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这是一篇刊登在Dtsch Arztebl Int. 2016 Mar; 113(9): 150–158.上的关于腹股沟疝循证医学文章（Evidence-Based Hernia Treatment in Adults）中作者（Dieter Berger）给出的专业调查问卷，目的是帮助医生的继续教育。 在此，小编将问卷抄录如下，各位，可不妨做一下试试。 （答案其实就在原文中，）任何问题，可给我留言。 若需原文，请勾搭小编。 Please answer the following questions to participate in our certified Continuing Medical Education program. Only one answer is possible per question. Please select the most appropriate answer. Question 1 In the epidemiology of inguinal hernia, which of the following statements is true? It is more common in women. Its incidence peaks between the ages of 20 and 40. It is more common on the left. Femoral hernias are the most common type in men. Its incidence rises with age.
Question 2 What is now considered an important cause of inguinal hernia? a) Direct trauma b) A hormonal imbalance c) A disturbance of the extracellular matrix d) Physical labor e) Disordered neuromuscular innervation Question 3 What is the main method of diagnosing inguinal hernia? Dynamic ultrasonography MRI (supine and with a Valsalva maneuver) Herniography Physical examination Diaphanoscopy
Question 4 What should be recommended for a 61-year-old man with an asymptomatic inguinal hernia? Surgery within 4 weeks Watchful waiting as an option that is just as good as primary surgery Adequate analgesic medication in case pain arises Conservative treatment, as suture-based methods of hernia repair have high recurrence rates A truss, considering that the patient had a heart attack six years ago
Question 5 What surgical method does the European Hernia Society (EHS) recommend in its guidelines on inguinal hernia treatment in adults? Repair of bilateral hernias through an anterior approach Repair of unilateral hernias with a suture-based technique Laparoscopic/endoscopic repair of inguinal hernias in women Preferably, laparoscopic/endoscopic techniques for unilateral inguinal hernia Preferably, Bassini repair when a suture-based technique is used
Question 6 Which of the following is a risk factor for recurrent inguinal hernia based on the technique of the initial operation? The posterior approach for an inguinal hernia in a woman The anterior reproach for a recurrence after a prior anterior approach The posterior approach for a recurrence after a prior posterior approach Suture fixation of a mesh in an open procedure Non-use of a mesh in a laparoscopic/endoscopic procedure
Question 7 What patient-specific factor is correlated with recurrent inguinal hernia? Sliding hernia in a man Male sex Indirect hernia Regular alcohol consumption Primary inguinal hernia
Question 8 Which of the following is true of hernia repair with a mesh? Small-pore meshes in open surgery are more likely to cause chronic pain Large-pore meshes in open surgery are more likely to cause chronic pain Polyester meshes should be used Self-adhesive meshes are now the best option Mesh rupture is a common cause of recurrence
Question 9 Chronic pain after inguinal hernia repair is common. How can it be made less common? With open surgery With suture-based techniques With small-pore meshes With laparoscopic/endoscopic technique With early elective surgery
Question 10 A 70-year-old man has had a painful protrusion in his left groin since yesterday and presents to the emergency room at 8 pm with recurrent vomiting. What are the appropriate diagnostic and therapeutic measures to be taken? Tomographic imaging Operation the next morning if the hernia is irreducible Transfer to a hernia center Operation as soon as possible, with a suture-based repair, because the hernia is incarcerated Operation as soon as possible, with a mesh-based repair, because the hernia is incarcerated
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