FAU Advanced Health Assessment Practice Test

What is the primary symptom of a scrotal hernia?

1. Pain in the lower abdomen

2. A bulge in the groin or scrotum

3. Swelling in the testicles

4. Fluid accumulation in the scrotum

The correct answer is: A bulge in the groin or scrotum

The primary symptom of a scrotal hernia is indeed a bulge in the groin or scrotum. This occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles and enters the inguinal canal, which can extend into the scrotum. This bulge may be more noticeable when standing or during activities that increase abdominal pressure, such as lifting or straining. It can often be reduced when lying down. The presence of a bulge is significant as it helps differentiate a hernia from other conditions that may involve discomfort or swelling in the groin area. Other symptoms, such as pain or swelling in the testicles or lower abdomen, may occur but are not the primary symptoms. Fluid accumulation in the scrotum, known as a hydrocele, can also present similarly but is a different condition altogether. Thus, the identification of a bulge in the groin or scrotum is crucial for diagnosing a scrotal hernia.