ABSITE Exam Questions With 100% Correct Answers Latest 2024 (Graded A+)

The vagus nerve mediates what in the setting of systemic inflammation? Correct Answer: Enhanced

gut motility

What type of hormones are cytokines? Correct Answer: polypeptide

Function of heat shock proteins Correct Answer: Binding of autologous proteins to improve ligand

binding

Omega-3 fatty acids have what affect on the inflammatory response? Correct Answer: Decrease

What is a known affect of TNF? Correct Answer: Expression of eicosanoids (like thromboxane)

What is an adhesion molecule? Correct Answer: Mediate leukocyte to endothelial adhesion

What is an example of an adhesion molecule? Correct Answer: L-selectin

Physiologic affect of NO Correct Answer: Increase smooth muscle relaxation

Prostacyclin on systemic inflammation Correct Answer: Inhibits platelet aggregation

Calories per day for basal metabolism of healthy adult? Correct Answer: 20-25 kcal/kg/day

Source of calories during acute starvation? Correct Answer: fat

Source of calories for prolonged starvation? Correct Answer: Ketone bodies

Source of fuel after acute injury Correct Answer: fat

Sepsis increases metabolic needs by what % Correct Answer: 50%

Most abundant amino acid Correct Answer: glutamine

Pt with fever, tachycardia, and tachypnea, no localizing sx, no source. What do they have? Correct

Answer: SIRS

How long can elevated cortisol levels persist with a significant burn? Correct Answer: 1 month

What is used to mitigate cortisol affects on wound healing? Correct Answer: Vitamin A

Overfeeding critically ill patient can lead to? Correct Answer: Increased infection risk.

Initial enteral formula for surgical patients? Correct Answer: low-residual isotonic

Nutrient proportionally incrased in pulmonary failure enteral formula? Correct Answer: fat

ABSITE Exam Questions And Answers 100%

Correct Latest 2023-2024 (Graded A+)

Vitamin not present in commercially prepared IV vitamin preparations and must be supplemented

with TPN? Correct Answer: Vitamin K

New onset of glucose intolerance in TPN dependent patient can be caused by? Correct Answer: zinc

deficiency

Potential physiologic affect of anabolism (positive N balance) Correct Answer: glucosuria

% body weight is water Correct Answer: 50-60%

What is the largest fluid compartment? Correct Answer: intracellular

% NS that goes to interstitial space? Correct Answer: 75%

Calculate serum osmolality: Na 130, Cl 94, K 5.2, CO2 14, Glucose 360, BUN 84, Cr 3.2 Correct

Answer: 310. Formula: Na x 2 + (BUN/2.8) + (Glucose/18)

Patient develops high output fistula after abd surgery. Fluid is sent: Na 135, K 5, Cl 70. What is the

most likely source of the fistula? Correct Answer: Pancreas

Most likely dx in patient with normovolemic hyponatremia? Correct Answer: SIADH

Patient admitted with glucose of 500 and Na of 151. What is best approximation of actual serum

sodium? Correct Answer: 158. 1.6 mEq/ L Na increase for every 100 mg/dL glucose over 100 mg/dL

Most likely dx in pt with serum Na of 152, urine Na of > 20 mEq/L, and urine osmolality of >

300mOsm/L? Correct Answer: Cushing's syndrome

What electrolyte abnormality can you get while on NSAIDS with renal insufficency? Correct Answer:

hyperkalemia

Electrolyte abnormality can cause decreased deep tendon reflexes? Correct Answer: hypokalemia

Early ECG change in hyperkalemia Correct Answer: peaked t waves

Post-op patient with K of 2.9 is given 1 mEq/kg replacement of KCl. Repeat test after replacement

show K is 3.0. Most likely dx? Correct Answer: hypomagnesemia

Actual serum calcium level in pt with albumin of 2.0 and calcium of 6.6? Correct Answer: 8.2.

Corrected Ca = [0.8 x (normal albumin - patient's albumin)] + serum Ca level

Cause of acute hypophosphatemia Correct Answer: refeeding syndrome

hypomagnesemia clinically resembles which of the following? Correct Answer: hypocalcemia

Pt obtunded, Na 130, Cl 105, K 3.2 HCO3 15. Most likely Dx? Correct Answer: GI losses

Best fluid choice for serum fluid loss? Correct Answer: LR

First tx administered to patient with K of 6.3 and flattened P waves on EKG? Correct Answer: Insulin

and glucose

Shock following severe CO poisioning is what kind? Correct Answer: vasodilatory

IInsulin drips should be used to maintain sreum glucose in nondiabetic, critically ill patients at levels

between? Correct Answer: 80 - 110

62 yo man in MVA. Blunt trauma to sternum. Systolic bp of 95. CVP 15 CXR normal. Most likely

cause? Correct Answer: MI

Best way to prepare a type I von willebrand's dz for surgery? Correct Answer: Desmopressin

Hemophilia C is cause by? Correct Answer: Factor XI deficiency

Factor XIII deficiency most commonly presents as? Correct Answer: delayed bleeding after injury or

surgery

Bleeding patients with thrombasthenia is treated with? Correct Answer: platelet tx

Bleeding patinets with Bernard-soulier syndrome is treated with? Correct Answer: Platelet tx

Patient with albinism and bleeding disorder most likely has? Correct Answer: Dense granule

deficiency

First line therapy in an adult with idiopathic thrombocytopenia purpura includes? Correct Answer: IV

ig

HIT is made by? Correct Answer: Positive serotonin release assay

HIT patients should be treated with? Correct Answer: Lepirudin

Most effective tx for bleeding secondary to TTP is? Correct Answer: plasmapheresis

In a 70 kg patient, tx of 1 unit platelets should raise platelet count by? Correct Answer: 10,000

Patient with prolonged PTT and DVT should be evaluated for? Correct Answer: Antiphospholipid

syndrome

Increase the effect of warfarin? Correct Answer: Cephalosporins

Patient on warfarin with INR 1.4 presents with appendicitis. Management? Correct Answer: Proceed

with surgery, do not wait

Most effective device for hemostasis during thyroidectomy? Correct Answer: harmonic scalpel

Best topical agent to use in patients with coagulophathy? Correct Answer: Fibrin sealant

% of pop Rh- Correct Answer: 15