Surgery Assessment

20 learning units • 10 questions per unit • 200 explained questions

Module 10 — Bowel Obstruction & Hernias

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Question 01 • Single best answer

What distinguishes mechanical obstruction from ileus?

A. A physical barrier rather than impaired propulsion alone B. Always more severe fever C. Always a longer hospital stay D. A different blood group

Question 02 • Single best answer

Which is a common cause of small-bowel obstruction after prior abdominal surgery?

A. Cataract B. Otitis externa C. Adhesions D. A healed wrist fracture

Question 03 • Single best answer

Does passage of stool early in the illness exclude bowel obstruction?

A. Yes, in every case B. Yes, if the patient is young C. No, distal contents may still pass D. Yes, if vomiting is absent initially

Question 04 • Single best answer

What defines a closed-loop obstruction?

A. Obstruction of a bowel segment at two points B. A single superficial skin stitch C. Absence of abdominal pain D. A normal intestinal transit study

Question 05 • Single best answer

What does strangulation mean in a hernia?

A. Compromised blood supply to its contents B. A painless reducible swelling C. Any cough impulse D. A scar without a defect

Question 06 • Single best answer

Which finding raises concern for bowel ischemia in obstruction?

A. Stable comfort and improving observations B. Persistent severe pain with worsening physiology C. A normal appetite alone D. An unchanged old scar

Question 07 • Single best answer

What can CT contribute in suspected obstruction?

A. A guarantee that no reassessment is needed B. Direct restoration of bowel blood flow C. Elimination of all operative risk D. Information about level, cause and complications

Question 08 • Single best answer

How should a tender irreducible hernia with vomiting be handled?

A. Routine review months later B. Forceful unsupervised reduction C. Urgent surgical assessment D. Ignore it if the skin is normal

Question 09 • Single best answer

Which hernia type has an important strangulation risk?

A. Femoral hernia B. Every healed incision without a defect C. A skin tag D. A normal umbilical scar alone

Question 10 • Single best answer

Which factor belongs in an elective hernia decision?

A. Only the calendar month B. Only the hospital paint color C. Only the size of the consent form D. Symptoms, hernia type, operative risk and patient preference

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