A 25 year old body builder presents to his physician with a swelling in the groin


Question:  USMLE step 1 Mcq 25
A 25 year old body builder presents to his physician with a swelling in the groin.He has never been to see a doctor before. On examination,the patient is afebrile, the mass is 3cm x 3 cm .It can be reduced on gentle palpation. When asked to cough,an impulse is felt by the physician and a mass appears inferomedial to the external ring in the inguinal region. The most likely diagnosis is
a) enlarged lymph node
b) ectopic testes
c) indirect inguinal hernia
d) saphena varix
e) direct inguinal hernia

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