Exam (elaborations)
ABSITE - Hernias questions and answers
- Course
- Institution
ABSITE - Hernias questions and answers
[Show more]
Content preview
Name: Score:23 Multiple choice questions
Term 1 of 23
Testicular atrophy following inguinal hernioplasty is usually due to
thrombosis of the veins in the spermatic cord
subacute orchitis
damage to the external spermatic artery
ligation of the vas deferens
damage to the testicle from mobilization
Term 2 of 23
A 67-year-old man presents with vomiting and abdominal distension. An abdominal x-ray
reveals air/fluid levels suggesting small bowel obstruction. On exam, her abdomen is
distended with diffuse tenderness and there is a tender mass in the right groin. At operation,
you resect a strangulated 6-cm segment of small intestine and there is moderate
contamination with bowel contents. What should you do for the hernia?
Complete the operation and plan a subsequent hernia repair.
Perform a repair using polypropylene mesh.
Perform a repair using biologic mesh.
Perform a tissue-based repair.
,Term 3 of 23
The most common hernia in females is:
Spigelian hernia
Femoral hernia
Obturator hernia
Indirect inguinal hernia
Direct inguinal hernia
Term 4 of 23
A patient with an obturator hernia is most likely to present with
dull pain in the lateral thigh
sharp pain in the perineum
pain on urination
hematuria
bowel obstruction
,Term 5 of 23
A 60-year-old male presents with persistent pain over his right lower abdomen six months
after a bilateral TEPP laparoscopic inguinal hernia repair. There is no evidence of hernia
recurrence, seroma or infection on physical examination. As part of your investigation, you
obtain a plain abdominal radiograph, which reveals multiple bilateral spiral tacks across the
lower abdomen. You obtain the operative report, and confirm your suspicion that the surgeon
used permanent spiral tacks for mesh fixation. Injury to which of the following nerves is the
most likely cause for his persistent pain?
Ilioinguinal nerve
Iliohypogastric nerve
Genital branch of the genitofemoral nerve
Lateral femoral cutaneous nerve
Femoral nerve
Term 6 of 23
Which of the following describes the appropriate anatomy and/or function of a nerve that may
be encountered during inguinal hernia surgery?
The genitofemoral nerve is a branch of the main femoral nerve
The ilioinguinal nerve is typically seen superior to the spermatic cord
The iliohypogastric nerve originates from the pelvic parasympathetic plexus
The genitofemoral nerve lies along the psoas muscle
The iliohypogastric nerve provides both sensory and motor function to the rectus
abdominus muscle.
, Term 7 of 23
With dissection of an indirect hernia sac during an open inguinal herniorrhaphy, an unusual
rapid oozing began which filled the inguinal canal with bright red blood. The bleeding is
coming from the undersurface of the abdominal wall. Which artery is most likely injured?
Inferior epigastric
Cremasteric
Testicular
External iliac
Internal iliac
Term 8 of 23
During laparoscopic repair of a direct inguinal hernia, the site of hernia will be located in:
Infrainguinal space
Median umbilical fold
Medial inguinal fossa
Lateral inguinal fossa
Lateral umbilical fold
Term 9 of 23
An 82-year-old woman has abdominal pain, nausea, vomiting, and groin pain. Which of the
following statements is true?
Pain upon extension and adduction followed by medial rotation of the thigh (Howship-
Romberg sign) is frequently present
Manual reduction should be attempted after conscious sedation
Pelvic examination is likely to show a defect in the obturator canal
An inguinal approach to repair will require incision in the inguinal floor (transverse
fascia)
The lateral aspect of the defect is bordered by the lacunar ligament
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller selftest. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.00. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79650 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now