FES WRITTEN EXAM WITH QUESTIONS AND VERIFIED ANSWERS [ACTUAL 100%]
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Course
Ati mental health
Institution
Ati Mental Health
FES WRITTEN EXAM WITH
QUESTIONS AND VERIFIED
ANSWERS [ACTUAL 100%]
Time frames for upper endoscopy - Familiar polyposis - ANS---1-2
years
Patient positioning for ERCP - ANS---prone position with the head
turn toward the right shoulder
Maneuver to look at the GE junction - ANS---J maneuve...
FES WRITTEN EXAM WITH
QUESTIONS AND VERIFIED
ANSWERS [ACTUAL 100%]
Time frames for upper endoscopy - Familiar polyposis - ANS✔✔---1-2
years
Patient positioning for ERCP - ANS✔✔---prone position with the head
turn toward the right shoulder
Maneuver to look at the GE junction - ANS✔✔---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 - ANS✔✔---selective
bile duct cannulation w/ guidewire, stenting pancreatic dut w/ stent or
guidewire for difficult CBD cannulation, limiting contrast injection into
the pancreatic duct
patient positioning for upper endoscopy - ANS✔✔---left side down,
head slightly up.
, Technique for billiary sphincterotomy - ANS✔✔---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
When to stop warfarin before ERCP - ANS✔✔---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 - ANS✔✔---3-5%
Maneuver to look at the GE junction - ANS✔✔---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,
Timing of colonoscopy for first degree relative w/ CRC or adenomas
prior to age 60 - ANS✔✔---colonoscopy at age 40 or 10 years before
the youngest affected relative, whichever is earlier. Then repeat every
5 yrs
Indications for ECRP - ANS✔✔---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
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