Emea Hernia Test SEC 1-3 Level 3
Welcome. This exam contains 18 questions. You must receive an 80% to pass. You have a 25 minutes to complete this test. You have 3 chances to take the test to receive a passing score. If you do not wish to take the exam now, exit out of the current page and return when you are ready. When you have finished answering a question, click the NEXT button to proceed to the next question. If you do not answer a question, it will be scored as incorrect. If you are ready, click START now. Good luck!
- 1.
Identify the organs contained in the abdominal viscera. Check all that apply.
- A.
Liver
- B.
Gallbladder
- C.
Spleen
- D.
Pancreas
- E.
Small Intestine
- F.
Large Intestine
- G.
Lungs
- H.
Kidneys
- I.
Ureters
- J.
Bladder
Correct Answer(s)
A. Liver
B. Gallbladder
C. Spleen
D. Pancreas
E. Small Intestine
F. Large Intestine
H. Kidneys
I. Ureters
J. BladderExplanation
The organs contained in the abdominal viscera are the liver, gallbladder, spleen, pancreas, small intestine, large intestine, kidneys, ureters, and bladder. The lungs are not considered part of the abdominal viscera as they are located in the thoracic cavity.Rate this question:
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- 2.
Superficial fascia is found as a single layer of connective tissue superior to the umbilicus and is referred to camper’s fascia and scarpa’s fascia when it is inferior to the umbilicus.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The statement is true because superficial fascia is indeed found as a single layer of connective tissue superior to the umbilicus. It is referred to as camper's fascia and scarpa's fascia when it is located inferior to the umbilicus.Rate this question:
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- 3.
What are the paired muscles that make up the anterior or anterolateral portions of the abdominal wall? Check all that apply.
- A.
Rectus Abdominus
- B.
Serratus Magnus
- C.
External Oblique
- D.
Internal Oblique
- E.
Transverse Abdominus
Correct Answer(s)
A. Rectus Abdominus
C. External Oblique
D. Internal Oblique
E. Transverse AbdominusExplanation
The paired muscles that make up the anterior or anterolateral portions of the abdominal wall are the Rectus Abdominus, External Oblique, Internal Oblique, and Transverse Abdominus. These muscles work together to provide stability and support to the abdominal region. The Rectus Abdominus is the central muscle that runs vertically down the abdomen and is responsible for flexing the spine. The External Oblique muscles are located on the sides of the abdomen and are involved in rotating and bending the trunk. The Internal Oblique muscles are located underneath the External Oblique muscles and also assist in trunk rotation and bending. The Transverse Abdominus is the deepest muscle of the abdominal wall and helps to compress the abdominal contents.Rate this question:
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- 4.
The protrusion or __________ of an organ or part of an organ through an opening or defect in a cavity or vessel that normally contains it is called a(n) __________.
- A.
Bulging, hernia
- B.
Inflation, hernia
- C.
Inflation, bulge
- D.
Swelling, hernia
Correct Answer
A. Bulging, herniaExplanation
When an organ or part of an organ bulges out or protrudes through an opening or defect in a cavity or vessel that normally contains it, it is referred to as a hernia. Therefore, the correct answer is "Bulging, hernia."Rate this question:
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- 5.
What are the three hernia categories most commonly seen today?
- A.
Hiatal, ventral, groin
- B.
Ventral, groin, diaphragmatic
- C.
Ventral, inguinal, groin
- D.
None of the above
Correct Answer
B. Ventral, groin, diapHragmaticExplanation
The three hernia categories most commonly seen today are ventral, groin, and diaphragmatic. Ventral hernias occur in the abdominal wall, groin hernias occur in the inguinal region, and diaphragmatic hernias occur when organs from the abdomen move into the chest through a hole in the diaphragm.Rate this question:
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- 6.
A ventral _________________ _________________occurs when the peritoneum protrudes through the weakness in the abdominal wall that was created by a surgical incision.
- A.
Incisional hernia
- B.
Parastomal hernia
- C.
Umbilicous hernia
- D.
Hiatal hernia
Correct Answer
A. Incisional herniaExplanation
An incisional hernia occurs when the peritoneum protrudes through the weakness in the abdominal wall that was created by a surgical incision. This can happen when the incision site does not heal properly or when there is increased pressure on the abdominal wall, causing the weakened area to bulge out. It is a common complication of abdominal surgeries and can cause pain, discomfort, and potential complications if left untreated.Rate this question:
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- 7.
What is one of the most common complications of ostomy surgery?
- A.
Stoma
- B.
Parastomal hernia
- C.
Inguinal hernia
- D.
Hiatal hernia
Correct Answer
B. Parastomal herniaExplanation
A parastomal hernia is a common complication of ostomy surgery. It occurs when a bulge or protrusion develops around the stoma, which is the opening created in the abdomen for waste to exit the body. This hernia can happen due to weakened abdominal muscles or increased pressure in the area. Parastomal hernias can cause discomfort, pain, and difficulty with the proper functioning of the ostomy appliance. Therefore, it is important for individuals with an ostomy to be aware of the signs and symptoms of a parastomal hernia and seek medical attention if they suspect its development.Rate this question:
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- 8.
What are the two types of diaphragmatic hernias?
- A.
Congenital and acquired
- B.
Inguinal and femoral
- C.
Congenital and incisional
- D.
Inguinal and congenital
Correct Answer
A. Congenital and acquiredExplanation
The correct answer is congenital and acquired. Diaphragmatic hernias can be classified into two main types: congenital and acquired. Congenital diaphragmatic hernias occur due to a defect in the diaphragm that is present at birth, while acquired diaphragmatic hernias develop later in life due to factors such as trauma, surgery, or weakening of the diaphragm muscles. These two types of hernias have different causes and require different treatment approaches.Rate this question:
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- 9.
Rolling hiatal hernias are also known as ______________ hernias.
- A.
Paraesophageal
- B.
Epigastric
- C.
Ventral
- D.
Parastomal
Correct Answer
A. ParaesopHagealExplanation
Rolling hiatal hernias are a type of hernia where the stomach pushes up through the diaphragm and into the chest cavity. These hernias are also known as paraesophageal hernias because they occur next to the esophagus. The term "rolling" refers to the movement of the stomach as it herniates. This type of hernia is different from other types such as epigastric, ventral, or parastomal hernias, which occur in different areas of the abdomen or abdominal wall.Rate this question:
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- 10.
The most common type of hernia repair is a(n)__________ hernia.
- A.
Ventral Incisional
- B.
Parastomal
- C.
Hiatal
- D.
Inguinal
Correct Answer
D. InguinalExplanation
The most common type of hernia repair is an inguinal hernia. Inguinal hernias occur when the intestines or bladder protrude through a weak spot in the abdominal wall, near the groin. They are more common in men and can cause pain and discomfort. Surgery is usually required to repair an inguinal hernia, and it is the most frequently performed type of hernia repair.Rate this question:
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- 11.
The paper published by Luijendijk et al compared___________ suture repair to mesh repair in 200 patients with ventral incisional hernias.
- A.
Primary
- B.
Polypropylene
- C.
Secondary
- D.
Vicryl
Correct Answer
A. PrimaryExplanation
The correct answer is "Primary". In the context of the question, "primary" refers to the type of repair being compared in the study conducted by Luijendijk et al. The study compared suture repair to mesh repair in 200 patients with ventral incisional hernias. The term "primary" is used to indicate that the focus of the study was on comparing these two types of repair methods.Rate this question:
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- 12.
The Luijendijk and Burger papers identified several risk factors that influenced recurrence rates. Select all that apply.
- A.
Presence of infection or wound contamination
- B.
Presence of abdominal aneurysm
- C.
Conditions related to the prostate gland, such as inflammation
- D.
Age of patient
- E.
Size of hernia
Correct Answer(s)
A. Presence of infection or wound contamination
B. Presence of abdominal aneurysm
C. Conditions related to the prostate gland, such as inflammation
D. Age of patient
E. Size of herniaExplanation
The Luijendijk and Burger papers identified several risk factors that influenced recurrence rates. These risk factors include the presence of infection or wound contamination, the presence of abdominal aneurysm, conditions related to the prostate gland such as inflammation, the age of the patient, and the size of the hernia. These factors were found to be significant in determining the likelihood of recurrence in patients.Rate this question:
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- 13.
Luijendijk et al was published in what journal?
- A.
The New England Journal of Medicine
- B.
Journal of American College of Surgeons
- C.
Surgery Journal
- D.
Nmlkj World Journal of Hernia
Correct Answer
A. The New England Journal of MedicineExplanation
Luijendijk et al was published in The New England Journal of Medicine.Rate this question:
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- 14.
According to the Luijendijk paper, repair of incisional hernias in which sutures alone are used may lead to:
- A.
Excessive tension and wound dehiscence
- B.
Inflammatory response and encapsulation
- C.
Incisional herniation and cutting of sutures through tissue
- D.
A & C
- E.
All of the above
Correct Answer
D. A & CExplanation
According to the Luijendijk paper, repair of incisional hernias using sutures alone may lead to excessive tension and wound dehiscence, as well as incisional herniation and cutting of sutures through tissue. This means that using sutures alone for repair can result in complications such as the wound not healing properly, the hernia recurring, and the sutures tearing through the tissue.Rate this question:
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- 15.
Composite meshes consisting of combinations of polypropylene, polyester and polytetrafluorethylene are able to resist infections and reduce recurrence rates.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Composite meshes were designed to resist bowel adhesion on the under (bowel) side and
promote incorporation on the top side (anterior or ventral)Rate this question:
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- 16.
Gross spillage from the gastrointestinal tract would describe:
- A.
Class I Surgical Wound Classification
- B.
Class II Surgical Wound Classification
- C.
Class III Surgical Wound Classification
- D.
Class IV Surgical Wound Classification
Correct Answer
C. Class III Surgical Wound ClassificationExplanation
Class III Surgical Wound Classification refers to a wound that is contaminated due to a major break in sterile technique or gross spillage from the gastrointestinal tract. This means that during the surgery, there was a significant amount of fluid or material from the gastrointestinal tract that spilled into the wound, increasing the risk of infection.Rate this question:
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- 17.
____________ and ___________ is a serious complication of hernia repair and may cause the wound to breakdown or open and result in exposure of the mesh and wound infection.
- A.
Seroma and hematoma
- B.
Seroma and inflammation
- C.
Hematoma and inflammation
- D.
None of the above
Correct Answer
A. Seroma and hematomaExplanation
Seroma and hematoma are both potential complications of hernia repair. A seroma is a collection of fluid that can accumulate in the surgical site, while a hematoma is a collection of blood. Both seromas and hematomas can cause the wound to breakdown or open, which can expose the mesh used in the repair and increase the risk of infection. Therefore, seroma and hematoma are serious complications that can occur after hernia repair.Rate this question:
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Mar 21, 2023Quiz Edited by
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Mar 11, 2013Quiz Created by
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