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 hernia that enters the inguinal canal through the deep ring, lateral to the inferior epigastric vessels, is:

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

The answer and the reasoning

D. Indirect inguinal hernia

An indirect inguinal hernia passes through the deep inguinal ring, lateral to the inferior epigastric artery, and may reach the scrotum. A direct hernia bulges through Hesselbach's triangle, medial to the vessels, through a weakness in the posterior wall.

Option by option

  • A. Direct inguinal hernia

    A direct hernia comes through Hesselbach's triangle, medial to the vessels.

  • B. Obturator hernia

    An obturator hernia goes through the obturator canal.

  • C. Femoral hernia

    A femoral hernia lies below and lateral to the pubic tubercle.

  • D. Indirect inguinal hernia (correct)

    Correct. It follows the course of the spermatic cord through the deep ring.

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 D, Indirect inguinal hernia. An indirect inguinal hernia passes through the deep inguinal ring, lateral to the inferior epigastric artery, and may reach the scrotum.

Why is "Direct inguinal hernia" not the answer?

A direct hernia comes through Hesselbach's triangle, medial to the vessels.

Why is "Obturator hernia" not the answer?

An obturator hernia goes through the obturator canal.

Why is "Femoral hernia" not the answer?

A femoral hernia lies below and lateral to the pubic tubercle.

What concept does this question test?

It tests Hernia in General Surgery. A direct hernia bulges through Hesselbach's triangle, medial to the vessels, through a weakness in the posterior wall.

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.