Q:

A man has reducible bulge below the pubic tubercle, and on occlusion of the deep inguinal ring, cough impulse is present. What is the most likely diagnosis?

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A man has reducible bulge below the pubic tubercle, and on occlusion of the deep inguinal ring, cough impulse is present. What is the most likely diagnosis?


  1. Direct inguinal
  2. Indirect inguinal
  3. Femoral
  4. Spigelian
  5. Lumbar

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The key is C. Femoral hernia. [It is just below the pubic tubercle that is just below the inguinal ligament. On occlusion of deep ring cough impulse is present (means visible) as femoral hernia doesn’t come through deep ring but indirect inguinal hernia].

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