38 Hernias, Abdomen, and Surgical Technology
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Questions and Answers

Which muscle, along with the conjoined tendon, forms the floor of the inguinal canal?

  • External abdominal oblique
  • Transversalis muscle (correct)
  • Internal abdominal oblique
  • Rectus abdominis

What structures are part of the spermatic cord?

  • Testicular artery, pampiniform plexus, inguinal ligament, ilioinguinal nerve
  • Testicular artery, pampiniform plexus, cremasteric muscle, vas deferens (correct)
  • Vas deferens, cremasteric muscle, genitofemoral nerve, lacunar ligament
  • Cremasteric muscle, femoral vessels, ilioinguinal nerve, pectineal ligament

Where is the vas deferens located in relation to the spermatic cord structures?

  • Medial to cord structures (correct)
  • Inferior to cord structures
  • Lateral to cord structures
  • Superior to cord structures

What forms the inguinal ligament, which runs from the anterior superior iliac spine to the pubis?

<p>External abdominal oblique (B)</p> Signup and view all the answers

Where are direct hernias located in relation to the epigastric vessels?

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

Which ligament is an extension of the lacunar ligament and lies against the bone?

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

In children, at what age is it recommended to delay repair of an umbilical hernia?

<p>5 years (A)</p> Signup and view all the answers

Which type of hernia has the highest recurrence rate?

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

What is the primary cause of inadequate closure in incisional/ventral hernias?

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

Which technique involves separating the layers of the abdominal wall to reduce tension when closing large ventral hernias?

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

Where is the rectus sheath absent below?

<p>The arcuate line (A)</p> Signup and view all the answers

What is the most common tumor of the retroperitoneum?

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

What are the most common components removed through peritoneal dialysis?

<p>$NH_3$ and Ca (C)</p> Signup and view all the answers

What can occur with hypertonic intraperitoneal saline load?

<p>$CO_2$ pneumoperitoneum (A)</p> Signup and view all the answers

What is the most sensitive test for retroperitoneal fibrosis?

<p>$IVP$ (intravenous pyelogram) (B)</p> Signup and view all the answers

What are the common symptoms associated with retroperitoneal sarcomas?

<p>Vague abdominal and back pain (B)</p> Signup and view all the answers

Which hormone is used to control bleeding in desmoid tumors?

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

What is the main blood supply to the rectus sheath?

<p>Superior and inferior epigastric arteries (C)</p> Signup and view all the answers

What is the most cost-effective method for managing medium vessels, such as short gastrics?

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

Which energy source disrupts protein hydrogen bonds and causes coagulation?

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

In ultrasound imaging, what does shadowing indicate?

<p>Relative density of structures (A)</p> Signup and view all the answers

What is the primary function of the B-mode in ultrasound imaging?

<p>Assessing relative density of structures (D)</p> Signup and view all the answers

Which energy source is good for hemostasis of the liver and spleen and is smokeless?

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

What is the primary function of duplex ultrasound imaging?

<p>Visual description of blood flow (B)</p> Signup and view all the answers

Which type of laser is good for deep tissue penetration and bronchial lesions?

<p>Nd:YAG laser (B)</p> Signup and view all the answers

Which material allows fibroblast ingrowth and is associated with vascular or bowel injury incidence of 0.1% with Veress needle or trocar?

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

Which method can be tried to aspirate a CO2 embolus through a central line?

<p>Head down position (B)</p> Signup and view all the answers

What happens to the ETCO2 levels in response to a CO2 embolus?

<p>Sudden transient rise followed by a drop (D)</p> Signup and view all the answers

Which type of hernia is most common and congenital?

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

Which hernia type has a lower risk of incarceration but a higher risk of recurrence in females?

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

What is the rarest type of hernia in females?

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

What is the main goal of inguinal hernia repair?

<p>Tension-free repair (C)</p> Signup and view all the answers

Which nerve injury can result in numbness on the ipsilateral penis, scrotum, and thigh following an open inguinal hernia repair?

<p>Ilioinguinal nerve injury (D)</p> Signup and view all the answers

Which blood vessel runs along the abdominal wall and can be injured with abdominal wall tacks during hernia repair?

<p>Inferior epigastric artery (A)</p> Signup and view all the answers

What is the characteristic bulge location for a femoral hernia?

<p>Anterior–medial thigh below the inguinal ligament (D)</p> Signup and view all the answers

Which ligament forms the inferior boundary of the femoral canal?

<p>Cooper’s ligament (C)</p> Signup and view all the answers

What is the most common early complication following hernia repair?

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

What is the most common cause of hernia recurrence?

<p>Inadequate closure in incisional/ventral hernias (C)</p> Signup and view all the answers

What is the main purpose of using mesh in inguinal hernia repair?

<p>To cover indirect, direct, and femoral areas (C)</p> Signup and view all the answers

What is the primary risk associated with femoral hernias?

<p>High risk of incarceration (D)</p> Signup and view all the answers

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