Ventral and incisional hernias Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 32-year-old woman presents to the primary care office for evaluation of a painful lump over her lower abdomen. She delivered her third child by cesarean section one year ago and has noted a lump near the edge of her surgical scar that becomes painful whenever she lifts her son or exercises. She has no pain at rest and does not have nausea or vomiting. Bowel movements have been regular. Temperature is 37.0°C (98.6°F), pulse is 72/min, respiratory rate is 16/min, and blood pressure is 118/78 mmHg. The abdomen is nontender with normal bowel sounds and a normal skin exam. A 4 cm soft bulge appears in the suprapubic region with Valsalva maneuver and reduces with relaxation. Which of the following is the next best step in the management?

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Outpatient surgical consultation

Referral to the emergency department for surgical consultation

Reassurance and counseling on watchful waiting

Outpatient ultrasound of the abdomen

Referral to the emergency department for a CT of the abdomen and pelvis