Hernia Hernia Symptoms and Diagnosis 3

Question 1

During inguinal hernia examination, the examiner's finger is inserted through the scrotal skin up the inguinal canal. What is being assessed?

Accepted Answer

Internal inguinal ring integrity and hernia impulse

Answer

Femoral artery pulse

Answer

Lymph node enlargement

Answer

Testicular sensitivity

Question 2

Dysphagia (difficulty swallowing) can be a symptom of which hernia type?

Accepted Answer

Hiatal hernia

Answer

Inguinal hernia

Answer

Umbilical hernia

Answer

Femoral hernia

Question 3

What color change in the overlying skin of a hernia suggests impending necrosis?

Accepted Answer

Erythema (redness) or duskiness

Answer

Pale white

Answer

Yellow tinge

Answer

No color change occurs

Question 4

Which endoscopic study is used to evaluate hiatal hernias and associated esophageal damage?

Accepted Answer

Upper endoscopy (EGD)

Answer

Colonoscopy

Answer

Sigmoidoscopy

Answer

Capsule endoscopy

Question 5

A 'silent' hernia that causes no bulge and presents only with bowel obstruction is called what?

Accepted Answer

Occult or internal hernia

Answer

Incarcerated hernia

Answer

Sliding hernia

Answer

Epigastric hernia

Question 6

Which laboratory finding may indicate bowel ischemia in a patient with a suspected strangulated hernia?

Accepted Answer

Elevated serum lactate

Answer

Decreased white blood cell count

Answer

Low serum creatinine

Answer

Decreased serum potassium