DeVirgilio

Question 1

cause of hernia

Answer 1

increase in intraabdominal pressure

Question 2

narrow neck hernias

Answer 2

more likely to be strangulated

Question 3

incarcerated vs strangulated

Answer 3

incarcerated = stuck
strangulated = blood flow comprimised

Question 4

chance of hernia strangulation

Answer 4

1%

Question 5

hernia sac lining in indirect inguinal hernias

Answer 5

patent process vaginalis

Question 6

most common hernia

Answer 6

indirect inguinal

Question 7

hernias and rings

Answer 7

indirect through both, direct only through superficial

Question 8

hernia below inguinal igament

Answer 8

femoral

Question 9

borders of hasselbachs triangle

Answer 9

inguinal igament, rectus, and inferior epigastrics

Question 10

high pitched, hyper active bowel sounds

Answer 10

early small bowel obstruction-

- due to hyperperistalsis

Question 11

Richter hernia

Answer 11

only part of the bowel is strangulated

Question 12

sliding hernia

Answer 12

retroperitoneal organ makes up posterior wall of sack

Question 13

meralgia paresthetica

Answer 13

damage to lateral femoral cutaneous nerve injury

Question 14

blood supply to testicle

Answer 14

very good, gets collateral from vas deferns artery and cremasteric artery

Question 15

differential for abdominal mass

Answer 15

Malformation
Infectious/inflammatory
Neoplastic
Trauma

Question 16

hernia in infancy that requires surgery

Answer 16

indirect