absite 1 Questions and Correct Answers/
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A 76 yo HD dependant woan with a h/o mult abd surgeries presents to
the ED with worsening abd pain. W/U raises your suspicion for ischemic
bowel. She last underwent HD three days prior and is currently uremic.
How will you best prepare the patient for emergent celiotomy? A.
Arrange for HD B. Transfuse the patient with PRBCs C. Administer
cryoprecipitate D. Administer desmopressin (DDAVP) E. Administer
conjugated estrogens
Ans: D. Administer desmopressin (DDAVP)
A 76 yo man with aortoiliac occlusive dz undergoes percutaneious
transluminal angioplasty of his left common iliac artery. What is the
patency rate for patients who undergo angioplasty for Iliac occlusive
disease? A. 20% at 5 yrs B. 30% at 5 yrs C. 60% at 5 yrs D. 80% at 5 yrs
Ans: C. 60% at 5 yrs
A 39 yo woman presents to the ED after experiencing watery diarrhea
and upper abd pain for 2 wks. On w/u and CT can, she is found to have
a small mass in the body of the pancreas. Lab abnormalitites include a
hemoglobin of 8.7, WBC of 10, hypokalemia, and metabolic acidosis.
She is subsequently scheduled to have an exploratory laparotomy.
Intraoperatively, the mass is removed from her pancreas and multiple
small nodules are found in her liver. Considering the most likely
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diagnosis what are her best treatment options? A. 5-fluorouracil and
interferon alpha B. Octreodtide and glucocorticoids C. Intravenous
steroids alone D. No further treatment is indicated E. Repetitive
embolization of the hepatic artery
Ans: A. 5-fluorouracil and interferon alpha
A 46-year-old woman comes to the emergency department describing
acute right lower quadrant pain. How could appendicitis be
differentiated from acute ileitis? A. Elevated WBC count B. Presence of
diarrhea C. Development of acute or subacute pain in the right lower
quadrant D. Thickened mesenteric lymph nodes on radiographic
imaging E. Colonoscopic biopsy
Ans: D. Thickened mesenteric lymph nodes on radiographic
imaging
A 27-year-old man with idiopathic renal failure on hemodialysis is
awaiting a kidney transplant. Multiple family members and friends
have been evaluated for possible live donor transplantation. A sibling
to the recipient is found to have a favorable human leukocyte antigen
match. Which of the following conditions is acceptable for live-donor
nephrectomy?
A. Uncontrollable hypertension
B. Human immunodeficiency virus (HIV) infection
C. Type II diabetes mellitus D. Unilateral duplicated collecting system
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E. Current cocaine usage
Ans: D. Unilateral duplicated collecting system
A 39-year-old man is referred to your clinic for treatment of a cecal
mass diagnosed by surveillance colonoscopy. His father, paternal
grandmother, and paternal uncle all developed colon cancer by their
fifth decade. Mutation of which of the following genes is associated
with this man's disease? A. K-Ras B. hMSH2
D. APC E. BRCA2
Ans: B. hMSH2
A 68-year-old man presents with pain In his left leg. Exanimation and
workup confirms diagnosis of a popliteal aneurysm. What is the most
common complication that would result in the patient's leg pain? A.
Popliteal aneurysm rupture B. Nerve impingement by the popliteal
aneurysm C. Venous obstruction by the popliteal aneurysm D.
Thromboembolic events associated with the popliteal aneurysm
Ans: D. Thromboembolic events associated with the popliteal
aneurysm
A 52-year-old woman presents to your clinic with a palpable thyroid
nodule. Ultrasonography shows a 3-cm lesion in the right thyroid lobe
with solid and cystic components. Ultrasonography -guided fine needle
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aspiration (FNA) reveals a thyroid cancer. Which of the following is the
most likely diagnosis?
A. Papillary carcinoma
B. Anaplastic carcinoma
C. Follicular carcinoma
D. Medullary carcinoma
Ans: A. Papillary carcinoma
A 60-year-old man who suffers from chronic alcoholism was admitted
to the hospital with a bout of acute pancreatitis. He has suffered
similar episodes in the past, all of which have resolved without
complications. On laboratory studies, he is found to have an elevated
serum amylase level. A 4-cm pancreatic pseudocyst is found on CT
scan. What would be the best treatment?
A. Percutaneous drainage B. Simple aspiration C. observation and
serial CT scans D. Surgical intervention
Ans: C. observation and serial CT scans
Which of the following is a characteristic of Merkel cell carcinoma?
A. Slow-growing, well-defined cutaneous lesion
B. Early distant metastases
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