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General Surgery · Hernias
Sample itemWhich feature makes an inguinal hernia concerning for strangulation?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Painful irreducible lump with systemic illness
A painful irreducible hernia with systemic features may have compromised bowel blood supply and requires urgent surgical evaluation.
Option by option
A. Reducible painless lump that disappears supine
A reducible painless hernia is less immediately urgent.
B. A rash limited to the forearm
A forearm rash is unrelated to groin hernia.
C. Painful irreducible lump with systemic illness (correct)
Correct: pain, irreducibility, and illness suggest strangulation.
D. Stable asymptomatic scar
A stable scar is not a hernia complication.
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.