Posted by Novice_Anatomist on August 27, 2011 at 19:28:31:
Note: Practice questions not by the lecturer.
* A 47 year old man complains of discomfort in his right upper thigh over the past 5 months. He works as a gardener at a landscaping firm. On examination, there is tenderness at the right inguinal region. A bulge appears superior to the inguinal crease near the pubic bone when the patient bears down. You diagnose that the patient has an inguinal hernia. Discuss the anatomical structures involved (boundaries, vessels, muscles, etc.) in this case. Which type of inguinal hernia is more likely to be present in this case (direct or indirect hernia)?
* How might you distinguish between a direct and an indirect inguinal hernia? Describe the anatomical structures involved in both cases? Which bony landmarks would you use to distinguish a femoral from an inguinal hernia?
* What is the relation of the inferior epigastric artery to the deep inguinal ring?
* Which nerve exits through the superficial inguinal ring? It can be anesthetized in preparation for a vasectomy.
* What is the insertion site of the conjoint tendon?
* How many layers of spermatic fascia would cover the contents of an indirect hernia in a child? Would the herniation be lateral or medial to the inferior epigastric artery?