A 55-Year-Old Man Comes to the Office Due to Swelling

question 249

Multiple Choice

A 55-year-old man comes to the office due to swelling in his groin that he first noticed 2 weeks ago.  Physical examination shows a bulge above the inguinal ligament that increases in size when the patient is asked to cough.  He is referred to a surgeon and scheduled to undergo elective laparoscopic hernia repair.  Which of the following landmarks will best aid the surgeon in distinguishing an indirect from a direct inguinal hernia?

• A)Femoral vein
• B)Inferior epigastric vessels
• C)Pectineal ligament
• D)Rectus muscle sheath
• E)Spermatic cord
• F)Transversalis fascia

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Definitions:

Physiological Activation

The bodily responses activated through the nervous system and endocrine systems, often in response to external stimuli or internal mental processes.

Important Goals

Objectives or aims that hold significant value or priority in one's life or endeavor.

Homeostasis

The body's automatic process to maintain a stable internal environment in response to external changes.

Optimal Level

The most favorable or efficient level or state for a certain function or condition to occur.