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Multiple Choice Questions (MCQ)

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Category: Surgery--->Inguinal Hernias
Page: 4

Question 16#Print Question

The hernia repair method associated with the lowest recurrence rate is the:

a. Lichtenstein tension-free repair
b. Open elective tissue-based repair
c. Bassini technique
d. Shouldice repair


Question 17#Print Question

A sliding hernia:

a. Has an abnormally high recurrence rate after repair
b. Can involve the bladder
c. Is more common in the right groin
d. Occurs almost exclusively in women


Question 18#Print Question

A 45 year old man presented to the emergency department with colicky abdominal pain, vomiting, and a painful groin lump. On examination he had a pulse of 110 beats/min and temperature of 37.8°C. There was marked abdominal distension, high pitched bowel sounds, and an erythematous, tender mass in the left groin above and medial to the pubic tubercle. A plain abdominal radiograph was taken in the emergency department (figure below).

Plain abdominal radiograph showing evidence of small bowel obstruction.

What is the next step in management?

a. Apply local pressure to the swelling to reduce it
b. Discharge with analgesia
c. Elective surgery
d. Nil by mouth, nasogastric tube, and intravenous drip
e. Reassurance and book an outpatient department appointment




Category: Surgery--->Inguinal Hernias
Page: 4 of 4