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

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

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

What type of hernia protrudes through the femoral canal?

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

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

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

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

<p>7 (C)</p> Signup and view all the answers

What is the year in which Gilbert classification was introduced?

<p>1987 (B)</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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