Abdominal Wall & Hernias — General Surgery

Abdominal Wall & Hernias MCQs: practice questions

Sample Abdominal Wall & Hernias multiple-choice questions from General Surgery.

1. An incarcerated hernia with compromised blood supply is called

   • A. Strangulated hernia
   • B. External oblique aponeurosis
   • C. Bowel ischemia and necrosis
   • D. Surgical repair
   • E. Strangulation

2. Femoral hernias are particularly prone to

   • A. Strangulation
   • B. External oblique aponeurosis
   • C. Surgical repair
   • D. Bowel ischemia and necrosis
   • E. Vomiting with abdominal distension and failure to pass stool or gas

3. A ventral hernia through a previous laparotomy incision is called

   • A. Chronic cough
   • B. Transversalis fascia and conjoint tendon
   • C. A patient with postoperative wound infection and poor nutrition
   • D. Incisional hernia
   • E. Femoral hernia

4. Which groin hernia passes through the femoral canal?

   • A. Vomiting with abdominal distension and failure to pass stool or gas
   • B. Hesselbach triangle
   • C. Femoral hernia
   • D. Incarcerated hernia
   • E. External oblique aponeurosis

5. A painful irreducible groin mass with systemic toxicity should raise concern for

   • A. Indirect inguinal hernia
   • B. Strangulation
   • C. Littre hernia
   • D. Become incarcerated or strangulated
   • E. Incarcerated hernia

6. A hernia containing a portion of the urinary bladder may present with

7. Which general treatment is appropriate for a symptomatic or complicated hernia?

8. A reducible umbilical hernia is most directly caused by

9. Which factor increases risk of incisional hernia?

10. Which structure forms the anterior wall of the inguinal canal for most of its length?

11. Which patient has the highest risk of an incisional hernia?

12. The inferior epigastric vessels are located

13. Which symptom is especially concerning for bowel obstruction from a hernia?

14. Which patient factor promotes hernia formation by increasing intra-abdominal pressure?

15. A direct inguinal hernia protrudes through

16. Which examination maneuver increases intra-abdominal pressure and may reveal a hernia?

17. An indirect inguinal hernia enters the inguinal canal through the

18. A hernia that contains only part of the bowel wall is called

19. Which hernia is more closely associated with a persistent processus vaginalis?

20. A hernia containing the appendix is called

21. The inferior epigastric vessels are located

22. Which structure forms the posterior wall of the inguinal canal medially?

23. A hernia containing a Meckel diverticulum is called

24. Which hernia is located above the umbilicus along the linea alba?

25. A reducible hernia becomes suddenly painful and irreducible. The immediate concern is

26. A hernia containing bowel that cannot be returned to the abdominal cavity is called

27. A small painful mass at the umbilicus in an adult should be evaluated because an umbilical hernia may

28. Which symptom suggests strangulation rather than simple incarceration?

29. Which principle is most important when evaluating a painful groin mass?

30. What is the major danger of a strangulated hernia?