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

Sample item

A groin hernia that passes medial to the inferior epigastric vessels through Hesselbach's triangle is a:

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

The answer and the reasoning

C. Direct inguinal hernia

Direct hernias push through the weak posterior wall of the inguinal canal, medial to the inferior epigastric vessels. Indirect hernias pass through the deep ring lateral to them.

Option by option

  • A. Femoral hernia

    A femoral hernia passes below the inguinal ligament.

  • B. Indirect inguinal hernia

    An indirect hernia passes lateral to the inferior epigastric vessels.

  • C. Direct inguinal hernia (correct)

    Correct.

  • D. Obturator hernia

    An obturator hernia passes through the obturator canal.

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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Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is C, Direct inguinal hernia. Direct hernias push through the weak posterior wall of the inguinal canal, medial to the inferior epigastric vessels.

Why is "Femoral hernia" not the answer?

A femoral hernia passes below the inguinal ligament.

Why is "Indirect inguinal hernia" not the answer?

An indirect hernia passes lateral to the inferior epigastric vessels.

Why is "Obturator hernia" not the answer?

An obturator hernia passes through the obturator canal.

What concept does this question test?

It tests Hernia in General Surgery. Indirect hernias pass through the deep ring lateral to them.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. 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?

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.