FES written exam questions with verified correct answers
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Course
FES
Institution
FES
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 l...
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
, Indications for ECRP - correct answer 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
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
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