Hernia and abdominal wall: eponymous hernias: 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: eponymous hernias

Sample item

An elderly woman has a tender irreducible swelling below and lateral to the pubic tubercle. At operation the sac contains an inflamed appendix. What is this called?

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

The answer and the reasoning

B. De Garengeot hernia

A femoral hernia containing the appendix is a de Garengeot hernia. Amyand hernia is an appendix in an inguinal hernia, Littre involves a Meckel diverticulum and Richter involves part of the bowel wall.

Option by option

  • A. Littre hernia

    Littre hernia contains a Meckel diverticulum.

  • B. De Garengeot hernia (correct)

    Correct. The appendix lies within a femoral hernia.

  • C. Richter hernia

    Richter hernia involves only the antimesenteric bowel wall.

  • D. Amyand hernia

    Amyand hernia has the appendix in an inguinal sac.

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 B, De Garengeot hernia. A femoral hernia containing the appendix is a de Garengeot hernia.

Why is "Littre hernia" not the answer?

Littre hernia contains a Meckel diverticulum.

Why is "Richter hernia" not the answer?

Richter hernia involves only the antimesenteric bowel wall.

Why is "Amyand hernia" not the answer?

Amyand hernia has the appendix in an inguinal sac.

What concept does this question test?

It tests Hernia and abdominal wall: eponymous hernias in General Surgery. Amyand hernia is an appendix in an inguinal hernia, Littre involves a Meckel diverticulum and Richter involves part of the bowel wall.

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: eponymous hernias?

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.