Abdominal Hernia

Question 1

An atomic locations for various hernias

Answer 1

Epic Astrid
Umbilical
Inguinal
Femoral

Question 2

The most common subtype of inguinal hernia is

Answer 2

Indirect inguinal hernia

Question 3

About 75% of abdominal hernia occur in the

Answer 3

Inguinal area

Question 4

Boundaries of the inguinal canal

Answer 4

External oblique aponeurosis - anteriorly
Internal oblique muscle- laterally
Transversalis fascia and transversus abdominis - posteriorly
Internal oblique muscle- superiorly
Inguinal ligament (Poupart’s ligament ) inferiorly

Question 5

Spermatic cord contains

Answer 5

3 arteries
3 veins
2 nerves
Pampiniform venous plexus
Vas deferens

Question 6

Spermatic cord is enveloped in

Answer 6

3 layers of spermatic fascia

Question 7

Protrude lateral to the inferior epigastric vessels, through the deep inguinal ring

Answer 7

Indirect

Question 8

Protrude medial to inferior epigastric vessels

Answer 8

Direct

Question 9

Borders of Hesselbach triangle

Answer 9

Inferior: inguinal ligament
Medial: lateral edge of rectus sheath
Superolaterally: inferior epigastric vessels

Question 10

Protrude through the small and inflexible femoral ring

Answer 10

Femoral hernias

Question 11

Borders of femoral ring

Answer 11

Anterior: iliopubic tract and inguinal ligament
Posterior: cooper’s ligament
Medial: lacunar ligament
Lateral: femoral vein

Question 12

Between the peritoneum and the posterior lamina of the transversalis fascia is this space

Answer 12

Bogros’s (preperitoneal) space.

Question 13

This area contains preperitoneal fat and areolar tissue.

Answer 13

Bogros’s (preperitoneal) space.

Question 14

The most medial aspect of the preperitoneal space, that which lies superior to the bladder, is known as the space of

Answer 14

Retzius

Question 15

prominent inguinal fat pad in a thin patient, otherwise known as a

Answer 15

Femoral pseudohernia

Question 16

Femoral hernias should be palpable below

Answer 16

Below the inguinal ligament

Lateral to pubic tubercle

Question 17

S and S of US

Answer 17

sensitivity of 86% and specificity of 77%

Question 18

CT S and S

Answer 18

sensitivity of 80% and specificity of 65%

Question 19

indication for emergent inguinal hernia repair

Answer 19

impending compromise of intestinal contents.

Question 20

Clinical signs that indicate strangulation include

Answer 20

fever, leukocytosis, and hemodynamic instability.