Pathophysiology of Abdominal Wall and Inguinal Region Diseases
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Questions and Answers

What cells in the kidney stimulate renin release with decreased renal blood flow, decreased plasma Na+, and increased sympathetic tone?

  • Glomerular cells
  • Juxtaglomerular cells (correct)
  • Parietal cells
  • Interstitial cells

What converts angiotensinogen to angiotensin I?

  • Angiotensinase
  • Renin (correct)
  • ACE inhibitor
  • Angiotensin converting enzyme (ACE)

Which hormone acts on the distal convoluted tubule to increase Na+ reabsorption and H+/K+ excretion?

  • Insulin
  • Aldosterone (correct)
  • Glucagon
  • Cortisol

What is the primary cause of Cushing syndrome in 70% of cases?

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

Which hormone stimulates the production of androgens from 17-hydroxypregnenolone?

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

Which condition is characterized by early growth spurts, premature development of facial and pubic hair, and enlarged genitals in children?

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

At what age does adrenal cortical cancer typically present with a bimodal age distribution?

<p>&gt;50 years (B)</p> Signup and view all the answers

Which hormone does the adrenal medulla produce and release?

<p>Epinephrine, norepinephrine, dopamine (A)</p> Signup and view all the answers

What is the incidence of adrenal lesions found during routine imaging?

<p>3%-4% (A)</p> Signup and view all the answers

What is the primary cause of primary adrenal insufficiency?

<p>Autoimmune disease (D)</p> Signup and view all the answers

Which type of hernia involves the sac exiting through the femoral canal, medial to the femoral vein?

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

What is the primary causative factor of indirect inguinal hernia in the pediatric population?

<p>Persistence of a patent processus vaginalis (D)</p> Signup and view all the answers

What is the key feature associated with acute epididymo-orchitis?

<p>Tenderness over the spermatic cord and epididymis (B)</p> Signup and view all the answers

What is the most common type of hernia, regardless of sex?

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

What is a characteristic feature of a direct inguinal hernia?

<p>Sac exits through Hesselbach triangle, medial to the inferior epigastric vessels (B)</p> Signup and view all the answers

Which type of hernia represents a weakening of the linea alba and stretching of the rectus abdominis muscles, without a true herniation of abdominal contents?

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

What characterizes an Amyand hernia?

<p>Incarceration of the appendix (C)</p> Signup and view all the answers

What is a contributing factor for femoral hernias?

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

"Howship-Romberg sign" is associated with which type of hernia?

<p>&quot;Obturator hernia&quot; (D)</p> Signup and view all the answers

What is a characteristic feature of a sliding hernia?

<p>Wall of the sac is composed of a viscus (commonly sigmoid colon, cecum, or bladder) (D)</p> Signup and view all the answers

What is the term for the protrusion of a part or structure through the tissues normally containing it?

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

Which term refers to nonreducible hernia sac contents that may present with obstructive symptoms and pain?

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

What does strangulation in the context of a hernia refer to?

<p>Incarcerated hernia with vascular compromise of sac contents (A)</p> Signup and view all the answers

What is the term for the condition where the contents of the hernia sac can be returned to their normal location?

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

What percentage of all people will develop a hernia in their lifetime?

<p>5%–24% (B)</p> Signup and view all the answers

Which term refers to the protrusion of a part or structure through the tissues normally containing it, from the Latin for 'rupture'?

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

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