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Asymptomatic inguinal hernia — USMLE Step 3 MCQ

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ModerateSurgery (post-operative, follow-up)Asymptomatic inguinal herniaUSMLE Step 3

A 58-year-old man has a small right inguinal bulge found during examination. It enlarges with coughing and reduces easily. He has minimal discomfort, no nausea, and no obstructive symptoms. He prefers to avoid surgery if safe. Which of the following is the most appropriate at this time?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: A — Offer watchful waiting with return precautions

Minimally symptomatic reducible inguinal hernia in men can be managed with watchful waiting after counselling.

Reference: Surgical hernia management guidance: https://www.facs.org/