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General Surgery · Hernias
Sample itemWhat complication of a hernia threatens bowel viability?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Strangulation
Strangulation compromises blood supply to hernia contents and can lead to bowel ischemia, necrosis, perforation, and sepsis without urgent treatment.
Option by option
A. Incidental finding
An incidental finding does not imply bowel threat.
B. Reducibility
Reducibility is generally a more reassuring hernia feature.
C. Diastasis
Diastasis is separation of muscle layers, not ischemic hernia complication.
D. Strangulation (correct)
Correct: strangulation compromises perfusion and threatens bowel survival.
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.