PAEA Surgery End Of Rotation (EOR) Practice Exam

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Which type of hernia presents with a bulge under the inguinal ligament?

  1. Umbilical hernia

  2. Direct inguinal hernia

  3. Femoral hernia

  4. Incisional hernia

The correct answer is: Femoral hernia

A femoral hernia is characterized by a bulge that occurs under the inguinal ligament. This type of hernia is typically located in the femoral canal, which is found below the inguinal ligament, and it occurs more frequently in women. When a femoral hernia develops, it presents as a lump in the groin area that may become more pronounced during activities that increase intra-abdominal pressure, such as lifting or straining. In contrast, other types of hernias—such as umbilical, direct inguinal, and incisional hernias—do not present with a bulge specifically located under the inguinal ligament. An umbilical hernia occurs at the belly button, a direct inguinal hernia occurs through a weakness in the abdominal wall in the inguinal region but does not go under the inguinal ligament, while an incisional hernia arises from a previous surgical incision in the abdomen, not in the groin region. Understanding the anatomy and typical locations of different hernias is crucial for accurate diagnosis and management.