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Question 65

A 75-year-old female was admitted for repair of a hiatal hernia which was performed on the first day of admission. While recovering, the patient fell out of her bed and sustained a fractured femur which was surgically reduced. Further complications included severe angina for which a cardiac catheterization and PTCA were performed. The principal procedure is

    Correct Answer: B

    The primary procedure is the one that was the main reason for the patient's admission to the hospital. In this case, the patient was admitted for the repair of a hiatal hernia, which was performed on the first day of admission. Although the patient subsequently suffered other medical issues requiring additional procedures, the principal procedure remains the one for which the admission was initially made, which is the herniorrhaphy.

Discussion
AngelwhispersOption: B

A herniorrhaphy refers to the surgical repair of a hernia, in which a surgeon repairs the weakness in your abdominal wall. A hernia occurs when a weak area in the muscles of your abdominal wall allows an internal part of your body to push through.

AtienoOption: B

Reason - admitted for repair of a hiatal hernia which was performed on the first day of admission