Hernia — UPSC CMS MCQs (Surgery)

Question 1

‘Swiss cheese defects’ are seen during laparoscopic repair of:

Accepted Answer

B. Inguinal hernia

Answer

Ventral hernia

Answer

Obturator hernia

Answer

Femoral hernia

Question 2

Structure not forming boundaries of the “Triangle of Doom” seen during laparoscopic inguinal hernia surgery dissection is:

Accepted Answer

B. Inferior epigastric artery

Answer

Vas deferens

Answer

Spermatic cord vessels

Answer

Peritoneum

Question 3

Which of the following is NOT a tissue repair surgery for inguinal hernia repair?

Accepted Answer

C. Stoppa’s repair

Answer

Bassini’s repair

Answer

Shouldice repair

Answer

Desarda repair

Question 4

Which one of the following type of meshes is recommended for intraperitoneal use in abdominal wall hernia?

Accepted Answer

A. Light weight, porous meshes

Answer

Heavy weight, porous meshes

Answer

Absorbable meshes

Answer

Tissue separating meshes

Question 5

A 45 year old male patient, a known case of left inguinal hernia presents to the emergency with an acute pain abdomen associated with vomiting and abdominal distension. His pulse rate is 102/min, BP is 100/60 mm Hg, and respiratory rate is 24/min. On local examination, the skin overlying the swelling is tense and erythematous. There is localized tenderness over the swelling; the swelling is irreducible with absence of cough impulse. The most probable clinical diagnosis in this patient is

Accepted Answer

B. Strangulated hernia

Answer

Obstructed hernia

Answer

Incarcerated hernia

Answer

Irreducible hernia

Question 6

Mayo's repair is done for

Accepted Answer

C. Umbilical hernia

Answer

Inguinal hernia

Answer

Femoral hernia

Answer

Incisional hernia

Question 7

Which of the following factors predispose to the development of incisional hernia?
1. Malnutrition
2. Postoperative wound infection
3. Non-absorbable suture material
4. Immunocompromised patient
Select the correct answer using the code:

Accepted Answer

B. 1, 2 and 4

Answer

1, 2 and 3

Answer

1, 3 and 4

Answer

2, 3 and 4

Question 8

When the hernia extends between the layers of abdominal wall muscles and not directly through them, it is called:

Accepted Answer

B. Spigelian hernia

Answer

Richter’s hernia

Answer

Amyand’s hernia

Answer

Littre’s hernia

Question 9

Which of the following are tension-free inguinal hernia repairs?
1. Stoppa’s repair
2. Lichtenstein’s repair
3. Laparoscopic TEP repair
4. Desarda’s repair
Select the correct answer using the code:

Accepted Answer

A. 1, 2 and 3

Answer

2, 3 and 4

Answer

1, 3 and 4

Answer

1, 2 and 4

Question 10

Which of the following are features of umbilical hernia in adults?
1. Patients are commonly overweight with a thinned and attenuated midline raphe.
2. Most patients complain of pain due to tissue tension.
3. Men are affected more commonly than women.
4. Hernia repair can be done by the technique described by Mayo.
Select the correct answer using the code below.

Accepted Answer

B. 1, 2 and 4

Answer

1, 2 and 3

Answer

1, 3 and 4

Answer

2, 3 and 4

Question 11

Which of the following are correct for herniation via foramen of Morgagni?
1. It occurs posteriorly in chest.
2. Transverse colon is the commonest content.
3. Defect is between sternal and costal attachments.
4. It is a type of congenital hernia. Select the answer
using the code given below.

Accepted Answer

D. 2, 3 and 4

Answer

1, 2 and 3

Answer

1, 2 and 4

Answer

1, 3 and 4

Question 12

Which of the following statements are correct regarding Inguinal hernias in children?
I. It is more common in full-term boys.
II. It should be repaired promptly.
III. It is always indirect.
IV. It may frequently be transilluminant.
Select the answer using the code given below:

Accepted Answer

B. II, III and IV

Answer

I, II and III

Answer

I, II and IV

Answer

I, III and IV

Q1. ‘Swiss cheese defects’ are seen during laparoscopic repair of:

Q2. Structure not forming boundaries of the “Triangle of Doom” seen during laparoscopic inguinal hernia surgery dissection is:

Q3. Which of the following is NOT a tissue repair surgery for inguinal hernia repair?

Q4. Which one of the following type of meshes is recommended for intraperitoneal use in abdominal wall hernia?

Q6. Mayo's repair is done for

Q7. Which of the following factors predispose to the development of incisional hernia? 1. Malnutrition 2. Postoperative wound infection 3. Non-absorbable suture material 4. Immunocompromised patient Select the correct answer using the code:

Q8. When the hernia extends between the layers of abdominal wall muscles and not directly through them, it is called:

Q9. Which of the following are tension-free inguinal hernia repairs? 1. Stoppa’s repair 2. Lichtenstein’s repair 3. Laparoscopic TEP repair 4. Desarda’s repair Select the correct answer using the code:

Q11. Which of the following are correct for herniation via foramen of Morgagni? 1. It occurs posteriorly in chest. 2. Transverse colon is the commonest content. 3. Defect is between sternal and costal attachments. 4. It is a type of congenital hernia. Select the answer using the code given below.

Q12. Which of the following statements are correct regarding Inguinal hernias in children? I. It is more common in full-term boys. II. It should be repaired promptly. III. It is always indirect. IV. It may frequently be transilluminant. Select the answer using the code given below: