FREE ANATOMY AND STUDY GAMES ABOUT ANA 534 T2

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FREE ANATOMY AND STUDY GAMES ABOUT ANA 534 T2

INGUINAL EXAM QUESTIONS

Qs and Ans Expert- Explanation

This Exam contains:

-Guarantee passing score -28 Questions and Answers -format set of multiple-choice -Expert- Explanation

Question 1: In what age groups is the formation of a congenital hernia common?

Answer:

Up to the early 30's Question 2: How do inguinal herniae differ in presentation from femoral herniae?

Answer:

Inguinal hernia present above the inguinal ligament whereas a femoral hernia presents under the inguinal ligament.Question 3: What structure(s) typically traverse this space in the normal condition?

Answer:

The spermatic cord passes through the triangle just above the inferior boundary - the inguinal ligament.

Question 4: What is the function of the processus vaginalis?

Answer:

It provides a serous (slippery) lining for the inside aspect of the scrotal wall and the visceral surface of the testicle for friction-free movement.

Question 5: In which layer is the deep inguinal ring formed?

Answer:

It is a slit in the fascia transversalis.

Question 6: What typically extends from the body cavity in a hernia?

Answer:

A loop of small intestine.

Question 7: What is the clinical implication of an inguinal hernia?

Answer:

The loop of bowel may become trapped in the inguinal canal, squeezed by intra-abdominal pressure on the canal walls and cause loss of blood supply - gangrene may ensue.Question 8: Through what component of the inguinal canal does the hernia protrude?

Answer:

The superficial inguinal ring after penetrating the posterior wall (conjoined tendon).

Question 9: Name the boundaries of the inguinal triangle.

Answer:

Lateral: inferior epigastric a.; medial: lateral border of the rectus abdominis; inferior: inguinal ligament.Question 10: How does an acquired inguinal hernia differ from the congenital type?

Answer:

congenital slides down the oblique inguinal canal due to the presence of a patent processus vaginalis, acquired protrudes directly through a defect that develops in posterior wall of inguinal canal and out through superficial inguinal ring.Question 11: Which layer(s) of the anterior abdominal wall contribute to the sheaths of the spermatic cord?

Answer:

All but the transversus abdominis.

Question 12: To which bony structures does the inguinal ligament attach?

Answer:

Superolaterally to the anterior superior iliac spine of the hip bone, and inferomedially to the pubic tubercle.

Question 13: A deficiency in each of the three layers on the anterolateral abdominal wall, in the region of the inguinal ligament, forms what specific passage?

Answer:

the inguinal canal- an obliquely flattened passageway

Question 14: What structure forms the posterior wall of the inguinal canal?

Answer:

The conjoint tendon (joined aponeuroses of the internal oblique and transversus abdominis)

Question 15: What structure forms the floor of the inguinal canal?

Answer:

The inguinal ligament.

Question 16: Where would the inferior epigastric

• pulse be found in each type of herniation?

Answer:

In the congenital (indirect) inguinal hernia the arterial pulse is medial to the hernia whereas in the acquired (direct) inguinal hernia the pulse is felt lateral to the hernia.

Question 17: What forms the inguinal ligament? How?

Answer:

The aponeurosis of the external oblique; by folding over on itself forming a taut ligament-like structure.Question 18: What does each participating layer of the anterior abdominal wall contribute to the spermatic cord?

Answer:

External oblique - external spermatic fascia; internal oblique - cremasteric muscle and/or fascia; transversus abdominis - nil; fascia transversalis - internal spermatic fascia.Question 19: Which layer of the anterior abdominal wall does not contribute to the spermatic cord?

Answer:

Transversus abdominis.

Question 20: What are the main components found within the spermatic cord?

Answer:

The ductus deferens, testicular a., pampiniform plexus of (testicular) veins.Question 21: In the adult female what structure is found within the inguinal canal?

Answer:

The round ligament.Question 22: In the adult male what structure is found within the inguinal canal?

Answer:

The spermatic cord.Question 23: Where is the location of the deep inguinal ring with relation to the inferior epigastric artery?

Answer:

The deep inguinal ring is lateral to the inferior epigastric a.Question 24: Why is the anatomy of the inguinal region/canal clinically important?

Answer:

Due to the frequency of inguinal hernae.

Question 25: In which layer is the superficial inguinal ring formed?

Answer:

The aponeurosis of the external oblique - the outermost (superficial) layer.Question 26: What feature of embryological development allows the formation of a congenital hernia?

Answer:

The processus vaginalis (a finger-like extension of the peritoneum that extends down into the scrotum via the inguinal canal.)

Question 27: What passes through this inguinal canal in the neonatal male?

Answer:

The testis.