Hernias

Question 1

the most common type of hernia in both males and females is

Answer 1

Indirect inguinal hernias

Question 2

Hernias can present with complications related to _____ of contents in the hernia sac, leading ultimately to _____

Answer 2

incarceration and strangulation

sepsis

Question 3

Indirect inguinal hernia Protrudes via the _______, lateral or medial to the _____?

Answer 3

internal inguinal ring

lateral inferior epigastric vessels

Question 4

Direct inguinal hernia Protrudes ____ to the inferior epigastric vessels within the _______

Answer 4

medial

Hasselbalch triangle

Question 5

Femoral hernia protrudes through the _____, which is inferior to the _____, medial to the _____, and lateral to the ______

Answer 5

femoral ring

inguinal ligament

femoral vein

lacunar ligament

Question 6

Umbilical hernia

Results from failure of the

Answer 6

umbilical ring to close spontaneously

Question 7

Epigastric hernias Results from defects in the

Answer 7

abdominal midline between the umbilicus and the xiphoid process

Question 8

The best initial test for all hernias is

Answer 8

thorough history and physical examination.

Question 9

When the diagnosis is not clear or the most accurate test is

Answer 9

CT scan or MRI

Question 10

The definitive treatment of all hernias

Answer 10

surgical repair, regardless of origin or type,

Question 11

Patients who develop bowel or strangulation obstruction should undergo urgent surgical repair within

Answer 11

4–6 hours of presentation and receive broad-spectrum antibiotics to prevent bowel loss

Question 12

The Hasselbalch triangle consists of:
Inferior
Lateral
Medial

Answer 12

Inferior inguinal ligament
(Poupart ligament)
Lateral inferior epigastric artery
Medial conjoint tendon