ABSITE - HERNIAS – QUESTIONS WITH CORRECT ANSWERS 2025

ABSITE - HERNIAS – QUESTIONS WITH
CORRECT ANSWERS 2025
YouNareNevaluatingNaN55-year-
oldNfemaleNforNaNpainfulNlumpNinNherNrightNgroinNforNseveralNdays.NSheNdeniesNfever,Nchills,NnauseaNorNem
esis,NhasNbeenNhavingNnormalNbowelNandNbladderNfunction,NandNisNinNotherwiseNexcellentNhealth.NPhysica
lNexaminationNrevealsNaNsolitaryN3-
cmNtender,Nfirm,NroundNmassNinNherNrightNgroinNbelowNtheNinguinalNligamentNwithNnoNskinNdiscoloration.N
SheNhasNaNpre-paidNvacationNscheduledNinNthreeNdays.NAtNthisNpoint,NyouNwouldNrecommend:



A.NObservationNwithNreevaluationNafterNherNvacation

B.NUrgentNherniaNrepair

C.NElectiveNherniaNrepairNfollowingNherNvacation

D.NAnalgesicsNandNattemptedNreductionNofNtheNmass

E.NAspirationNofNtheNmassNwithNultrasoundNguidanceN-NCORRECTNANSWERN-UrgentNherniaNrepair

Correct.

TheNpatient'sNhistoryNandNphysicalNexaminationNareNconsistentNwithNanNincarceratedNfemoralNhernia,Nwhi
chNrequiresNimmediateNoperationNtoNavoidNprogressionNtoNstrangulation,NischemiaNandNperforationNofNinv
olvedNbowel.NComplicationsNareNhighlyNlikelyNinNthisNsetting.NAlthoughNattemptedNreductionNunderNanalge
siaNandNsedationNisNreasonable,NthisNisNnotNrecommendedNforNfemoralNhernias.NThereNisNnoNroleNforNneedl
eNaspirationNofNaNgroinNmassNwhenNaNherniaNisNsuspected.



ANhealthyN40-year-
oldNmanNisNconsultingNwithNyouNforNevaluationNofNintermittentNleftNgroinNdiscomfortN(4NoutNofN10NonNpain
Nscale)NwhichNhasNbeenNpresentNforNtheNpastNthreeNweeks.NTheseNsymptomsNhaveNcausedNhimNtoNmissNw

orkNonNoccasion.NHeNdeniesNanyNconstitutionalNsymptoms,NandNhasNnoNotherNcomplaintsNatNthisNtime.NOn
NphysicalNexamination,NyouNcannotNdetectNaNhernia,NevenNwithNprovocativeNmaneuversN(i.e.,NValsalva,Ncou

gh).NYourNrecommendationNatNthisNtimeNwouldNbe:

A.NComputedNtomographyN(CT)NofNtheNabdomenNandNpelvisNwithNoralNandNintravenousNcontrastNforNfurth
erNevaluation

B.NDiagnosticNlaparoscopy

C.NContrastNherniographyN(peritoneography)

D.NLeftNgroinNexplorationNwithNpossibleNinguinalNherniaNrepair

E.NUltrasonographyNofNtheNleftNgroinN-NCORRECTNANSWERN-UltrasonographyNofNtheNleftNgroin

, Correct.

ThisNpatientNmayNhaveNanNoccultNinguinalNherniaNwhichNisNnotNdetectableNonNphysicalNexamination.NUltras
onography,NherniographyNandNCTNareNallNusefulNdiagnosticNstudies,NwithNultrasoundNbeingNtheNleastNinvas
ive,NlessNcostly,NandNwithNhighNsensitivityNandNspecificity.NInNthisNpatientNwithNminimalNsymptoms,NthereNis
NnoNindicationNforNimmediateNlaparoscopyNorNgroinNexploration.




AN60-year-
oldNmaleNpresentsNwithNpersistentNpainNoverNhisNrightNlowerNabdomenNsixNmonthsNafterNaNbilateralNTEPPNl
aparoscopicNinguinalNherniaNrepair.NThereNisNnoNevidenceNofNherniaNrecurrence,NseromaNorNinfectionNonNp
hysicalNexamination.NAsNpartNofNyourNinvestigation,NyouNobtainNaNplainNabdominalNradiograph,NwhichNreve
alsNmultipleNbilateralNspiralNtacksNacrossNtheNlowerNabdomen.NYouNobtainNtheNoperativeNreport,NandNconfi
rmNyourNsuspicionNthatNtheNsurgeonNusedNpermanentNspiralNtacksNforNmeshNfixation.NInjuryNtoNwhichNofNt
heNfollowingNnervesNisNtheNmostNlikelyNcauseNforNhisNpersistentNpain?

A.NIlioinguinalNnerve

B.NIliohypogastricNnerve

C.NGenitalNbranchNofNtheNgenitofemoralNnerve

D.NLateralNfemoralNcutaneousNnerve

E.NFemoralNnerveN-NCORRECTNANSWERN-IliohypogastricNnerve

Correct.

Post-
herniorrhaphyNneuralgiaNhasNbeenNreportedNtoNoccurNinNupNtoN20%NofNcases.NInjuryNtoNanyNofNtheNnervesN
mentionedNcanNresultNinNpost-
herniorrhaphyNneuralgia.NGivenNtheNlocationNofNtheNpatient'sNsymptomsNandNtheNmethodNusedNforNmeshN
fixation,NtheNiliohypogastricNnerveNisNtheNmostNvulnerableNtoNinjuryNduringNlaparoscopicNmeshNfixation.



AN67-year-oldNmanNpresentsNwithNvomitingNandNabdominalNdistension.NAnNabdominalNx-
rayNrevealsNair/fluidNlevelsNsuggestingNsmallNbowelNobstruction.NOnNexam,NherNabdomenNisNdistendedNwit
hNdiffuseNtendernessNandNthereNisNaNtenderNmassNinNtheNrightNgroin.NAtNoperation,NyouNresectNaNstrangula
tedN6-
cmNsegmentNofNsmallNintestineNandNthereNisNmoderateNcontaminationNwithNbowelNcontents.NWhatNshould
NyouNdoNforNtheNhernia?



A.NCompleteNtheNoperationNandNplanNaNsubsequentNherniaNrepair.

B.NPerformNaNrepairNusingNpolypropyleneNmesh.

C.NPerformNaNrepairNusingNbiologicNmesh.

D.NPerformNaNtissue-basedNrepair.N-NCORRECTNANSWERN-PerformNaNtissue-basedNrepair.