General Surgery

20 learning units • 100 chapter sections • 200 explained questions. Assess surgical disease, recognise complications and connect intervention with safe recovery and follow-up.

Original RAHBAR study material for the Year 4 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 10 / 20

Upper Gastrointestinal Surgical Disease

Evaluate dysphagia, perforation and gastric obstruction using alarm features and physiological priorities.

Choose an answer and check it immediately. Change your choice to try again. This is a self-study exercise; results are not saved.

Question 01. Progressive dysphagia from solids to liquids with weight loss suggests what? A. Simple reflux requiring no reviewB. A normal ageing changeC. Isolated functional constipationD. A mechanical obstruction requiring prompt investigation

Question 02. What makes dysphagia immediately more urgent? A. A stable remote dental fillingB. Normal appetite aloneC. Inability to manage secretions or aspiration riskD. Mild heartburn years ago

Question 03. What does endoscopy offer in a suspected structural oesophageal lesion? A. Direct staging of every distant metastasisB. Measurement of all motility disorders aloneC. Guaranteed exclusion after any inadequate biopsyD. Visual assessment and tissue sampling

Question 04. Does absence of free gas exclude gastrointestinal perforation? A. NoB. Yes, universallyC. Only if pain is suddenD. Yes, with a single normal temperature

Question 05. Sudden severe epigastric pain with a rigid abdomen requires what? A. Routine antacid advice onlyB. Elective review after monthsC. Urgent resuscitation and surgical assessmentD. Reassurance if pain briefly settles

Question 06. Persistent vomiting of retained food and early satiety suggests what? A. Isolated anal fissureB. Uncomplicated haemorrhoidsC. Gastric outlet obstructionD. Simple cystitis

Question 07. Which issue needs correction during gastric outlet obstruction care? A. Only cosmetic weight changeB. Dehydration and electrolyte depletionC. Only mild skin dryness without assessmentD. Every unrelated laboratory variation

Question 08. What should happen if a suspicious lesion has a nondiagnostic biopsy? A. Reconcile findings and arrange appropriate further evaluationB. Declare it benign automaticallyC. Discharge without reviewD. Ignore the endoscopic appearance

Question 09. What guides management of confirmed upper-GI cancer? A. Dysphagia severity aloneB. A single tumour marker aloneC. Age alone in every caseD. Staging and multidisciplinary assessment

Question 10. Why assign responsibility for gastric-ulcer follow-up? A. Every ulcer is proven benign at presentationB. Follow-up only measures pain toleranceC. Acid suppression excludes all further diseaseD. Healing and malignancy-related concerns may need reassessment

0 / 10 answeredReady for assessment →

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

Reference review: 27 September 2026. Consult current local protocols for prescribing, procedures and escalation.