FCTC WRITTEN EXAM ACTUAL EXAM AND
PRACTICE EXAM NEWEST ACTUAL EXAM
COMPLETE 300 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
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
Indications for screening colonoscopies - CORRECT ANSWER
over 50 y/o, repeat every 10 years
Time frames for upper endoscopy - pernicious anemia -
CORRECT ANSWER single endoscopy w/o f/u
PRACTICE EXAM NEWEST ACTUAL EXAM
COMPLETE 300 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
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
Indications for screening colonoscopies - CORRECT ANSWER
over 50 y/o, repeat every 10 years
Time frames for upper endoscopy - pernicious anemia -
CORRECT ANSWER single endoscopy w/o f/u
