Karnataka PGET Surgery MCQ Answer 10

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The correct answer is B

INDIRECT INGUINAL HERNIA

This is the most common of all forms of hernia. It is most common in the young whereas a direct is most common in the old. In the first decade of life, inguinal hernia is more common on the right side in the male. There is no doubt associated with the later descent of the right testis and a higher incidence of failure of closure of the processus vaginalis. In adult males 65% of the inguinal hernias are indirect and 55% are right sided. The hernias is bilateral in 12% of cases.


The deep inguinal ring may be felt as a skin depression superior to the inguinal ligament, 2-4 cm superolateral to the pubic tubercle.

Impulse on coughing, groin swelling and reduceability are afeatures of both direct and indirect inguinal hernias. The classic diagnostic point to differentiate between the two is a positive deep ring occlusion test in Indirect hernia as Direct hernia still appears because it has nothing to do with the deep ring.

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Category: Karnataka PGET 2007 MCQs

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