B) and isolated metastatic lesions can be
resected at the time of the operation (choice C).
A radical nephrectomy is the treatment of choice (choice E). A partial nephrectomy is only
indicated in patients who would require dialysis as a result of removing the kidney.
Bottom Line: The most common site of metastasis of RCC is the lung.
Which of the following is TRUE regarding the internal thoracic artery?
( A ) It originates from the thyrocervical trunk off the subclavian artery
( B ) Provides blood supply to the pleural space
( C ) It runs between the external and internal oblique muscles
( D ) It continues on as the superior epigastric artery in the abdomen
A+ TEST BANK 4
