Answered By: Shazia Arif
Last Updated: 09 Mar, 2026     Views: 3

Go to the ClinicalKey Student homepage after you have logged in and select 'Quizzing and Test Prep'. You can then choose either the 'Basic Science' or 'Clinical Medicine' question bank.

Alternatively, you can filter by the following topics: 

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Blood and immune systems, cardiovascular system, digestive system, endocrine system, musculoskeletal system,nervous system, psychological system, renal and reproductive systems, respiratory system and skin and subcutaneous systems.

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You can then filter the questions by 'Difficulty' (easy, medium or hard), 'Question relevancy' (essential, important or supplementary) and 'Question cognitive level' (remember, understand, apply).

For example; 

A 55-year-old man presents with a lump in his groin for 3 months which has been causing him some discomfort. On examination, when reducing the lump and pressing on the area of the deep inguinal ring, the lump reappears.

What is the likely diagnosis?


Answer Options

A. Direct inguinal hernia is correct

Direct hernia occurs as a result of a defect in the transversalis fascia. The opening of the hernia is medial to the inferior epigastric artery.

 

B. Femoral hernia is incorrect

Femoral hernias occur just below the inguinal ligament. Abdominal contents pass through the femoral canal. This is more common in females.

 

C. Spigelian hernia is incorrect

This is protrusion of peritoneum through bands of internal oblique muscle as the muscle enters the semilunar line.

 

D. Indirect inguinal hernia is incorrect

The indirect hernia sac is the remains of the processus vaginalis. The sac extends through the deep ring, the inguinal canal and the superficial ring.

 

E. Paraumbilical hernia is incorrect

This is a protrusion of the peritoneal sac and contents through a defect in the linea alba, adjacent to the umbilicus.