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NBME 21 Answers

nbme21/Block 4/Question#47 (21.6 difficulty score)
While lifting weights, a 24-year-old man ...

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submitted by lilmonkey(19),

There is nothing indicating that this is a femoral hernia. It could be any type of hernia in the inguinal region (femoral, direct of indirect inguinal). No need to overthink: symptoms of incarceration, piece of dead bowel - strangulation, done, keep going.

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submitted by coolcatac(15),
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rlaFome r-aHine oMre ylekil to rsetnep hiwt iniactasrcrnoe aliunngtatsro hnta ninulagi ua aiSgntonrtl csut fof odolb lowf hwich seslrtu in amicsieh nda csrsneoi oallr(neep)sw/n,/id nda onrrtcaica ein esuslrt in blwoe enigb rptdepa in irhnea

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submitted by pparalpha(78),
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eTh uiiagnnl tarp of the tiqouens ptonsi yuo ot a a eoalmfr anhier

lFarmeo er:naih nnmcooum ptey of uniaglin aeirnh, ni chhwi danioimlra-ntab ocstntne n(i tsih acse eth mlals blwe)o teirhaen nito eht lfamreo alacn ouhgtrh teh moealfr irgn

Teh mi:gea sulnnrota:gita chceiims ecissrno of oncsttne niwhti het iehanr cas as bolod lfow si prcoomdsime ude ot aoneicrairtcn r(eblueiidrc rfemaol rnahie ued ot artpdep hnaeri cennotts in ineahr )asc

,So ni rhots: aeolfrm nharei acn dale ot a ciciaotnmopl dlelac ennrcarcioait ihwch anc dela to uaogtrntsnila

madojo  Femoral hernia's are more common in women, i don't think this was a femoral hernia, either way any type of hernia can under strangulation. +