[;)
-----------,
122. Regarding tho anatomy of tho inguinal unal; all tho
following are tnio EXCEPT:
a) The superior boundary is composed of the internal oblique &
transverses abdominus muscles
b) lw lilt('! ll 1! 1111,~ lu>s llH'rll ii to thf' 1n l r1 IOI Ppta lStl l( \ ('SSf>ls
c) The external oblique aponeurosis forms the anterior boundary
d) The inguinal ligament forms the inferior boundary
e) The conjoint tendon forms the medial part of the posterior wall
12J . All tho following .1re tnio regarding inferior opigastric
artery EXCEPT:
a) It is a branch of the external iliac artery
b) It is an important landmark in inguinal hernia anatomy
c) It is an important anastomotic artery that bypasses an obstructed
aorta
Gl
----------- 12J . All the following ar11 true ntgarding inferior epigutric
artery EXCEPT:
a) It is a branch of the external iliac artery
b) It is an important landmark in inguinal hernia anatomy
c) It is an important anastomotic artery that bypasses an obstructed
aorta
d) It can cause troublesome bleeding in transverse lower abdominal incisions
e) It lie!,: dlHPI 101 to tlw t Pt Ill!> lhdommus m tilt> 1P< tus slw 1th
I
32
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-----------....,
124. In subcostal incision all of the following are inciHd
except
a) Sup el IOI cUlli II.le! IOI ep1gclStl lC \ l'SSl'is
b) Anterior and posterior rectus sheath
c) ~ oblique, ~ oblique & transversus abdominis muscles
d) Rectus~muscle
I
125 . The femoral sheath contains the following from medial to lateral :
a} Femoral vein, femoral artery and femoral ne1ve
b) Femoral canal, femoral vein and femoral nerve
c) Femoral canal, femoral vein and femoral artery.
d) Femoral canal, femoral artery and femoral
126 . The most common type of hernia in women is:
a) Inguinal.
[:.]
-----------
125 . The femoral sheath contains the following from medial to lateral:
a} Femoral vein, femoral artery and femoral nerve
b) Femoral canal, femoral vein and femoral nerve
c) f t'tl\UI il ( It: Ii tPllllll 1[ \ Pl!\ llld f PlllOI 1) 11 tPI \
d) Femoral canal, femoral artery and femoral
121 . The most common type of hernia in women is:
a) Inguinal.
b) Femoral
lncisional
d) Epigastric
e) earaµmbili q,l
. 9 .~. ·. · 1 ·_· · : ·. : . · . ~_ - _._. , ·. ·. · ? .. ·.: _·_·. ,. ·; .· .
d) Femoral canal, femoral artery and femoral
126 . Th• most common type of hemia in women is:
a) 1111111111111
b) FOjllOral
c) in6sional
d) Epigastric
e) Paraumbiligl
127 . A I months old child has been diagnosed as having an
uncomplicated indi.,.d inguinal hernia. The rnAnagement will be :
a} Observation and hernia repai r at 2 years
b) Elective hernia repair with non-absorbable mesh
c) Herniotomy scheduled electively at the earliest possible occasion.
d) Elective hernia repair with an absorbable mesh
.. ...
127 . A 6 months old child has been diagnosed as having an
uncomplicated lndlred Inguinal hernia. The management will be :
a) Observation and hernia repair at 2 years
b) Elective hernia repair with non-absorbable mesh
c) Hr1 rnoto,m schrdu!ro elrnn eh 1t thr e u !Jest possible oc, 1s1on
d) Elective hernia repair with an absorbable mesh
128. A 2 months-old baby pnsented with an umbilical hernia. The
Is:
I
a) To reassure and apply a truss.
b) To reassure and observe.
c) Truss for 6 months then operate.
d) Herniotomy
Gl
-----------,
129. All the following an true ragardlng principles of hernia rapair
except
a} Non absorbable material is used in repair
b) The repair should be tension free
c) Hernia recurrence is least by using prolene mesh in repair
d) Infection is presence of ~nthetic mesh is a serious complication
e) 1lndf'J norn11l rnnrl1t1ons tlw hf'11111 \\ ounrl 1s df' rn ront.11nm 1tf'rl
HO . Which sutement Is FALS! ragarding hernia rapalr7
a} Non absorbable suture material is used in the repair I
b) The repair should be tension free
c) Hernia recurrence is least by using prolene mesh in the repair
d) Nerve entrapment in the mesh might cause chronic pain
e) Mesh repair is mandatory in cases with strangulated perforated
intestine.
GJ ___________,c:· I , . "":"""j"" .
. 1.; ~;t:: :u~ ·,~~u11;t:·ll~J ;., ·,~,;11-,~ ~; J~u:~ ~,·u;t:·u~ ·u;~.,:, :,; ;1;;~~1°1. 1... ~: .. , .. 1::J
9
d) Infection is presence of ~nthetic mesh is a serious complication
e) Under no1mal conditions, the hernia wound is dean contaminated
HO . Which statement is FALS! regarding hernia repair?
a) Non absorbabie suture material is used in the repair
b) The repair should be tension free
c) Hernia recurrence is least by using prolene mesh in the repair
d) Nerve entrapment in the mesh might cause chronic pain
ei -•iiiihiiiihiiii.YiiiiHHIIIMIIIIMlri#MMl!Mi
IF
131 . As ntgard indintd inguinal hernia . All ant true EXCEPT:
a) it may be congenital in origin
b) it is more common in males
c) its neck is medial to the inferior epigastric vessels.
Gl
-----------....,
1J1. As regard Indirect Inguinal hemia . All are true l!XC!PT:
a) It may be congenital in origin
b) It is more common in males
c) It.-; !lt>{ k is nwd1 ~I to tilt> ll l ft>I 101 ep1::1.~st1 ll \ Pssels
d) Internal ring test is+~ .
e) May extend down to the scrotum
1JZ. All the following are true regarding femoral hemla except:
a) The hernia descends infte femoral canal with femoral vein medial to it
b) It is very liable to strangulation
c) Serious bleeding can occur on dividing the ~ ligament in the
operation of the strangulated femoral hernia
d) The sac is below and lateral to the pubic tubercle
e} It is common in females
-----------....,
GJ , I,.• -..:..J
s · · · , ·
,- -----------,'
· 9 · ~, · · 1 • , , , • • • • • • , , , , • • • , · • • • • · • , • • · ••• I • • 7•
152. All the following.,. true Nganling fomoral hemia oxcopt:
al
b) It is very liable to strangulation
c) Serious bleeding can occur on dividing the Jacunar ligament in the
operation of the strangulated femoral hernia
d) The sac is below and lateral to the pubic tubercle
e} It is common in females
153 . Femoral hernia is characterized by:
a} It is the more common in males than in females
b) Strangulated type is best treated by low approach operation -
c) It lies above and medial to pu bic tubercle -
d) It has high risk of strangulation because of t h e ~ ligament
e) It passes through the lateral compartment of the femoral sheath
•"3-.,-.--------.o1 ___________________________________ ,___________,
.; ~"'·l!J
....
34
9
Gl
-----------, . e} i~ -i~ .
UJ. Femoral hemla Is ch•racttrized by:
a} It is the more common in males than in females
b) Strangulated type is best treated by low approach operation
c) It lies above and medial to pubic tubercle
d) Ith ts )11,~h 11sk l)f st: lll'~til 1t1011 lwc Hist• ot th(• l H u11,1 1 11<~ 111H•r:t
e) It passes through the l'f"ral compartment of the femoral sheath
34
• IJ . 3 [ti (
Gl ·"-~- -
141. Post-appendectomy di'9ct inguinal hernia is duo to injury o f:
a) Genitofemoral nerve
b) lliohypogastri~ nerve
c) Subcostal nerve
d)
e) None of the above
142. Which of tho following compllcatod homia cases has tho
surgical priority for operation:
a) Irreducible hern ia
b) Obstructed hernia -
c) ,:,angulated hernia.
d) carcerated hernia
..
y
II ~ ~ i:, < >
142. Which of the following complicated hernia cases has the
surgial priority for operation :
a) Irreducible hernia
b) Obstructed hernia
c) Sn mguhted hern11
d) Incarcerated hernia
[g
-----------....,
143. The most reliable clinical finding Indicating strangulated
hamia is:
a) The hernia is painful
b) The hernia is irreducible
c) NOPIUIIM.PIMM
d) -rufre is vomiting
e) There is abdominal distension
t44. Which of the following clinical findings has the priority
for operation in hernia patients?
a) Recent irreducibility
b) Patient presenting with vomiting and abdominal distension
c) Tense tender hernial sac.
d) Hernia reaching the scrorum
e) Bilateral inguinal hernia
Gl
-----------...., 144. Which of the following dinical findings has the priority
for operation in hernia patients?
a) Recent irreducibility
b) Patient presenting with vomiting and abd ominal distension
c)
d) Hernia reaching the scrotum
e) Bilateral inguinal hernia
145. In strangulatod incisional hernia with sigmoid colonk
segment necrosis:
a) The s.-: should be kept dosed
b) Primacy colonic anastomosis is done
c) The defect should be dosed without any mesh.
d) Hernioplasty is preferred as tissues are weak
e) Prolene mesh is preferred than vicryi mesh
----------- d) \e~i~ ·r~~c~in·g·4~ ..
Gl 9
.
e) Bilateral inguinal hernia
145. In stningulAted incisional hema with sigmoid colonic
segment necrosis:
a) The sac should be kept dosed
b) Primary colonic anastomosis is done
c) lw ctrffft should bf' clnsPrl \\ 1th out ll'\ mf'sh
d) Hernioplasty is preferred as tissues are weak
e) Prolene mesh is preferred than vicry_tmesh
146. Pr1nclples of surgery for strangulated hernia Include all the
following except:
a) The viable omentum is returned to the abdomen.
b) Gangrenous small intestine is treated by primary resection and
anastomosis
c) Gangrenous right side of the colon is treated by primary resection and
GJ
-----------...., .v:~·
e) Prolene mesh is preferred than vicryl mesh
146. Principles of surgery for strangulated hernia Include all the
following except:
a) Thi'\ 11hh nmt>ntum 1s I t•t\l!ll('d tn tlw 1\Jdonwn
1
b) Gangrenous small intestine is treated by primary resection and
anastomosis
c) Gangtenous rigjlt side of the colon is treated by primary resection and
anastomosis
d) Gangrenous left colon is treated by exteriorization resection
e) Repair of the hernia defect is done with nonabsorbable suture like
polypropylene
[:.]
-----------
147. Principles of surgery for s1rangulated hernia include all
the following except:
a) The viable omentum is better excised
b) Gangrenous small intestine is treated by primary resection and
anastomosis
c) Gangrenous right side of the colon is treated by primary resection and
anastomosis
d) Gangrenous left colon is treated by exteriorization resection
e) Rf'p m ot ttw hern11 ct et Pct 1s ctonf' \'. 1th po l\1H opv lPnP nlf'sh
I
148. Missing a Maydal' s hernia can result in:
a} Postoperative hernia recurrence
b) Postoperative wound haematoma
·" ·~·
148. Missing a Maydar s hernia can result in:
a} Postoperative hernia recurrence
b) Postoperative wound haematoma
c)
d) Postoperative urinaty retention
e) Postoperative urinary fistula
