Gastroenterology Quiz #12: Hernias

1. A 55-year-old man presents to the clinic with a bulge in his groin that becomes more prominent when he coughs. On physical examination, the bulge is noted to protrude through the external inguinal ring and can be pushed back into the abdominal cavity. Which of the following is the most likely diagnosis? 

Question 1 of 5

2. A 70-year-old woman presents with a painful bulge in her groin that appeared suddenly while she was lifting a heavy object. On examination, the bulge is located below the inguinal ligament and medial to the femoral vein. Which of the following is the most likely diagnosis? 

Question 2 of 5

3. A 60-year-old man with a history of previous abdominal surgery presents with a palpable mass at the site of his surgical scar. The mass becomes more prominent with Valsalva maneuvers and can be reduced upon lying down. Which of the following is the most likely diagnosis? 

Question 3 of 5

4. During a routine physical examination, a 3-year-old boy is found to have a bulging in his groin that his mother says has been present for several months. The bulge is more noticeable when the child cries and diminishes when he is calm or asleep. Which of the following structures is most likely patent in this patient? 

Question 4 of 5

5. A 45-year-old man presents with a bulge in his groin that he first noticed a few months ago. The bulge does not enter the scrotum and is located just above the midpoint of the inguinal ligament. It is painful when he coughs or lifts heavy objects. Which of the following is the most likely diagnosis? 

Question 5 of 5


 

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