REFA Exit Exam • Set 1 Question 19 of 30
Signs that hernia is serious include
✓
Direct Answer
Option A: Pain and tenderness at site
Severe hernia presentations involve tissue strangulation or incarceration, clinically indicated by acute pain, localized tenderness, and potential discoloration, requiring urgent surgical intervention aboard ship.
All Options
A
Pain and tenderness at site
(Correct Answer)
B
Pale, ashen skin colour at site
C
Hernia can be pushed back into the body
D
Hernia is above the diaphragm
Detailed Explanation & Context
Severe hernia presentations involve tissue strangulation or incarceration, clinically indicated by acute pain, localized tenderness, and potential discoloration, requiring urgent surgical intervention aboard ship.
Relevant Framework: STCW 2010 Manila Amendments • DG Shipping E-Learning & Exit Exam Standards • Refresher Elementary First Aid (REFA).
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