This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
[{'content': 'The following are the risk factors for inguinal hernia:a) Family history of inguinal herniab) Weight lifterc) COPDd) Femalee) Obesity \nSelect and explain. \nA. bcde, B. abce, C. acde, D. abde', 'role': 'user'}, {'content': 'Answer: B \nExplanation: 2 factors are responsible for causing any hernia:\n\nweakness of abdominal muscle\nchronically increased intraabdominal pressure\n\nWeakness of abdominal muscles\n1. Patent processus vaginalis\n2. Patent canal of Nuck causes indirect inguinal hernia in females\n3. Connective tissue disorders like Ehlers Danlos syndrome\n4. Congenital condition like Exstrophy of bladder, Prune belly syndrome\n5. Advancing age and chronic debilitating diseases\nIncreased abdominal pressure\n\nMarked obesity\nAbdominal strain from heavy exercise or lifting\nChronic cough in bronchitis, tuberculosis etc. (Whoopic cough in children)\nChronic constipation with straining at stool\nEnlarged prostate with straining at micturition\nPregnancy\nCirrhosis with ascites\nChronic ambulatory peritoneal dialysis\nIntraabdominal tumors\nChronically enlarged pelvic organs\n\nOther risk factors\n\nFamily history\nSex - Indirect inguinal are more common in boys\nPreterm babies\nHistory of hernia - h/o of hernia on one side is risk factor for the other side.', 'role': 'assistant'}]