FES WRITTEN TEST EXAM 2024-2025
ACTUAL EXAM COMPLETE 200
QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT
ANSWERS) / ALREADY GRADED A+
What is the minimum time for the scope withdrawal
- ....ANSWER...6-8min
direction of biliary cannulation - ....ANSWER...11 to 12
o'clock position
Patient positioning during ERCP if advancement of
the scope into the duodenum is difficult -
....ANSWER...left lateral decubitus position and then
switch back to prone after the scope has pased
through the pylorus
,Time frames for upper endoscopy - esophageal
ulcer - ....ANSWER...6weeks until healed with bx and
brushings
how to minimize contact between healthy tissues
and a polyp when cauterizing with a snare? -
....ANSWER...position the polyp so that there is broad
contact rather than very focal contact of its surface
with the adjacent bowel wall
how do you apply cautery current when removing
polyps with a snare? - ....ANSWER...monopolar
current in short bursts using primary coag until the
tissue at the base begins to turn white. Then tighten
the snare while applying a final burst of cautery to
allow excision.
methods of polyp retrieval - ....ANSWER...suction into
a trap for small polyps, suction onto the scope tip
with scope withdrawal for slightly larger polyps,
retriever nets for larger polyps
methods to inject saline to elevate sessile polyps -
....ANSWER...inject at the at end of the lesions as
, seen endoscopically (at the proximal end for colon
and at the distal end for foregut)
What does failure of the lesion to rise with saline
injection indicate? - ....ANSWER...submucosal
involvement with the pathology. Endoscopic
resection might not be advisable.
When should a piecemeal excision employeed? -
....ANSWER...larger lesions that cannot be controlled
by a single snare application, if the polyp base or
stalk is more than 2-2.5cm, if the polyp base cannot
be easily constricted by the snare to a 1-1.5cm
diameter before activating the snare
what are the benefits of mucosal resection with
submucosal saline injection? - ....ANSWER...lesion
elevation, creation of a thermal buffer to the deeper
layers of the bowel or stomach wall
when does bleeding occur after endoscppic
resection? - ....ANSWER...up to 2 weeks after the
procedure. But most commonly immediately or when
the eschar sloughs off 7-8 days after the procedure.
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