Podcast
Questions and Answers
What feature indicates that an irreducible mass in the groin is a hernia?
What feature indicates that an irreducible mass in the groin is a hernia?
- Presence of an impulse in the mass with coughing (correct)
- Absence of bowel sounds in the mass
- Reducibility of the mass with pressure
- Transillumination of the mass
In which patients may asymptomatic or mildly symptomatic hernias be safely observed?
In which patients may asymptomatic or mildly symptomatic hernias be safely observed?
- Elderly and sedentary patients (correct)
- Patients with mild urinary symptoms
- Young and active patients
- Patients with high morbidity
What is the estimated annual risk of bowel compromise from an incarcerated hernia?
What is the estimated annual risk of bowel compromise from an incarcerated hernia?
- Fewer than 1 per 1000 patients per year (correct)
- Around 5 per 1000 patients per year
- More than 15 per 1000 patients per year
- Approximately 10 per 1000 patients per year
In which patients should all symptomatic groin hernias be repaired?
In which patients should all symptomatic groin hernias be repaired?
What is prudent to solve first before repairing a groin hernia in a patient with significant prostatic hyperplasia?
What is prudent to solve first before repairing a groin hernia in a patient with significant prostatic hyperplasia?
What is the most common organ involved in a sliding inguinal hernia on the right side?
What is the most common organ involved in a sliding inguinal hernia on the right side?
What is the primary cause for the development of a sliding inguinal hernia?
What is the primary cause for the development of a sliding inguinal hernia?
On which side is the sigmoid colon most commonly involved in a sliding inguinal hernia?
On which side is the sigmoid colon most commonly involved in a sliding inguinal hernia?
What type of hernia is formed when the wall of a viscus forms a portion of the wall of the hernia sac?
What type of hernia is formed when the wall of a viscus forms a portion of the wall of the hernia sac?
Which condition is reported to have improved patient outcomes in laparoscopic inguinal hernia repair?
Which condition is reported to have improved patient outcomes in laparoscopic inguinal hernia repair?
What is the term for groin pain of musculoskeletal or obscure origin that occurs primarily with vigorous physical exertion?
What is the term for groin pain of musculoskeletal or obscure origin that occurs primarily with vigorous physical exertion?
What imaging technique may be helpful in identifying inflammation, edema, or muscle/tendon tear or strain associated with athletic pubalgia?
What imaging technique may be helpful in identifying inflammation, edema, or muscle/tendon tear or strain associated with athletic pubalgia?
What is commonly misinterpreted as a hernia and may only be confirmed at operation?
What is commonly misinterpreted as a hernia and may only be confirmed at operation?
How can the neck of the sac of a femoral hernia be differentiated from that of an inguinal hernia?
How can the neck of the sac of a femoral hernia be differentiated from that of an inguinal hernia?
Inguinal hernia must be differentiated from which of the following conditions?
Inguinal hernia must be differentiated from which of the following conditions?
What is the cause of an indirect inguinal hernia?
What is the cause of an indirect inguinal hernia?
Where does a groin hernia protrude through?
Where does a groin hernia protrude through?
What is the function of the transversalis fascia in relation to groin hernias?
What is the function of the transversalis fascia in relation to groin hernias?
What is the role of the Scarpa fascia in the context of groin hernias?
What is the role of the Scarpa fascia in the context of groin hernias?
What is the result of a defect in the transversalis fascia?
What is the result of a defect in the transversalis fascia?
What is the approximate percentage of groin hernias in men that are femoral hernias?
What is the approximate percentage of groin hernias in men that are femoral hernias?
Why are femoral hernias notoriously asymptomatic until incarceration or strangulation occurs?
Why are femoral hernias notoriously asymptomatic until incarceration or strangulation occurs?
Why may a femoral hernia be overlooked during an operation for an inguinal hernia?
Why may a femoral hernia be overlooked during an operation for an inguinal hernia?
How can a femoral hernia appear if it is small and uncomplicated?
How can a femoral hernia appear if it is small and uncomplicated?
What could a femoral hernia be confused with when deflected anteriorly through the fossa ovalis femoris?
What could a femoral hernia be confused with when deflected anteriorly through the fossa ovalis femoris?
Which type of hernia is commonly associated with a descent into the scrotum?
Which type of hernia is commonly associated with a descent into the scrotum?
How does a direct hernia typically appear on inspection with the patient erect and straining?
How does a direct hernia typically appear on inspection with the patient erect and straining?
What is the characteristic feature of the posterior wall of the inguinal canal in an indirect hernia on palpation?
What is the characteristic feature of the posterior wall of the inguinal canal in an indirect hernia on palpation?
When the patient is asked to Valsalva while the examining finger is directed laterally and upward into the inguinal canal, where is the impulse felt in an indirect hernia?
When the patient is asked to Valsalva while the examining finger is directed laterally and upward into the inguinal canal, where is the impulse felt in an indirect hernia?
What distinguishes a direct hernia from an indirect hernia when compression is applied over the internal ring as the patient strains?
What distinguishes a direct hernia from an indirect hernia when compression is applied over the internal ring as the patient strains?
What is a common symptom experienced by patients with hernias?
What is a common symptom experienced by patients with hernias?
How do some patients experience the symptoms of indirect inguinal hernias?
How do some patients experience the symptoms of indirect inguinal hernias?
What may contribute to the development of hernias based on the text?
What may contribute to the development of hernias based on the text?
How are most hernias detected according to the text?
How are most hernias detected according to the text?
What can be revealed by examination of the groin according to the text?
What can be revealed by examination of the groin according to the text?
What is a possible consequence of an enlarging hernia based on the text?
What is a possible consequence of an enlarging hernia based on the text?
How should patients with hernias be examined according to the text?
How should patients with hernias be examined according to the text?
Where can the external ring be identified according to the text?
Where can the external ring be identified according to the text?
What can contribute to loss of tissue turgor in the Hesselbach area as mentioned in the text?
What can contribute to loss of tissue turgor in the Hesselbach area as mentioned in the text?
What can occur with advancing age and in chronic debilitating disease according to the text?
What can occur with advancing age and in chronic debilitating disease according to the text?
Flashcards are hidden until you start studying