Umbilical/Epigastric Hernia MCQ Quiz | Hernias

1. A true umbilical hernia in adults protrudes through which specific anatomical structure?

2. A paraumbilical hernia in an adult most commonly protrudes through a defect in the:

3. An epigastric hernia is a protrusion through a defect located in the:

4. Which of the following conditions is a major predisposing factor for the development of an adult umbilical hernia?

5. What is the most common content of a small epigastric hernia?

6. The natural history of most congenital umbilical hernias in infants is that they:

7. The classic open surgical technique for repairing a paraumbilical hernia, involving overlapping fascial flaps, is known as:

8. A 45-year-old obese female presents with a midline bulge above her umbilicus that is more prominent when she lifts her head. There is a palpable gap between the rectus muscles without a distinct fascial defect. What is the most likely diagnosis?

9. Surgical repair of an umbilical hernia in a 3-year-old child is generally indicated if:

10. To minimize recurrence in the repair of an adult umbilical hernia with a defect size of 3 cm, the current standard of care is:

11. Why can small epigastric hernias containing only preperitoneal fat be surprisingly painful?

12. A patient with liver cirrhosis and massive ascites develops a tense umbilical hernia. What is the initial management priority?

13. A Richter’s hernia, a potential complication of umbilical hernias, involves the incarceration of:

14. Which of these is a key advantage of laparoscopic repair for an umbilical hernia (IPOM)?

15. A newborn has a midline abdominal wall defect at the umbilicus, covered by a membranous sac containing liver and intestines. This is characteristic of:

16. A hard, nodular, and fixed umbilical mass in an elderly patient, known as a Sister Mary Joseph nodule, is highly suggestive of:

17. Besides omentum and small bowel, which organ can occasionally be found in a large paraumbilical hernia?

18. The obliterated embryonic structure that forms the median umbilical ligament and attaches to the apex of the bladder is the:

19. The most common reason for recurrence after primary suture repair of an adult umbilical hernia is:

20. A pregnant woman in her third trimester develops a small, asymptomatic, reducible umbilical hernia. What is the recommended management?

21. In an open repair of an epigastric hernia, after incising skin and subcutaneous fat, the surgeon directly encounters the sac protruding through the:

22. A tender, erythematous swelling at the umbilicus with no cough impulse could be a strangulated hernia or a:

23. After an open mesh repair of a 4 cm umbilical hernia, patients are typically advised to avoid heavy lifting for how long?

24. In laparoscopic ventral hernia repair (including umbilical/epigastric), where is the mesh most commonly placed?