LATEST UPDATED COMPLETE 200
QUESTIONS WITH DETAILED
VERIFIED AND 100% CORRECT
ANSWERS BRAND NEW EXAM
GRADED A+
What is the depth of impact for argon plasma? -
....ANSWER...2mm
What is the downside of alcohol injection for ablation
- ....ANSWER...depth of injury is unpredictable
how dos photodynamic therapy work? -
....ANSWER...protoporphyrin derivative (porfimer
sodium) compound is injected intravenously and
concentraes within the neoplastic tissue.
Endoscopically guided, specific wavelength laser light is
then deployed, which causes a photochemical reaction of
the porfimer sodium, leading to the production of singlet
oxygen and targeted cell death.
What are the complications of photodynamic therapy
- ....ANSWER...photosensitivity, strictures, fistulae, chest
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,pain, odynophagia
Radiofrequency ablative techniques have proven to be
effective in the treatment of -
....ANSWER...dysplasic barrett's epithelium
What is the most appropriate ablative technique for cecum
- ....ANSWER...APC
PEG can be used as bridge for what duration -
....ANSWER...1-3mo
What are the indications of PEG - ....ANSWER...any
patients with a functional GI tract, but who is unable to
take enteral nutrition independently, patients requiring
gastric decompression for gastric outlet or more dital
bowel obstructions secondary to unresectable masses or
other lesions, reduction of gastric volvulus in patients
who are not candidates for surgical reduction
Indications for PEJ - ....ANSWER...gastroparesis, atony, a
functional gastric outlet obstruction, documented reflux
and aspiration pneumonia with intragastric feeding
Time frames for upper endoscopy - Familiar polyposis -
....ANSWER...1-2 years
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,Patient positioning for ERCP - ....ANSWER...prone
position with the head turn toward the right shoulder
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, 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
What is the minimum time for the scope withdrawal
- .... ANSWER...6-8min
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