Surgery Assessment

20 learning units • 10 questions per unit • 200 explained questions

Module 11 — Upper Gastrointestinal Surgical Disease

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Question 01 • Single best answer

Progressive difficulty swallowing solids with weight loss most warrants what?

A. Reassurance without assessment B. A diagnosis of simple reflux by default C. Ignoring nutrition until symptoms resolve D. Prompt evaluation for structural disease including malignancy

Question 02 • Single best answer

Difficulty initiating swallowing with coughing suggests which concern?

A. Guaranteed gastric outlet obstruction B. A healed duodenal ulcer alone C. Oropharyngeal dysfunction and aspiration risk D. A femoral hernia

Question 03 • Single best answer

Which combination suggests upper gastrointestinal bleeding?

A. Isolated ankle pain and rash B. Hematemesis and melena C. Clear urine and sneezing D. A painless skin tag

Question 04 • Single best answer

Sudden severe abdominal pain with rigidity in a patient with ulcer disease raises concern for what?

A. Uncomplicated heartburn only B. Perforation C. A cataract D. A stable old scar

Question 05 • Single best answer

What is an important initial priority in major upper gastrointestinal bleeding?

A. Assess perfusion and stabilize while arranging specialist care B. Delay all assessment until elective endoscopy C. Give dietary advice alone D. Assume chronic dyspepsia makes bleeding harmless

Question 06 • Single best answer

What can endoscopy provide in suspected upper gastrointestinal cancer?

A. Complete staging of every distant site by itself B. Guaranteed cure without treatment C. Measurement of limb perfusion D. Visualization and tissue sampling

Question 07 • Single best answer

Which organism is associated with peptic ulcer disease?

A. Plasmodium falciparum as the usual cause B. Measles virus as the usual cause C. Dermatophytes as the usual cause D. Helicobacter pylori

Question 08 • Single best answer

Persistent vomiting of retained food and early satiety suggest what?

A. A diagnosis of appendicitis in every case B. An isolated anal fissure C. Gastric outlet obstruction in the appropriate context D. A normal finding after every meal

Question 09 • Single best answer

Why investigate a new outlet obstruction despite previous benign ulcer disease?

A. Prior ulcers exclude cancer permanently B. The cause never affects treatment C. Electrolytes cannot be affected D. Malignancy or another cause may now be present

Question 10 • Single best answer

What does cancer staging chiefly establish?

A. Whether the patient signed a form B. The blood group alone C. The extent of disease D. The exact pain score

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