multiple health questions, health and medicine homework help

A 36-year-old man presents to his physician complaining of right

scrotal swelling.

He states that the swelling has been present for 1 week. He

initially noticed the swelling shortly after moving furniture for his

new living room.

He denies any nausea, vomiting, change in bowel habits,

abdominal pain, or urinary tract symptoms. He has no other significant

medical or

surgical history. On examination, he has an enlarged right

hemi-scrotum with a mass that appears to be originating at the level of the

external inguinal ring. With the patient completely relaxed, the

physician is able to reduce the mass by pushing it back through the external

inguinal ring. With the mass reduced, the physician instructs the

patient to perform a Valsalva maneuver, upon which a protrusion is felt at the

external inguinal ring. Once the mass is reduced, the testicle

appears normal in size and consistency.

Question 3 of 4

If a segment of terminal ileum becomes strangulated as a consequence of his

condition, it may become infarcted and necrotic due to

occlusion 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 artery

Question 4 of 4

Which of the following pathological processes might cause the patient’s

underlying 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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