Avbug...
Normally, I agree with you but not this time. if you "Fly the airplane the same as you fly in flat terrain" you can set yourself up for some serious issues - especially in light, normally aspirated aircraft. I'd venture to guess that most "flat landers" have never been taught to cross mountain ridges at a 45 degree angle or to fly on the upwind side of a valley. Crossing a ridge, head-on, in a low powered airplane is not smart. Most flat landers don't have to deal with density altitudes that can reach 9,000' or more.
In flat land, we calculate takeoff peformance. In the hills, we calculate takeoff performance. Seems the same.
I believe most of the questions here regarded instrument flying, but either way...if one can't fly around rocks, it isn't a matter of needing additional training; it's a matter of weak skills and insufficient training in the first place.
An airplane has no idea what obstacles lie above or below. An airplane doesn't really know how close it is to trees, antennaes, mountains, or whatever. TAS increases at higher density altitudes, when indicated airspeed remains the same or is held the same.
Can a student pilot not read? Does not every private pilot manual talk about how to cross a ridge, and then advise crossing at a high enough altitude where it's never an issue?
The poster is asking about questions for a job interview; presumably he or she isn't a student pilot.
I fly some fairly serious contact work in very cut-up mountainous terrain at times, often loaded to the gills, almost always in strong winds and lowering visibilities. And a whole lot closer to the ridge than most. The truth is, I don't fly around hills any differently than I fly over a field, or at FL 410...it's all the same airmanship.
It's a little like a conventional gear airplane. A tailwheel airplane is no more difficult to fly, but it exposes poor habits and bad training. Flying around terrain may do the same thing. The flying is the same, but for those who don't exercise basic good airmanship to begin with, it can bite.
The fact remains, however, that the flying is the same.