ABSITE True Learn questions and answers rated A+2025/2026

ABSITE TrueLearn

Aortic Injury
- MC Location in Blunt Trauma
- MC Location in Penetrating Trauma
- Which is worse? - ANS- MC Location in Blunt Trauma = Isthmus
- MC Location in Penetrating Trauma = Infra-renal aorta (+IVC)
- Which is worse?: suprarenal injuries, so normally blunt

MCCOD in Blunt Trauma - ANSBrain Injury

EGD Findings a/w growth ulcer re-bleeding (3) - ANS1. Active Bleeding / Oozing
2. Visible Vessel
3. Adherent Clot

DDx Inguinal Ulcer/Lesion (three) - ANS1. Hidratenitis: impacts apocrine (axilla/inguinal)
glands, represents persistent contamination of gland

2. Granuloma Inguinale: handiest inguinal, think 3rd international

3. Lymphogranulosum Venerum: inguinal, suppose STI

Glomus Tumor
- Define
- Presentation Triad
- Two Key Signs
- Treatment - ANS- Define: sub-ungal AV fistula

- Presentation Triad: ache, bloodless insensitivity, tenderness on palpation

- Two Key Signs
1. Love's = factor tenderness
2. Hildreth's = alleviation with insufflation

- Treatment: surgical treatment

Inguinal Hernia
- Recurrence with/with out mesh
- Risk of incarceration every year - ANS- Recurrence with/with out mesh = five vs. 20%
- Risk of incarceration each 12 months = 0.18%/year

Procidentia
- Etiology (2)
- Recognizing full vs. Mucosal prolapse

,- Definitive Test
- three Treatments + Description - ANS- Etiology (2)
1. Pudendal nerve harm
2. Laxity of anal sphincter

- Recognizing complete vs. Mucosal prolapse
1. Full = circular folds
2. Mucosal = linear folds

- Definitive Test = defecating proctogram

- 3 Treatments + Description
1. Transanal Excision = Altemier (incision 2cm above dentate line to open peritoneum, then
tack peritoneum at degree to puborectalis)

2. Delorme (perfect of older patients): Mucosal excision + muscular plication

three. LAR with Sigmoid Pexy

Biliary Dyskinesia
- When to suspect?
- Describe technique
- Treatment - ANS- When to suspect?
Signs/signs and symptoms of biliary colic with poor USG, CT, ERCP

- Describe approach
Gallbladder gets packed with Tc99, infuse CCK. If EF <35% at 20min = diagnosis

- Treatment = lap chole

Injecting dye before WLE cancer/breast:
- When to inject?
- Where to inject (layer of skin)?
- Why now not inject after WLE? - ANS- When to inject? Hours earlier than procedure
- Where to inject (layer of pores and skin)? Dermis, wherein lymphatics are
- Why not inject after WLE? B/c WLE disrupts the lymphatic pathways

Post-Hemorrhoidectomy Bleeding Etiologies/Mgmt
- Early (<24hrs)
- Late (>POD5) - ANS- Early (<24hrs): likely to be surgical error, needs evaluation

- Late (>POD5): probable to be eschar from surgery falling off, no intervention

Esophageal CA Review
- Why so malignant (aka how do they spread?)
- Test to Diagnose?
- Test to decide resection?
- CI to Resection (3)

,- SCC vs. Adeno: occurrence, etiology, region/mets
- Tx
1. Chemo/XRT Options (2)
2. Surgeries (4) all of which require _____
3. Endoscopic Option for ____
four. Complications (2) + Treatment - ANS- Why so malignant (aka how do they unfold?)
Through submucosal lymphatic channels

- Test to Diagnose? Esophagram

- Test to decide resection? CT Chest/Abd

- CI to Resection (3)
1. Invasion of nerves (hoarse RLN, Horners Brachial Plexus, or Phrenic Nerve)
2. Visceral Invasion (airway, vertebra, malignant effusion)
three. +Nodal Base (broadly mets)

- SCC vs. Adeno: occurrence, etiology, area/mets
1. Adeno: MCC, lower esophagus associated with GERD/Achalasia, mets to liver
2. SCC: lightly divided, a/w smoking, ETOH, mets to lung

- Tx
1. Chemo/XRT Options (2): 5FU + Cisplatin
2. Surgeries (4) all of which require pyloromyotomy
- Transhiatal: cervical anastamosis, gastric headaches
- Ivor Lewis: thoraco anastomosis, thoracic complications
- three Hole: 3 incisions neck, thorax, abdomen
- Colonic interposition: 3 anastamosis

3. Endoscopic Option for mucosal sickness <2cm

4. Complications (2) + Treatment
- Stricture = dilation
- Fistula to airway = aspiration, palliatve stent

What hormone is NOT released during stress? - ANSTSH

Pros/Cons of Burn Care
1. Silvadene
2. Silver Nitrate
3. Sulfamylon - ANS1. Silvadene: good for cartilagenous areas (face/ears), causes
leukopenia

2. Silver Nitrate: good for large burns, but very concentrated and quenches cells leading to
hypoNa and hypoCl; also can cause methemoglobinemia

3. Sulfamylon: good for penetrating wounds, but painful and CA inhibitor so causes
metabolic acidosis

, Lumbar Hernia
- Boundaries
- Primary vs. Secondary
- Causes
- When to repair? - ANS- Boundaries: 12th rib, EOM, iliac crest

- Primary vs. Secondary
1. Primary: true hernia
2. Secondary: denervation injury

- Causes: surgical trauma (kidney operations)

- When to repair?: repair PRIMARY if large and symptomatic

Esophageal Leiomyoma
- MC ____ of the esophagus
- Location within esophageal wall (review layers)
- Location along esophagus
- Dx (2)
- Biopsy?
- When/how to treat? - ANS- MC benign tumor of the esophagus

- Location within esophageal wall (review layers)
Occurs in muscularis b/c this is MESECNHYMAL tumor (mucosa --> submucosa -->
muscular propria...NO SEROSA)

- Location alongside esophagus: lower 2/three in which the SMOOTH MUSCLES are

- Dx (2): Esophagram --> CT to r/o CA

- Biopsy? NEVER; reasons fibrotic tissue that makes remedy very tough

- When/a way to deal with? Excision (ENUCLEATION) with proper thoracotomy (if high
higher/mid esophagus) or left thoracotomy (if low esophagus or GEJ) for those which might
be SYMPTOMATIC or >5cm

Pancreatic Divisum
- Gold trendy diagnosis
- First line remedy
- If first line fails... - ANS- Gold widespread diagnosis: ERCP

- First line remedy: minor papillotomy with duct stenting

- If first line fails...Surgery with minor papilla sphincteroplasty and longitudinal duodenotomy

Liver Anatomy
- Right and left liver divided by way of _____