DMS 136 - Introduction to Abdominal Wall Hernias

What do abdominal wall hernias involve?

• The protrusion of abdominal contents through a defect in the musculature

• The shrinking of abdominal muscles

• The thickening of the abdominal wall

• The loss of abdominal fat

Why is ultrasound a valuable tool for the diagnosis of abdominal wall hernias?

• It is inexpensive

• It shows real-time motion and dynamic maneuvers

• It does not require electricity

• It is always accurate

Which of the following is a symptom of hernia as described in the clinical presentation?

• Palpable mass

• Pain or discomfort especially on exertion

• Both A and B

• None of the above

Hernias may be reducible or irreducible and sometimes associated with complications like _________

• strangulation

• infection

• fracture

• ulceration

Which of the following is NOT a risk of delaying hernia treatment?

• A) Pain and discomfort

• B) Limitation in regular activities

• C) Improved digestion

• D) Strangulation

Role of Ultrasound: Dynamic evaluation with _______ maneuver or upright positioning helps confirm diagnosis.

• Valsalva

• Murphy's

• McBurney's

• Trendelenburg

Role of Ultrasound: _______ can assess vascularity especially in suspected strangulation.

• Color Doppler

• B-mode Ultrasound

• X-ray

• CT Scan

Which type of hernia is most common, especially in males?

• Umbilical Hernia

• Inguinal Hernia

• Incisional Hernia

• Spigelian Hernia

Umbilical hernia is common in ______ and obese adults.

• infants

• adolescents

• elderly

• teenagers

Which hernia occurs at previous surgical sites?

• Inguinal Hernia

• Umbilical Hernia

• Incisional Hernia

• Femoral Hernia