A 36-year-old man presents to his physician complaining of rightscrotal swelling.He states that the swelling has been present for 1 week. Heinitially noticed the swelling shortly after moving furniture for hisnew living room.He denies any nausea, vomiting, change in bowel habits,abdominal pain, or urinary tract symptoms. He has no other significantmedical orsurgical history. On examination, he has an enlarged righthemi-scrotum with a mass that appears to be originating at the level of theexternal inguinal ring. With the patient completely relaxed, thephysician is able to reduce the mass by pushing it back through the externalinguinal ring. With the mass reduced, the physician instructs thepatient to perform a Valsalva maneuver, upon which a protrusion is felt at theexternal inguinal ring. Once the mass is reduced, the testicleappears normal in size and consistency.Question 3 of 4If a segment of terminal ileum becomes strangulated as a consequence of hiscondition, it may become infarcted and necrotic due toocclusion of a branch of which of the following vessels?/ A. Celiac trunk/ B. Inferior mesenteric artery/ C. Middle colic artery/ D. Right colic artery/ E. Superior mesenteric arteryQuestion 4 of 4Which of the following pathological processes might cause the patient’sunderlying condition to occur in an infant?/ A. Defect in the floor of the inguinal canal/ B. Defect in the internal inguinal ring/ C. Defect in the linea semilunaris/ D. Patent processus vaginalis/ E. Persistent lumen of the tunica vaginalis
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