FES written Exam With Questions And Answers
100% Verified
1. Time frames for upper endoscopy - Familiar polyposis
Answer: 1-2 years
2. Patient positioning for ERCP
Answer: prone position with the head turn toward the right shoulder
3. patient positioning for upper endoscopy
Answer: left side down, head slightly up.
4. 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,
5. techniques to decrease post ERCP pancreatitis
Answer: selective bile duct cannulation w/ guidewire, stenting pancreatic dut w/ stent or guidewire for diflcult
CBD cannulation, limiting contrast injection into the pancreatic duct
6. 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
Answer: can use balloon dilation but a/w higher rate of post-ECRP pancreatitis
7. Direction of pancreatic cannulation during ERCP
, Answer: 1 to 3 o'clock position
8. 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
9. rate of post ERCP pancreatitis
Answer: 3-5%
10. Timing of colonoscopy for first degree relative w/ CRC or adenomas prior to
age 60 colonoscopy at age 40 or 10 years before the youngest attected relative, whichever is earlier. Then repeat every
5 yrs
11. Indications for ECRP
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
12. 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)
13. cancer detection rate of brush biopsy
, Answer: 20-60%
14. band ligation vs sclerotherapy for esophageal varices
Answer: equal eflcacy but baldn ligation has lower complication rate.
15. cancer detection rate of needle aspiration
Answer: 6-30%
16. how long after sphincterotomy can the bleeding complication manifest?
Answer: im- mediate up to 14 days
17. relative contraindications for colonoscopy
Answer: anal fissure, recent MI, PE, large bowel obstruction
18. Time frames for upper endoscopy - esophageal varices s/p sclerotherapy and
banding
Answer: q6-8weeks
19. Indications for screening colonoscopies
Answer: over 50 y/o, repeat every 10 years
20. Time frames for upper endoscopy - pernicious anemia
Answer: single endoscopy w/o f/u
21. complication rate of diagnostic colonoscopy
Answer: 1:1500
22. Time frames for upper endoscopy - Barett's esophagus (high risk)
Answer: >3 cm, circumferential - yearly
low grade dysplasia - every 6 mo
23. Factors a/w rebleeding after endoscopic procedures
Answer: endoscopic stigmata w/ active bleeding and visible vessles having the highest rebleeding risk,
100% Verified
1. Time frames for upper endoscopy - Familiar polyposis
Answer: 1-2 years
2. Patient positioning for ERCP
Answer: prone position with the head turn toward the right shoulder
3. patient positioning for upper endoscopy
Answer: left side down, head slightly up.
4. 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,
5. techniques to decrease post ERCP pancreatitis
Answer: selective bile duct cannulation w/ guidewire, stenting pancreatic dut w/ stent or guidewire for diflcult
CBD cannulation, limiting contrast injection into the pancreatic duct
6. 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
Answer: can use balloon dilation but a/w higher rate of post-ECRP pancreatitis
7. Direction of pancreatic cannulation during ERCP
, Answer: 1 to 3 o'clock position
8. 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
9. rate of post ERCP pancreatitis
Answer: 3-5%
10. Timing of colonoscopy for first degree relative w/ CRC or adenomas prior to
age 60 colonoscopy at age 40 or 10 years before the youngest attected relative, whichever is earlier. Then repeat every
5 yrs
11. Indications for ECRP
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
12. 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)
13. cancer detection rate of brush biopsy
, Answer: 20-60%
14. band ligation vs sclerotherapy for esophageal varices
Answer: equal eflcacy but baldn ligation has lower complication rate.
15. cancer detection rate of needle aspiration
Answer: 6-30%
16. how long after sphincterotomy can the bleeding complication manifest?
Answer: im- mediate up to 14 days
17. relative contraindications for colonoscopy
Answer: anal fissure, recent MI, PE, large bowel obstruction
18. Time frames for upper endoscopy - esophageal varices s/p sclerotherapy and
banding
Answer: q6-8weeks
19. Indications for screening colonoscopies
Answer: over 50 y/o, repeat every 10 years
20. Time frames for upper endoscopy - pernicious anemia
Answer: single endoscopy w/o f/u
21. complication rate of diagnostic colonoscopy
Answer: 1:1500
22. Time frames for upper endoscopy - Barett's esophagus (high risk)
Answer: >3 cm, circumferential - yearly
low grade dysplasia - every 6 mo
23. Factors a/w rebleeding after endoscopic procedures
Answer: endoscopic stigmata w/ active bleeding and visible vessles having the highest rebleeding risk,
