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General Surgery · Hernia: strangulation risk
Sample itemWhich type of hernia is least likely to strangulate?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Direct inguinal hernia
Direct hernias have a wide neck through the weak posterior wall, so bowel rarely becomes trapped. Femoral hernias have a rigid, narrow neck with the highest strangulation rate, followed by obturator and indirect hernias. This risk guides the urgency of repair.
Option by option
A. Femoral hernia
Femoral hernias strangulate most often.
B. Direct inguinal hernia (correct)
Correct. A wide neck lowers strangulation risk.
C. Obturator hernia
Obturator hernias commonly present with strangulation.
D. Indirect inguinal hernia
Indirect hernias have a narrow neck at the deep ring.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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