FES written Exam With Questions And Answers 100% Verified 2024/2025
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Course
FES
Institution
FES
FES written Exam With Questions And Answers 100%
Verified 2024/2025
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 endosc...
FES written Exam With Questions And Answers 100%
Verified 2024/2025
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
,Time frames for upper endoscopy - esophageal varices s/p
sclerotherapy and banding - CORRECT ANSWER q6-8weeks
Indications for screening colonoscopies - CORRECT ANSWER over 50
y/o, repeat every 10 years
Time frames for upper endoscopy - pernicious anemia - CORRECT
ANSWER single endoscopy w/o f/u
complication rate of diagnostic colonoscopy - CORRECT ANSWER
1:1500
Time frames for upper endoscopy - Barett's esophagus (high risk) -
CORRECT ANSWER >3 cm, circumferential - yearly
low grade dysplasia - every 6 mo
Factors a/w rebleeding after endoscopic procedures - CORRECT
ANSWER endoscopic stigmata w/ active bleeding and visible vessles
having the highest rebleeding risk, pigmentation of a red, dark or white
color signifying gradually maturing clots, ulcer size >2cm and
proximity to major arteries, age (>60yo), comorbid status, shock,
coagulopathy, anemia
screening timeline for FAP - CORRECT ANSWER lower and upper
endoscopy starting in the early teen years
Time frames for upper endoscopy - Barrett's esophagus (low risk) -
CORRECT ANSWER <3cm, no dysplasia, every 1-2 years
absolute contrainditions for ERCP - CORRECT ANSWER none
, (blank) are designed to view the lumen either in a front or side viewing
manner - CORRECT ANSWER Flexible scopes
(blank) allow for optimal access to certain areas of the stomach and
duodenum and are most commonly utilized during ERCP - CORRECT
ANSWER side-viewing
What is a charge coupled device or complementary metal oxide
semioconducter chip based camera? - CORRECT ANSWER sends
digital message to a digital processor
the suction button and the biopsy cap share a **** - CORRECT ANSWER
common channel
The suction/biopsy channel is usually between what position on a
clock face - CORRECT ANSWER 5 and 7 oclock
The (blank) cable connects to the video processing unit either
wirelessly or via a separate cable. - CORRECT ANSWER umbilical
Can you use saline in your water channel? - CORRECT ANSWER NO it
can crystalize
Do not activate (blank) until the functioning end of the device is fully
exited from the endoscope channel. - CORRECT ANSWER energy
sources
What scope is a side viewing scope? - CORRECT ANSWER A
duodenoscope
What are external sources of endoscopic illumination? - CORRECT
ANSWER Xenon Arc, halogen filled tungsten filament lamp, LED
What happens when the blue button of the scope handle is depressed?
- CORRECT ANSWER Provides water to clear the lens
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