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FES written exam Questions And Answers 100% Verified 2024/2025
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FES written exam Questions And Answers 100% Verified 2024/2025
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FES written examTime frames for upper endoscopy - Familiar polyposis - ANS1-2 years
Patient positioning for ERCP - ANSprone function with the top flip in the direction of the right
shoulder
patient positioning for top endoscopy - ANSleft facet down, head barely up.
Maneuver to look at the GE junction - ANSJ maneuver (tip up), rotate the shaft of the scope
CCW and withdraw, pulling the scope into the proximal frame and cardia, rotate the scope 360
around the GE jx,
strategies to lower submit ERCP pancreatitis - ANSselective bile duct cannulation w/ guidewire,
stenting pancreatic dut w/ stent or guidewire for hard CBD cannulation, proscribing evaluation
injection into the pancreatic duct
Technique for billiary sphincterotomy - ANSapply stress w/ slicing wire toward 11 o'clock course,
keep the sphincterotomy till the intramural component is cut. Use combined present day with
slicing and coag at 15-20J. Alt: can use balloon dilation however a/w higher fee of put up-ECRP
pancreatitis
Direction of pancreatic cannulation all through ERCP - ANS1 to three o'clock role
When to stop warfarin earlier than ERCP - ANSstop 5 days before and switch to heparin or
lovenox if peri-procedural anticoagulation is needed. This may be stopped an afternoon
previous to the system
charge of submit ERCP pancreatitis - ANS3-five%
Timing of colonoscopy for first diploma relative w/ CRC or adenomas prior to age 60 -
ANScolonoscopy at age forty or 10 years earlier than the youngest affected relative, whichever
is in advance. Then repeat each five yrs
Indications for ECRP - ANSTissue sampling - bile duct, pancreatic duct, ampulla bx
chronic pancreatitis/divisum
pancreatic malignancy
billiary malignancy
Benign strictures
Ductal disruption/harm
Jaundice
cholangitis
, gallstone pancreatitis
dilated CBD
maneuvers to go into IC valve - ANSrotate the scope till the valve is at the bottom of the field of
regard, appearance down into the valve, lightly insufflate air to open up the valve, OR retroflex
the end in the cecum and shorten the scope (hook the IV valve)
most cancers detection charge of brush biopsy - ANS20-60%
band ligation vs sclerotherapy for esophageal varices - ANSequal efficacy but baldn ligation has
decrease hardship rate.
Most cancers detection rate of needle aspiration - ANS6-30%
how lengthy after sphincterotomy can the bleeding hardship show up? - ANSimmediate up to 14
days
relative contraindications for colonoscopy - ANSanal fissure, recent MI, PE, large bowel
obstruction
Time frames for higher endoscopy - esophageal varices s/p sclerotherapy and banding -
ANSq6-8weeks
Indications for screening colonoscopies - ANSover 50 y/o, repeat each 10 years
Time frames for higher endoscopy - pernicious anemia - ANSsingle endoscopy w/o f/u
hardship charge of diagnostic colonoscopy - ANS1:1500
Time frames for top endoscopy - Barett's esophagus (high chance) - ANS>3 cm, circumferential
- yearly
low grade dysplasia - each 6 mo
Factors a/w rebleeding after endoscopic approaches - ANSendoscopic stigmata w/ active
bleeding and seen vessles having the best rebleeding chance, pigmentation of a crimson,
darkish or white shade signifying gradually maturing clots, ulcer size >2cm and proximity to
predominant arteries, age (>60yo), comorbid popularity, surprise, coagulopathy, anemia
removal timing for pancreatic duct stent - ANS3 weeks
Definition of post ECRP pancreatitis - ANSincreased stomach pain a/w elevation of serum
amylase >3x NL
relative contraindications for ERCP - ANScardiopulmonary instability, pregnancy, coagulopathy
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