FES Written Exam UPDATED ACTUAL Exam Questions and CORRECT Answers
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Course
FES
Institution
FES
FES Written Exam UPDATED ACTUAL
Exam Questions and CORRECT Answers
Time frames for upper endoscopy - Familiar polyposis - CORRECT ANSWER- 1-2
years
Patient positioning for ERCP - CORRECT ANSWER- prone position with the head turn
toward the right shoulder
patient positioning for upper endos...
FES Written Exam UPDATED ACTUAL
Exam Questions and CORRECT Answers
Time frames for upper endoscopy - Familiar polyposis - CORRECT ANSWER✔✔- 1-2
years
Patient positioning for ERCP - CORRECT ANSWER✔✔- prone position with the head turn
toward the right shoulder
patient positioning for upper endoscopy - CORRECT ANSWER✔✔- left side down, head
slightly up.
Maneuver to look at the GE junction - CORRECT ANSWER✔✔- 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 - CORRECT ANSWER✔✔- 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 - CORRECT ANSWER✔✔- 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 - CORRECT ANSWER✔✔- 1 to 3 o'clock
position
When to stop warfarin before ERCP - CORRECT ANSWER✔✔- 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 - CORRECT ANSWER✔✔- 3-5%
, Timing of colonoscopy for first degree relative w/ CRC or adenomas prior to age 60 -
CORRECT ANSWER✔✔- colonoscopy at age 40 or 10 years before the youngest affected
relative, whichever is earlier. Then repeat every 5 yrs
maneuvers to enter IC valve - CORRECT ANSWER✔✔- 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 - CORRECT ANSWER✔✔- 20-60%
band ligation vs sclerotherapy for esophageal varices - CORRECT ANSWER✔✔- equal
efficacy but baldn ligation has lower complication rate.
cancer detection rate of needle aspiration - CORRECT ANSWER✔✔- 6-30%
how long after sphincterotomy can the bleeding complication manifest? - CORRECT
ANSWER✔✔- immediate up to 14 days
relative contraindications for colonoscopy - CORRECT ANSWER✔✔- anal fissure, recent
MI, PE, large bowel obstruction
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