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Focused breakdown of pharmacology for ABSITE 2025
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Covers key medications, mechanisms, and surgical applications
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Includes high-yield practice questions and summaries
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Strategic tips to boost your pharmacology score
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Perfect for surgical residents preparing for the ABSITE
Preview
At an operation for small bowel obstruction, a cecal volvulus is also found. The cecum appears
viable. The procedure of choice is which of the following?
a.) Cecopexy
b.) Tube cecostomy
c.) Right hemicolectomy
d.) Resection, ileostomy and mucus fistula – -CORRECT ANS- -(c)
Cecal volvulus is unlikely to decompress so they must be taken to the OR. Most recommend R
hemicolectomy with ileo-transverse anastomosis if cecum is viable. Cecopexy is alternative with
tube, but both are likely to fail.
What is appropriate management of a 1cm mid-appendiceal carcinoid?
a.) Observation
b.) No further surgery after appendectomy
c.) Right hemicolectomy
d.) Chemotherapy – -CORRECT ANS- -(b)
Carcinoid of appendix: 2 cm or larger or if involving base = do R hemicolectomy, otherwise
appendectomy only
In a patient with Crohn’s disease who presents with intractable small bowel obstruction and is
found to have strictures during ex-lap, stricturoplasty should NOT be considered when?
a.) Several semi-evenly spaced strictures are present in a 10cm segment
b.) Diffuse small disease with a short fibrotic stricture is found
c.) The patient has rapid symptomatic recurrence within 12 months of a previous resection
d.) A > 100cm resection was performed
e.) There is evidence of short gut already – -CORRECT ANS- -(a)
This should only be considered if there is not much gut left or there is a short segment of
f
ibrotic stirctures present.
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