1/abdominal wall hernia occurrence is more common in each of the following conditions except

A/in chronic constipation and benign prostatic hyperplasia patients B/in diabetic patients C/in liver cirrhosis with ascites D/in pregnancy E/in elderly people


2/complications of abdominal hernia may include except

A/saphena varix B/perforation of the contained hollow viscus C/obstruction D/strangulation and ischemia of the contents E/irreducibility


3/we should check all of the following clinical tests and physical signs in inguinal hernia patients except

A/cough impulse test B/head raising test C/ three finger test D/overlying skin color changes and scars of previous surgery or trauma E/reducibility


4/ on clinical examination of a hernia the correct statement is

A/there is no need to ask the patient (ask the old school says ) to couph B/lack of impulse on palpitations is a definite sign that there is no hernia C/examination the patient in supine position is satisfactory D/in supine position asking the patient to life his head off the pillow help to discover (divarication ) of the recti E/changes in skin color (overlying a hernia ) are not significant

5/strangulated hernia can be defined clinically as