<prompt> On examination of the patient for a hernia, it is useful to realize that:An impulse is often much better seen than feltThe internal abdominal ring lies 1.25 cm above the midpoint of poupas ligamentThe external abdominal ring lies 1.25 cm above and medial to ASISNone of the above  <response>: CLINICAL FEATURES Males are 20 times more commonly affected than females. The patient complains of pain in the groin or pain referred to the testicle when performing heavy work or taking strenuous exercise. When asked to cough, a small transient bulging may be seen and felt together with an expansile impulse. Large hernias : Sensation of weight and dragging on the mesentery may produce epigastric pain. 