2025 ABSITE Study Plan – Full Weekly Guide with QBank Tactics, High-Yield Topics, and Score-Boosting Strategies for Surgical Exam Success

• Full weekly study plan for ABSITE 2025
• Includes QBank tactics and high-yield topics
• Score-boosting strategies for surgical residents
• Structured approach to mastering key concepts
• Ideal for ABSITE exam preparation and success

Preview

Which of the following statements about the diagnosis and treatment of esophageal
leiomyomas is/are correct?
a.) The majority are diagnosed after they cause dysphagia and chest pain.
b.) Biopsy is indicated at the time of esophagoscopy, to rule out carcinoma.
c.) Full-thickness elliptical excision of the esophageal wall is the preferred surgical approach.
d.) Endoscopic ultrasonography is a reliable means of following leiomyomas conservatively.
e.) Recurrence of resected leiomyomas is minimized by wide local excision. – -CORRECT ANS-
(d)
Most esophageal leiomyomas are asymptomatic when discovered on a barium esophagogram
or upper gastrointestinal series. When suspected biopsy should not be performed so that
subsequent extramucosal resection will not be complicated by scarring. Submucosal
enucleation if > 5cm or symptomatic, without wide local excision via thoracotomy
Several days following an uneventful laparoscopic cholecystectomy, the pathology reveals
gallbladder cancer that is invasive into the submucosa of the specimen. The most appropriate
management is:
a.) observation and close follow-up
b.) chemotherapy with a 5-fluorouracil (5-FU)-based regimen
c.) laparotomy with 2-3 cm wedge resection of the gallbladder liver bed
d.) laparotomy with 2-3 cm wedge resection of the gallbladder liver bed & regional
lymphadenectomy including the portal & hepatic nodes
e.) radiation to the gallbladder liver bed – -CORRECT ANS- -(d)
If T1a (confined only to lamina propria) cholecystectmy; anything else, then skeletonize area,
plus wedge segment 4/5 liver and regional nodes
A 35yr old presents with pancreatitis. Subsequent ERCP reveals a congenital cystic diverticulum
from CBD. Which of the following statements regarding this problem is true?
a.) Treatment consists of internal drainage via choledochoduodenostomy
b.) Malignant changes may occur within this structure
c.) The risk of cancer increases with size of the cyst
d.) Cystic dilation of the intrahepatic biliary tree may coexist and is managed in a similar fashion
e.) Surgery should be reserved for symptomatic patients – -CORRECT ANS- -(b)
The present recommendation is for complete resection of the cyst and Roux-en-Y
choledochojejunostomy.