Hernia Multiple Choice Question And Answers

Hernia Multiple Choice Question And Answers

Question 1. Length of inguinal canal is:

1. 4 cm
2. 6 cm
3. 8 cm
4. 10 cm

Answer: 1. 4 cm

Question 2. Which of the following is not a boundary of the Hesselbach’s triangle?

1. Rectus abdominis
2. Inguinal ligament
3. Inferior epigastric artery
4. Testicular artery

Answer: 4. Testicular artery

Question 3. The following are true about the external ring:

1. It is not a ring
2. It is a defect in the internal oblique aponeurosis
3. The invagination test is done through an external ring
4. It transmits spermatic cord

Answer: 2. It is a defect in the internal oblique aponeurosis

Question 4. About the deep inguinal ring, which one of the following is true?

1. It is a defect in the external oblique aponeurosis
2. It is a defect in the internal oblique aponeurosis
3. It is a defect in the transversalis fascia
4. It is a defect in the cremasteric fascia

Answer: 3. It is a defect in the transversalis fascia

Question 5. The following are true for deep inguinal rings except:

1. A deep ring is a defect in the transversalis fascia
2. The indirect hernial sac comes out lateral to the deep ring
3. Pantaloon hernia can be on both sides of a deep ring
4. It is closed at the end of hernia repair to prevent recurrence

Answer: 4. It is closed at the end of hernia repair to prevent recurrence

Question 6. The ideal surgical treatment for sliding inguinal hernia will be:

1. Herniotomy
2. Bassine’s herniorrhaphy
3. Massey’s repair
4. Lichtenstein’s repair

Answer: 4. Lichtenstein’s repair

Question 7. The following are the contents of the spermatic cord:

1. Vas deferens
2. Testicular artery
3. Genital branch of genitofemoral nerve
4. Ilioinguinal nerve

Answer: 4. Ilioinguinal nerveHernia Contents Were Reduced Sac Was Excised A large Mesh Could Be placed in the Defect and Sutured All Round

Question 8. About sliding inguinal hernia following are true:

1. The urinary bladder can be the part of hernial sac
2. It can be both direct or indirect type
3. The hernial sac should be twisted as in indirect hernia treatment
4. Often it is irreducible

Answer: 3. The hernial sac should be twisted as in indirect hernia treatment

Question 9. Richter’s hernia refers to:

1. Hernia containing intestines
2. Strangulated hernia
3. Only a part of the circumference of the intestine is caught in a hernial sac
4. Hernia containing urinary bladder

Answer: 3. Only a part of the circumference of the intestine is caught in a hernial sac

Question 10. Immediate structure anterior to direct hernial sac is:

1. External oblique aponeurosis
2. Internal oblique aponeurosis
3. Transversalis facia
4. Posterior rectus sheath

Answer: 3. Transversalis facia

Question 11. The femoral hernia has following features except:

1. It is more common in women
2. It is below and lateral to pubic tubercle
3. It is known for strangulation
4. It can be managed by hernia truss

Answer: 4. It can be managed by hernia truss

Question 12. A diagnostic feature of a saphena varix is:

1. It is transilluminant
2. It is soft and reducible
3. It is below the pubic tubercle
4. Disappears on elevation of the leg

Answer: 4. Disappears on elevation of the leg

Question 13. Which one of the following hernias is called Littre’s hernia?

1. Hernia containing Meckel’s diverticulum
2. Hernia containing urinary bladder
3. Hernia containing sigmoid colon
4. Hernia containing ovary

Answer: 1. Hernia containing Meckel’s diverticulum

Question 14. Which one of the following is the most important step in preventing recurrence of hernia?

1. Complete excision of cremasteric muscle
2. Reconstruction of the external ring
3. Reconstruction of the internal ring
4. High ligation of the sac

Answer: 4. High ligation of the sac

Question 15. The following are true for strangulated inguinal hernia:

1. It will be tense
2. Tender
3. Irreducible
4. Impulse on cough is present

Answer: 4. Impulse on cough is present

Question 16. The following are true for the anatomy of the femoral canal:

1. The femoral canal is the outermost compartment of the femoral sheath
2. The Femoral canal extends from the femoral ring to the saphenous ring
3. The femoral canal is below and lateral to the pubic tubercle
4. The femoral canal contains the lymph node of the Cloquet

Answer: 1. Femoral canal is the outermost compartment of the femoral sheath

Question 17. In obstructed femoral hernia, at surgery which of the following steps should not be done?

1. Best done with a low approach through an incision directly over the swelling
2. Closure of the ring is done by prolene suture material
3. Abnormal obturator artery should be looked for
4. Urinary bladder may be in danger

Answer: 1. Best done with a low approach through an incision directly over the swelling

Question 18. Following hernias are known for high chances of strangulation except:

1. Femoral hernia
2. Obturator hernia
3. Spigelian hernia
4. Direct hernia

Answer: 4. Direct hernia

Question 19. In which condition femoral hernia occur behind the femoral vessels?

1. Prune-belly syndrome
2. Poliomyelitis
3. Congenital dislocation of the hip
4. Defect in the lacunar ligament

Answer: 3. Congenital dislocation of the hip

Question 20. In cases of epigastric hernia, all are true except:

1. It is more common in muscular men
2. Impulse on cough is common
3. Sac is uncommon
4. It is tender

Answer: 2. Impulse on cough is common

Question 21. Spigelian hernia is an example of:

1. Direct hernia
2. Indirect hernia
3. Interstitial hernia
4. Type of femoral hernia

Answer: 3. Interstitial hernia

Question 22. In Spigelian hernia swelling is seen:

1. Below and lateral to the umbilicus
2. Below the umbilicus
3. Around the umbilicus
4. Just above the umbilicus

Answer: 1. Below and lateral to the umbilicus

Question 23. Differential diagnosis of lumbar hernia includes the following:

1. Lipoma
2. Cold abscess
3. Haematoma
4. Meningocele

Answer: 4. Meningocoele

Question 24. The following is true for obturator hernia except:

1. Hernia is covered by the pectineus muscle
2. Pain is radiated to the knee
3. Cannot be felt by vaginal examination
4. Patients keep their legs semiflexed

Answer: 1. Hernia is covered by pectineus muscle

Question 25. The most common presentation of obturator hernia is:

1. Groin swelling
2. Intestinal obstruction
3. Bruising below the inguinal ligament
4. Tender mass on vaginal examination

Answer: 2. Intestinal obstruction