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General Surgery · Hernia: femoral hernia
Sample itemA woman has a painful groin lump located below and lateral to the pubic tubercle. Which hernia is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Femoral hernia
Femoral hernias pass below the inguinal ligament and lie inferolateral to the pubic tubercle. They have a relatively high risk of incarceration and strangulation.
Option by option
A. Inguinal hernia
Inguinal hernias lie above and medial to the pubic tubercle.
B. Femoral hernia (correct)
Correct. This anatomic relationship identifies a femoral hernia.
C. Incisional hernia
Incisional hernias occur through prior surgical scars.
D. Umbilical hernia
Umbilical hernias occur at the umbilicus.
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.
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