Clinical Surgery – Hernia January 2, 2022January 5, 2022 by pgcracked Test Yourself With Surgery – Hernia Related MCQs Below 7 Created on January 02, 2022 Surgery - Hernia MCQs 1 / 47 Most common type of hernia in females is:(AIIMS Feb 97, DPG 2005, JIPMER GIS 2011) Direct inguinal hernia Indirect inguinal hernia Femoral hernia Umbilical hernia 2 / 47 For differentiating inguinal hernia and femoral hernia thelandmark will be: (AIIMS Nov 98) Public symphysis Femoral artery Inferior epigastric level Public tubercle 3 / 47 The treatment of choice for inguinal hernia in infants is: (AMU 85) Herniotomy Herniorrhaphy Truss Hernioplasty 4 / 47 Most important step in the repair of an indirect inguinalhernia is: (JIPMER 87) Herniotomy Narrowing of the internal ring Bassini’s repair Transfixation of the neck of the sac 5 / 47 All of the following statements are true about repair of groinhernias except: (AIIMS Nov 2004) Lichtenstein tension free repair has a low recurrence rate TEP repair is an extraperitoneal approach to laparoscopic repair of groin hernia In Shouldice repair, non-absorbable mesh is used The surgery can be done under local anesthesia in selected cases 6 / 47 True about inguinal hernia: (PGI June 2003) It is more common in female Right sided is more common than left side Direct hernia is less likely to undergo strangulation Femoral hernia is more common in female 7 / 47 True statement about indirect inguinal hernia: (PGI June 2004) 25% is bilateral In children, if inguinal (indirect) hernia is present on one side, then processus vaginalis is intact on other side In children, if inguinal (indirect) hernia is present on one side, then processus vaginalis is intact on other side In children, if inguinal (indirect) hernia is present on one side, then processus vaginalis is intact on other side 8 / 47 Content of epilocele is: (DNB 2011) Omentum Intestine Colon Urinary bladder 9 / 47 True statement regarding direct inguinal hernia: (UPPG 2008) Most common inguinal hernia in women is direct Direct hernia is medial to inferior epigastric artery Repair of the transversalis fascia and the internal ring Descends downwards and inwards towards the scrotum 10 / 47 Which one of the following is not performed in Lichtensteintension free hernioplasty? (Karnataka 2006) High ligation of indirect hernia sac Mesh sutured to the conjoint tendon and inguinal ligament Conjoint tendon sutured to inguinal ligament Spermatic cord is placed in two tails of the internal ring 11 / 47 A patient is advised to avoid strenuous activity followingherniorrhaphy for a period of: (AMU 86, 91) One day One week 3 weeks 6 months 12 / 47 On examination of the patient for a hernia, it is useful torealize that: (AIIMS 81, PGI 83) An impulse is often much better seen than felt The internal abdominal ring lies 1.25 cm above the midpoint of poupart’s ligament The external abdominal ring lies 1.25 cm above and medial to ASIS None of the above 13 / 47 Inguinal herniotomy includes all of the following except: (Orissa 2011) Dissection and opening of the hernial sac Reduction of contents Transfixation of the neck and excision of redundant sac Repair of stretched inguinal ring and fascia transversalis 14 / 47 Least recurrence rate in incisional hernia repair isfollowing: (JIPMER 2010) On lay mesh repair Intra peritoneal mesh repair Inlay mesh repair Shouldice repair 15 / 47 Most common type of hernia in the young age group:(MCI Sept 2006) Femoral hernia Direct inguinal hernia Indirect inguinal hernia Umbilical hernia 16 / 47 True regarding indirect inguinal hernia are all except: (MCI March 2008) Most common type of hernia Always unilateral Inguinal herniotomy is the basic operation Transillumination distinguishes it from hydrocele 17 / 47 Triangle of Doom is bounded by all of the followingexcept: (AIIMS Nov 2008) Cooper’s ligament Vas deferens Gonadal vessels Peritoneal reflection 18 / 47 Funicular hernia is type of: (DNB 2007) Direct inguinal hernia Indirect inguinal hernia Femoral Hernia is more common in female Umbilical hernia 19 / 47 Are true about hernia repair except:(JIPMER GIS 2011) Bassini’s repair is between inguinal ligament and conjoint tendon Shouldice repair is involvement of the posterior wall strengthening Mcvay’s repair is for femoral hernia Lichtenstein is a tension free-mesh repair None 20 / 47 Shouldice repair is: (PGI SS June 2007) Multilayered repair of inguinal canal Conjoint tendon is sutured to inguinal ligament Conjoint tendon is sutured to Cooper’s ligament Transabdominal repair 21 / 47 Ilioinguinal nerve is damaged while incising: (MHSSMCET 2006) External oblique aponeurosis Internal oblique muscle Transverse abdominis Linea alba 22 / 47 Hasselbach’s triangle is bounded by the following, except: (Orissa 2011) Rectus abdominis muscle Transversus abdominis muscle Inferior epigastric artery Inguinal ligament 23 / 47 During surgery of hernia, the sac of a strangulated inguinalhernia should be opened at the: (AIIMS Nov 96, AIIMS June 2004) Neck Body Fundus Deep ring 24 / 47 Which ofthese would you like to do for a case of strangulatedhernia? (PGI June 2002) X-ray USG abdomen Aspiration of contents of sac Correction of hypovolemia 25 / 47 Triangle of doom is related to: (Recent Question 2014) Laparoscopic Nissen’s fundoplication Laparoscopic hernia surgery Endoscopic thyroidectomy Thoracoscopic thymectomy 26 / 47 A 3-year-old child comes with hydrocele of the hernia sac.Management will include: (AIIMS May 2015) Herniotomy Herniorrhapy Observation only Operate after 5 years of age 27 / 47 A child presented with a swelling in the right groin region.When the swelling was reduced, a gurgling sound washeard. Which of the following is an incorrect statement?(AIIMS November 2015)a.b. The sac contains omentum only The hernia lies above and medial to pubic tubercle Patent processus vaginalis This type of hernia is most common in children 28 / 47 True about femoral hernia is: (PGI Dec 98) Occurs exclusively in females Pregnancy is common cause Doesn’t strangulate In males associated with cryptorchidism 29 / 47 Most common nerve injured during hernia surgery:(Recent Question 2014) Ilioinguinal nerve Iliohypogastric nerve Genitofemoral nerve None 30 / 47 During laparoscopic inguinal hernia repair a tacker wasaccidently placed below and lateral to the iliopubic tract.Postoperatively the patient complained of pain and sorenessin the thigh. This is due to the involvement of:(AIIMS November 2015, May 2015) Lateral cutaneous nerve of thigh Ilioinguinal nerve Genital branch of genitofemoral nerve Obturator nerve 31 / 47 Which is the 1st sign of strangulation of inguinal hernia? (UPPG 96) Tense Tenderness Irreducible Redness 32 / 47 Treatment of strangulated hernia is: (Kerala 94) Observation Immediate surgery Manual reduction Analgesics 33 / 47 Medial boundary of femoral ring is formed by: (JIPMER 2011) Inguinal ligament Pectineal ligament Lacunar ligament Septum separating it from femoral vein 34 / 47 Strangulation most commonly occurs in:(DNB 2012, MCI Sept 2005) Femoral hernia Direct inguinal hernia Indirect inguinal hernia Lumbar hernia 35 / 47 In the treatment of femoral hernia, Lockwood’s operationrefers to: (Karnataka 2006) Low inguinal operation High inguinal operation Inguinal operation Laparoscopic surgery 36 / 47 Femoral hernia is characteristically ….. the public tubercle:(MHPGMCET 2007, TN 89) Lateral and below Medial and above Lateral and above Medial and below 37 / 47 Which structures live immediately lateral to femoralhernia?(AIIMS Nov 2011) Lateral cutaneous nerve of thigh Femoral nerve Femoral artery Femoral vein 38 / 47 The sac contains only a portion of the circumference of theintestine: (UPPG 2007, 2005) Richter’s hernia Littre’s hernia Spigelian hernia Lumbar hernia 39 / 47 Neck of sac of femoral hernia lies: (Recent Questions 2013) Below and lateral to pubic tubercle Above and lateral Above and medial Below and medial 40 / 47 In Laugier’s hernia opening is in the: (WBPG 2014) Lacunar ligament Conjoint tendon External oblique Peritoneum 41 / 47 Hernia that lies under the fascia of pectineus muscle is:(MHSSMCET 2006) Cloquet’s hernia Laugier’s hernia Narath’s hernia Obturator hernia 42 / 47 A patient with femoral hernia can be managed by: Bassini repair Hunters repair Shouldice repair McVay repair 43 / 47 Hernia containing Meckel’s diverticulum is: (MHSSMCET 2005) Richter’s hernia Pantaloon hernia Littre’s hernia Mydel’s hernia 44 / 47 Which of the following is content of Littre’s hernia? (DNB 2012, MHPGMET 2005) Urinary bladder Meckel’s diverticulum Circumference of intestinal wall Appendix 45 / 47 Richter hernia is most common in: (Recent Question 2014) Hiatus hernia Femoral hernia Lumbar hernia Direct inguinal hernia 46 / 47 Strangulation without obstruction is seen in: (DNB 2005) Inguinal hernia Femoral hernia Richter’s hernia Littres hernia 47 / 47 Which of the following describes Richter’s hernia?(MCI Sept 2007) The strangulated loop of ‘W’ lies within the abdomen Hernia occurring at the level of arcuate line Involves only a portion of the circumference of the bowel Hernia occurring through the linea alba The average score is 35% LinkedIn Facebook Twitter VKontakte 0% Restart quiz Post navigation Surgery – TestisMedicine – JVP and Pulse