Free practice question 14 of 20 · Surgical conditions
An original single best answer question in the style of the MRCS Part A paper, with the answer and a referenced explanation. Pick an answer to reveal it, then rate how sure you were.
A 79-year-old woman with a known large para-oesophageal hiatus hernia has sudden severe epigastric pain and repeated retching without bringing anything up. A nasogastric tube cannot be passed beyond the lower oesophagus.
Which diagnosis is most likely?
Topic guide
Surgical conditions: what the exam tests
Syllabus coverage, high-yield themes and the common traps.
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