GI Section 1: Luminal (FEMORAL/INGUINAL Hernias)

Question 1

Seen in old ladies (F>M )

Answer 1

Femoral hernia

Question 2

Femoral hernia location

Answer 2

Inf to - inferior epigastric
Medial to - Common Femoral Vein

Question 3

Below the Pubic Tubercle

Answer 3

Femoral hernia

Question 4

Above the Pubic tubercle

Answer 4

Inguinal hernia

Question 5

Compression of the femoral vein (which can look concave). This compression often causes distal collateral venous engorgement

Answer 5

Femoral hernia

Question 6

Narrow hernia neck is common — obstruction is also common.

Answer 6

Femoral hernia

Question 7

This is less common

Answer 7

Direct Inguinal

Question 8

More cmmon Inguinal

Answer 8

Indirect hernia

Question 9

Direct inguinal hernia location

Answer 9

MEDIAL and anterior to inferior epigastric artery

Question 10

Indirect inguinal hernia location

Answer 10

LATERAL and anterior to inferior epigastric artery

Question 11

Defect in Hesselbach’s Triangle

Answer 11

DIRECT Inguinal

Question 12

Failure of
processus vaginalis to close

Answer 12

INDIRECT INGUINAL

Question 13

Above the Pubic Tubercle

Answer 13

Direct/Indirect inguinal

Question 14

Hernia compresses the inguinal canal - “ateral crescent sian”

Answer 14

Direct Inguinal

Question 15

No Compression of the contents o f the inguinal canal.

Answer 15

Indirect Inguinal hernia

Question 16

Narrow hernia neck is common — obstruction is also common.

Answer 16

Femoral Hernia

Question 17

NOT covered by internal spermatic fascia

Answer 17

DIrect Inguinal Hernia

Question 18

Covered by internal spermatic fascia

Answer 18

Indirect Inguinal hernia