QUESTION NO 4 : List of options: Epigastric hernia Spigelian hernia Femoral hernia Pantaloons hernia Umbilical hernia Inguinal hernia Divarication of recti Incisional hernia Obturator hernia Hiatus hernia Please select the most likely diagnosis in the following patients You may choose each option once, more than once or not at all. A) A 72 year old man who attends the out-patients department with a long standing lump in the right groin which is easily reducible and superior to the pubic tubercle                      ---Please Select--- Epigastric hernia Spigelian hernia Femoral hernia Pantaloons hernia Umbilical hernia Inguinal hernia Divarication of recti Incisional hernia Obturator hernia Hiatus hernia    B) A 45 year old lady is found to have a large lump in the epigastrium with a positive cough impulse. She does not have any significant past medical or surgical history.                      ---Please Select--- Epigastric hernia Spigelian hernia Femoral hernia Pantaloons hernia Umbilical hernia Inguinal hernia Divarication of recti Incisional hernia Obturator hernia Hiatus hernia    C) A twenty nine year old soldier is referred with recurrent upper abdominal pains and on examination there is a small 2cm X 2 cm lump in the epigastrium. It is slightly tender and cough impulse is absent.                      ---Please Select--- Epigastric hernia Spigelian hernia Femoral hernia Pantaloons hernia Umbilical hernia Inguinal hernia Divarication of recti Incisional hernia Obturator hernia Hiatus hernia    D) A 55-year old male patient referred by his GP with a large lump in the epigastrium with a positive cough impulse. He is known to have Hypertension, COPD and had an emergency repair of leaking abdominal aortic aneurysm six years ago.                      ---Please Select--- Epigastric hernia Spigelian hernia Femoral hernia Pantaloons hernia Umbilical hernia Inguinal hernia Divarication of recti Incisional hernia Obturator hernia Hiatus hernia    E) A 37 year old lady presented to the emergency department with an irreducible left groin lump associated with severe pain. On examination the lump is pear shaped, below and lateral to the pubic tubercle.                      ---Please Select--- Epigastric hernia Spigelian hernia Femoral hernia Pantaloons hernia Umbilical hernia Inguinal hernia Divarication of recti Incisional hernia Obturator hernia Hiatus hernia

Question By Mr. Dev Mittapalli MBBS, MRCS(Eng).