Practical

Question 1

What is a femoral hernia?

Answer 1

Part of small intestine protrudes through femoral ring

Question 2

What is a direct inguinal hernia?

Answer 2

• Weakness in posterior wall of inguinal canal
• Abdominal contents forced through defect + enter inguinal canal
• Emerge medial to deep ring

Question 3

What is the blood supply and innervation of the anterior compartment of lower limb?

Answer 3

Anterior tibial

Deep fibular

Question 4

What is the blood supply and innervation of the lateral compartment of lower limb?

Answer 4

Fibular

Superficial fibular

Question 5

What is the blood supply and innervation of the deep posterior compartment of lower limb?

Answer 5

Posterior tibial

Tibial (branch of sciatic)

Question 6

What is the blood supply and innervation of superficial posterior compartment of lower limb?

Answer 6

Posterior tibial

Tibial

Question 7

What action could surgeon take to relieve intra-compartmental pressure?

Answer 7

Surgical fascicotomy = fascia cut to relieve tension/pressure

Question 8

Which vein in lower limb is most commonly affected by varicosities?

Answer 8

Great saphenous vein

Question 9

What is the ankle-brachial pressure (ABI) index?

Answer 9

• Ratio of systolic BP @ ankle (posterior tibial artery) compared to systolic BP of brachial artery
• Determines competency of arterial vessels within lower limb + diagnosing probable peripheral arterial disease in this region