Hernias

Question 1

What is a hernia?

Answer 1

Abnormal protrusion of a viscus outwith its normal body cavity

Question 2

Name the most common hernias, from most to least common

Answer 2

Inguinal
Umbilical
Incisional
Femoral

Question 3

What is the main risk factor for developing a hernia?

Answer 3

Raised intra-abdominal pressure, caused by lifting, coughing, constipation, pregnancy etc.

Question 4

If a hernia is reducible, it goes back in and doesn’t reappear. True/False?

Answer 4

True

Question 5

How do epigastric hernias arise?

Answer 5

Congenital weakness of the linea albea

Question 6

Epigastric hernias are more common in females. True/False?

Answer 6

False
Males 3:1 females

Question 7

Where are femoral hernias usually located?

Answer 7

Below and lateral to the pubic tubercle

Question 8

Femoral hernias are 10x more common in females than males. True/False?

Answer 8

True

Question 9

Where are inguinal hernias usually located?

Answer 9

Above and medial to the pubic tubercle

Question 10

Indirect hernias are more common in older men. True/False?

Answer 10

False
More common in younger men

Question 11

What does a patent processus vaginalis cause?

Answer 11

Hydrocele (fluid in scrotum)
Indirect inguinal hernia

Question 12

Vertical incisions are more likely to cause an incisional hernia than transverse incisions. True/False?

Answer 12

True

Question 13

Paediatric inguinal hernias are more common in men. True/False?

Answer 13

True

Question 14

What is the processus vaginalis?

Answer 14

Peritoneal sac through which the testes descend into the scrotum

Question 15

Reducible inguinal hernias are more likely to be direct than indirect. True/False?

Answer 15

True