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FES WRITTEN EXAM QUESTIONS WITH 100% CORRECT ANSWERS { GRADED A+}

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FES WRITTEN EXAM QUESTIONS WITH 100% CORRECT ANSWERS { GRADED A+} Time frames for upper endoscopy - Familiar polyposis - 1-2 years Patient positioning for ERCP - prone position with the head turn toward the right shoulder patient positioning for upper endoscopy - left side down, head sli...

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  • June 29, 2024
  • 21
  • 2023/2024
  • Exam (elaborations)
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FES WRITTEN EXAM QUESTIONS WITH

100% CORRECT ANSWERS { GRADED

A+}




Time frames for upper endoscopy - Familiar polyposis - ✔✔1-2 years


Patient positioning for ERCP - ✔✔prone position with the head turn toward the

right shoulder


patient positioning for upper endoscopy - ✔✔left side down, head slightly up.


Maneuver to look at the GE junction - ✔✔J maneuver (tip up), rotate the shaft of

the scope CCW and withdraw, pulling the scope into the proximal body and cardia,

rotate the scope 360 around the GE jx,


techniques to decrease post ERCP pancreatitis - ✔✔selective bile duct

cannulation w/ guidewire, stenting pancreatic dut w/ stent or guidewire for difficult

CBD cannulation, limiting contrast injection into the pancreatic duct

,Technique for billiary sphincterotomy - ✔✔apply pressure w/ cutting wire toward

11 o'clock direction, continue the sphincterotomy until the intramural portion is

cut. Use blended current with cutting and coag at 15-20J. Alt: can use balloon

dilation but a/w higher rate of post-ECRP pancreatitis


Direction of pancreatic cannulation during ERCP - ✔✔1 to 3 o'clock position


When to stop warfarin before ERCP - ✔✔stop 5 days before and switch to

heparin or lovenox if peri-procedural anticoagulation is required. This can be

stopped a day prior to the procedure


rate of post ERCP pancreatitis - ✔✔3-5%


Timing of colonoscopy for first degree relative w/ CRC or adenomas prior to age

60 - ✔✔colonoscopy at age 40 or 10 years before the youngest affected relative,

whichever is earlier. Then repeat every 5 yrs


Indications for ECRP - ✔✔Tissue sampling - bile duct, pancreatic duct, ampulla

bx


chronic pancreatitis/divisum


pancreatic malignancy


billiary malignancy

, Benign strictures


Ductal disruption/injury


Jaundice


cholangitis


gallstone pancreatitis


dilated CBD


maneuvers to enter IC valve - ✔✔rotate the scope until the valve is at the bottom

of the visual field, look down into the valve, gently insufflate air to open up the

valve, OR retroflex the tip in the cecum and shorten the scope (hook the IV valve)


cancer detection rate of brush biopsy - ✔✔20-60%


band ligation vs sclerotherapy for esophageal varices - ✔✔equal efficacy but

baldn ligation has lower complication rate.


cancer detection rate of needle aspiration - ✔✔6-30%


how long after sphincterotomy can the bleeding complication manifest? -

✔✔immediate up to 14 days

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