GERD and Peptic Ulcer Disease USMLE Step 1 Practice Question
A 4-month-old boy presents with an intermittent right groin bulge that becomes more prominent when crying. Vital signs show HR 140/min, RR 32/min, temperature 37.2°C, and normal oxygen saturation. Physical examination reveals a soft, reducible mass extending into the scrotum; the testis is palpable separate from the mass. Abdominal examination is benign without tenderness. Which of the following represents the most likely underlying anatomical defect?
Answer choices
- AFailure of the processus vaginalis to closeCorrect answer
- BWeakness of the transversalis fascia medial to the inferior epigastric vessels
- CFailure of midgut rotation
- DDefect in the obturator canal
- EPersistent vitelline duct
- FCongenital hydrocele from partial patency of the processus vaginalis
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