2024/2025 FES WRITTEN EXAM QUESTIONS WITH VERIFIED SOLUTIONS
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Course
FES WRT
Institution
FES WRT
Time frames for upper endoscopy - Familiar polyposis - ANSWER 1-2 years
Patient positioning for ERCP - ANSWER prone position with the head turn toward the right shoulder
patient positioning for upper endoscopy - ANSWER left side down, head slightly up.
Maneuver t...
2024/2025 FES WRITTEN EXAM
QUESTIONS WITH VERIFIED
SOLUTIONS
,Time frames for upper endoscopy - Familiar polyposis - ANSWER 1-2
years
Patient positioning for ERCP - ANSWER prone position with the head
turn toward the right shoulder
patient positioning for upper endoscopy - ANSWER left side down,
head slightly up.
Maneuver to look at the GE junction - 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 - 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 - 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 - ANSWER 1 to 3
o'clock position
When to stop warfarin before ERCP - 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 - ANSWER 3-5%
, Timing of colonoscopy for first degree relative w/ CRC or adenomas prior to
age 60 - 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 - 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 - ANSWER 20-60%
band ligation vs sclerotherapy for esophageal varices - ANSWER equal
efficacy but baldn ligation has lower complication rate.
cancer detection rate of needle aspiration - ANSWER 6-30%
how long after sphincterotomy can the bleeding complication manifest? -
ANSWER immediate up to 14 days
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