Abdominal Wall and Hernias Quiz
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Questions and Answers

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?

<p>Omentum (C)</p> Signup and view all the answers

What is the typical presentation of a hernia?

<p>A painless, reducible swelling that increases in size with coughing or straining and decreases in size when lying down. (B)</p> Signup and view all the answers

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

<p>Urgent exploration of the abdomen, appendectomy, and postoperative drainage (B)</p> Signup and view all the answers

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

<p>Strangulation (C)</p> Signup and view all the answers

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

<p>Inguinal hernia (D)</p> Signup and view all the answers

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

<p>Femoral hernia (D)</p> Signup and view all the answers

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

<p>All of the above (D)</p> 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?

<p>Incisional hernia (A)</p> Signup and view all the answers

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

<p>Abdominal X-ray with the patient erect (A)</p> Signup and view all the answers

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

<p>Both administering intravenous fluids and inserting a Ryle tube, as well as performing an emergency operation (C)</p> Signup and view all the answers

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

<p>Inspect them before allowing them to return to the abdomen (D)</p> Signup and view all the answers

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

<p>The constricting ring can sometimes be the neck of the sac itself (B)</p> Signup and view all the answers

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

<p>Allow it to rest under warm, moist towels (C)</p> Signup and view all the answers

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

<p>The bowel is purple, flaccid, and does not exhibit peristalsis (C)</p> Signup and view all the answers

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

<p>Resect it (B)</p> Signup and view all the answers

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