Practice Quiz - Inguinal Region

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  1. During a laparoscopic examination of the deep surface of the lower anterior abdominal wall (using a lighted scope on a thin tube inserted through the wall), the attending physician noted something of interest and asked the young resident to look at the medial inguinal fossa. To do so, the young doctor would have to look at the area between the:
    inferior epigastric artery and urachus
    medial umbilical ligament and urachus
    inferior epigastric artery and lateral umbilical fold
    medial umbilical ligament and inferior epigastric artery
    median umbilical ligament and medial umbilical ligament
  2. If one were to make an incision parallel to and 2 inches above the inguinal ligament, one would find the inferior epigastric vessels between which layers of the abdominal wall?
    Camper's and Scarpa's fascias
    External abdominal oblique and internal abdominal oblique muscles
    Internal abdominal oblique and transversus abdominis muscles
    Skin and deep fascia of the abdominal wall
    Tranversus abdominis muscle and peritoneum
  3. A man is moving into a new house and during the process lifts a large chest of drawers. As he lifts he feels a severe pain in the lower right quadrant of his abdomen. He finds that he can no longer lift without pain and the next day goes to see his physician. Surgery is indicated and during the surgery the surgeon opens the inguinal region and finds a hernial sac with a small knuckle of intestine projecting through the abdominal wall just above the inguinal ligament and lateral to the inferior epigastric vessels. The hernia was diagnosed as:
    A congenital inguinal hernia
    A direct inguinal hernia
    A femoral hernia
    An incisional hernia
    An indirect inguinal hernia
  4. Which structure passes through the deep inguinal ring?
    Iliohypogastric nerve
    Ilioinguinal nerve
    Inferior epigastric artery
    Medial umbilical ligament
    Round ligament of the uterus
  5. A loop of bowel protrudes through the abdominal wall to form a direct inguinal hernia; viewed from the abdominal side, the hernial sac would be found in which region?
    Deep inguinal ring
    Lateral inguinal fossa
    Medial inguinal fossa
    Superficial inguinal ring
    Supravesical fossa
  6. A patient presents with a hernia that is palpable at the superficial inguinal ring. Is this an indirect inguinal hernia?
    There is insufficient evidence to tell
  7. In a female with an indirect inguinal hernia, the herniated mass lies along side of which structure as it traverses the inguinal canal?
    Iliohypogastric nerve
    Inferior epigastric artery
    Ovarian artery and vein
    Pectineal ligament
    Round ligament of the uterus
  8. The skin of the mons pubis is supplied by which nerve?
    Anterior scrotal
    Anterior labial
    Femoral branch of the genitofemoral
    Iliohypogastric nerve
    Subcostal nerve
  9. While performing a routine digital examination of the inguinal region in a healthy teen-aged male, the physician felt a walnut-sized lump protruding from the superficial inguinal ring. She correctly concluded that it was :
    definitely an indirect inguinal hernia
    possibly an unusual femoral hernia
    definitely a direct inguinal hernia
    possibly an enlarged superficial inguinal lymph node
    either a direct or an indirect inguinal hernia
  10. During your peer presentation of the inguinal region dissection, you would indicate the position of the deep inguinal ring to be:
    Above the anterior superior iliac spine
    Above the midpoint of the inguinal ligament
    Above the pubic tubercle
    In the supravesical fossa
    Medial to the inferior epigastric artery
  11. An elderly patient with a large indirect inguinal hernia came to your clinic complaining of pain in the scrotum. You conclude that the hernial sac is compressing the following nerve:
    Femoral branch of the genitofemoral
  12. A 45-year-old porter develops a direct inguinal hernia. If the hernia extended through the superficial inguinal ring, it would be surrounded by all of the abdominal wall layers EXCEPT the:
    External spermatic fascia
    Internal spermatic fascia
    Peritoneum and extraperitoneal connective tissue
    Weak fascia of the transversus abdominis muscle lateral to the falx
  13. A pediatrician has diagnosed a newborn baby of having right-sided cryptorchidism (undescended testis). The testis may have been trapped in any site EXCEPT:
    At the deep inguinal ring
    Just outside the superficial inguinal ring
    Pelvic brim
    Somewhere in the inguinal canal
  14. A 15-year-old boy was admitted to the emergency room for having large bowel obstruction resulting from a left-sided indirect inguinal hernia. The most likely intestinal segment involved in this obstruction is the:
    ascending colon
    descending colon
    sigmoid colon
  15. A 45-year-old man had developed a direct inguinal hernia several months after having an emergency appendectomy. The examining doctor linked the cause of hernia to accidental nerve injury that happened during appendectomy and weakened the falx inguinalis. Which nerve had been injured?
    Femoral branch of the genitofemoral
    Genital branch of the genitofemoral
    Ventral primary ramus of T10
  16. The boundaries of the inguinal triangle include all except:
    Arcuate line
    Inferior epigastric vessels
    Inguinal ligament
    Lateral border of rectus abdominus muscle
  17. The superficial inguinal ring is an opening in which structure?
    External abdominal oblique aponeurosis
    Falx inguinalis
    Internal abdominal oblique muscle
    Scarpa's fascia
    Transversalis fascia
  18. If a hernia enters into the scrotum, it is most likely a(n):
    Direct inguinal hernia
    Indirect inguinal hernia
    Femoral hernia
    Obturator hernia
  19. Which nerve passes through the superficial inguinal ring and may therefore be endangered during inguinal hernia repair?
    Femoral branch of the genitofemoral
  20. During exploratory surgery of the abdomen, an incidental finding was a herniation of bowel between the lateral edge of the rectus abdominis muscle, the inguinal ligament and the inferior epigastric vessels. These boundaries defined the hernia as a(n):
    Congenital inguinal hernia
    Direct inguinal hernia
    Femoral hernia
    Indirect inguinal hernia
    Umbilical hernia