Hernia and abdominal wall: strangulated hernia: practice question

A General Surgery question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Surgery · Hernia and abdominal wall: strangulated hernia

Sample item

An elderly woman has a tender, irreducible swelling below and lateral to the pubic tubercle with vomiting and absolute constipation. What is the best management?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Urgent surgery with assessment of bowel viability and resection if non-viable

A tender irreducible femoral hernia with obstruction suggests strangulation, which risks gangrene and perforation. Urgent repair is mandatory and non-viable bowel is resected. Taxis is avoided with signs of strangulation.

Option by option

  • A. Analgesia and elective repair

    Elective timing is unsafe.

  • B. Observation overnight

    Waiting risks perforation.

  • C. Urgent surgery with assessment of bowel viability and resection if non-viable (correct)

    Correct. Urgent surgery is mandatory.

  • D. Manual taxis for 1 hour

    Taxis can reduce gangrenous bowel.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More General Surgery questions

Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is C, Urgent surgery with assessment of bowel viability and resection if non-viable. A tender irreducible femoral hernia with obstruction suggests strangulation, which risks gangrene and perforation.

Why is "Analgesia and elective repair" not the answer?

Elective timing is unsafe.

Why is "Observation overnight" not the answer?

Waiting risks perforation.

Why is "Manual taxis for 1 hour" not the answer?

Taxis can reduce gangrenous bowel.

What concept does this question test?

It tests Hernia and abdominal wall: strangulated hernia in General Surgery. Urgent repair is mandatory and non-viable bowel is resected. Taxis is avoided with signs of strangulation.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Hernia and abdominal wall: strangulated hernia?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.