Bedside Clinics in Surgery
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Questions and Answers

What type of hernia has got snug internal ring through which a peritoneal sac passes out as indirect sac?

  • Type III
  • Type IV
  • Type II
  • Type I (correct)
  • Which type of hernia has a moderately enlarged internal ring which admits one finger but lesser than two finger breadth?

  • Type I
  • Type IV
  • Type II (correct)
  • Type III
  • What type of hernia has got large internal ring with defect more than two fingerbreadth?

  • Type IV
  • Type II
  • Type III (correct)
  • Type V
  • Which type of hernia is a direct hernia with large full blow out of the posterior wall of the inguinal canal?

    <p>Type IV</p> Signup and view all the answers

    What type of hernia is a direct hernia protruding out through punched out hole/defect in the transversalis fascia?

    <p>Type V</p> Signup and view all the answers

    Which type of hernia is also known as Pantaloon/double hernia?

    <p>Type VI</p> Signup and view all the answers

    What type of hernia protrudes through the femoral canal?

    <p>Type VII</p> Signup and view all the answers

    In which type of hernia, the internal ring is intact?

    <p>All of the above</p> Signup and view all the answers

    According to Gilbert classification, how many types of groin hernias are classified?

    <p>7</p> Signup and view all the answers

    What is the year in which Gilbert classification was introduced?

    <p>1987</p> Signup and view all the answers

    Study Notes

    Perrectal Examination

    • Examination of inguinal region in hernia
    • Examination of breast in breast disease
    • Pervaginal Examination (in women)

    Respiratory System

    • Inspection: Shape, movement of chest, respiratory rate
    • Palpation: Position of trachea, tenderness over ribs and costochondral junction, vocal fremitus
    • Auscultation: Breath sounds, any crepitus/rhonchi, vocal resonance
    • Urine routine
    • Stool for routine (ova/cyst/parasite)
    • Chest X-ray
    • ECG

    Cardiovascular System

    • Inspection: Shape of precordium, apex beat, any pulsation
    • Palpation: Apex beat, parastenal heave, thrill
    • Auscultation: 1st and 2nd heart sound in all areas, murmur

    Nervous System

    • Higher functions: Consciousness, speech, alertness, cooperation
    • Gait examined
    • Cranial nerves examined
    • Motor system: Tone, power of upper and lower limb muscles
    • Sensory system: Pain, touch, temperature over arms, chest, back, and lower limbs
    • Vibrations and reflexes are checked
    • Cerebellar sign ± noted

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    Description

    A quiz covering various aspects of physical examination techniques in surgery, including inspection, palpation, percussion, and auscultation, as well as laboratory tests for different body systems.

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