Abdominal Wall and Hernias Quiz

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What is the most common type of hernia?

Incisional hernia

Femoral hernia

Indirect inguinal hernia (correct)

Direct inguinal hernia

What is the main difference between indirect and direct inguinal hernias?

Indirect hernias are more common in females, while direct hernias are more common in males.

Indirect hernias are more likely to be reducible, while direct hernias are more likely to be irreducible.

Indirect hernias are congenital, while direct hernias are acquired.

Indirect hernias protrude through the internal inguinal ring, while direct hernias protrude through a weakness in the abdominal wall. (correct)

Which of the following is not a common cause of hernia?

Muscle weakness

Obesity

Appendicitis (correct)

Chronic coughing

Which of the following is the most common content of a hernia sac?

Omentum Signup and view all the answers

What is the typical presentation of a hernia?

A painless, reducible swelling that increases in size with coughing or straining and decreases in size when lying down. Signup and view all the answers

What is the recommended treatment for acute appendicitis with generalized peritonitis?

Urgent exploration of the abdomen, appendectomy, and postoperative drainage Signup and view all the answers

Which complication of a hernia is characterized by impaired blood supply, leading to swelling and then arterial obstruction?

Strangulation Signup and view all the answers

Which type of hernia is more common in females according to the text?

Inguinal hernia Signup and view all the answers

What type of hernia is most liable to strangulate according to the text?

Femoral hernia Signup and view all the answers

What is a sign of strangulation of a hernia according to the text?

All of the above Signup and view all the answers

What type of hernia is caused by a weakness in the muscle wall at the site of a previous surgery?

Incisional hernia Signup and view all the answers

What imaging test can help diagnose intestinal obstruction in a patient with a hernia?

Abdominal X-ray with the patient erect Signup and view all the answers

In the initial resuscitation of a patient with an obstructed hernia, which of the following measures is essential?

Both administering intravenous fluids and inserting a Ryle tube, as well as performing an emergency operation Signup and view all the answers

When exploring the hernia sac during surgery, what should be done with the contents of the sac?

Inspect them before allowing them to return to the abdomen Signup and view all the answers

Which of the following statements is true about the constricting ring in a hernia?

The constricting ring can sometimes be the neck of the sac itself Signup and view all the answers

What should be done with the bowel before assessing its viability after releasing the constricting ring?

Allow it to rest under warm, moist towels Signup and view all the answers

Which of the following characteristics indicates that the bowel is gangrenous?

The bowel is purple, flaccid, and does not exhibit peristalsis Signup and view all the answers

What is the recommended treatment for gangrenous bowel in a hernia case?

Resect it Signup and view all the answers