FES Exams (Latest 2024/ 2025 Updates STUDY BUNDLE
WITH COMPLETE SOLUTIONS) Questions and Verified
Answers| 100% Correct| Grade A
(blank) are designed to view the lumen either in a front or side viewing manner -
ANSWERFlexible scopes
(blank) allow for optimal access to certain areas of the stomach and duodenum and
are most commonly utilized during ERCP - ANSWERside-viewing
What is a charge coupled device or complementary metal oxide semioconducter chip
based camera? - ANSWERsends digital message to a digital processor
the suction button and the biopsy cap share a **** - ANSWERcommon channel
The suction/biopsy channel is usually between what position on a clock face -
ANSWER5 and 7 oclock
The (blank) cable connects to the video processing unit either wirelessly or via a
separate cable. - ANSWERumbilical
Can you use saline in your water channel? - ANSWERNO it can crystalize
Do not activate (blank) until the functioning end of the device is fully exited from the
endoscope channel. - ANSWERenergy sources
What scope is a side viewing scope? - ANSWERA duodenoscope
What are external sources of endoscopic illumination? - ANSWERXenon Arc, halogen
filled tungsten filament lamp, LED
What happens when the blue button of the scope handle is depressed? -
ANSWERProvides water to clear the lens
If the endoscope does not have a dedicated auxillary channel for irrigation, what
channel can be used? - ANSWERThe suction/biopsy channel
Informed consent is based on what 2 ethical principles? - ANSWERAutonomy and
self-determination
Is routine testing recommended prior to endoscopy? - ANSWERNo
When should you do a pregnancy test? - ANSWERAll females of child bearing age
Who should get coag tests? - ANSWERactive bleeding, history of bleeding, acquired
coagulopathy
,Who should get a CXR? - ANSWERPatients with a suspected pulmonary or cardiac
decompensation
Who should get a chem panel? - ANSWERpts with impaired renal, hepatic or
endocrine function
Is there a perfect bowel prep? - ANSWERnope
What would be an ideal prep? - ANSWERReliable empties colon
No effect on mucosa
Short time for ingestion and evacuation
No discomfort or signif SE
No fluid or electrolyte shifts
What is a split dose bowel regiment? - ANSWERhalf fluid given in the evening and
then half in the morning of the colonoscopy completing at least 3 hours prior to
procedure.
If you are doing rectum and sigmoid colon endoscopy what can be the prep? -
ANSWER1 or 2 enemas morning of procedure
If your patient is older than 65, what type of bowel prep should you use? -
ANSWERPEG solutions to avoid electrolyte and fluid shifts
(blank) are osmotically balanced, non-absorbable electrolyte solutions that effect
bowel cleansing by washing out the ingested fluid without producing significant fluid
or electrolyte shifts - ANSWERIsosmotic preparations
What fragile patient populations can use isosmotic preps? - ANSWERLiver and renal
failures, CHF, and electrolyte imbalances
(Blank) draw plasma water into the bowel lumen to promote the evacuation of
colonic contents. They are better tolerated due to lower volume, resulting in better
patient compliance. - ANSWERHyperosmotic preparations.
What is the downside to hyperosomotic solutions? - ANSWERcause fluid loss,
dehydration and are costly. Cant give it to people with any type of failure, ileus,
malabsorption or ascites
Antibiotics (are vs Are not?) generally recommended before most endoscopic
procedures. - ANSWERAre NOT
Who should you give antibiotic prophylaxis to? - ANSWERAll patients before PEJ or
PG
People undergoing peritoneal dialysis
Cirrhotic patients with Gi bleed
, High risk cardiac conditions like endocarditis or prosthetic valves
In patients with liver transplant or suspected biliary obstructions
Many endoscopic procedures may be performed safely in the setting of
antithrombotics. Cold forceps mucosal biopsies may be obtained while patient is on
anticoagulation. T or F? - ANSWERTrue
T or F
When anticoagulation is temporary (e.g. warfarin for VTE), elective endoscopic
procedures should be delayed when possible until anticoagulation is no longer
necessary. - ANSWERTrue
Procedures with a high risk of significant bleeding include: - ANSWERPolypectomy •
Biliary sphincterotomy • Pneumatic or bougie dilation • Percutaneous endoscopic
gastrostomy (PEG) placement • Endoscopic mucosal resection / endoscopic
submucosal dissection (EMD/ESD) • Endosonographic-guided fine needle aspiration
and pseudocyst drainage • Laser ablation and coagulation • Treatment of varices
Low-risk conditions for embolic event - ANSWERDeep vein thrombosis •
Uncomplicated or paroxysmal nonvalvular atrial fibrillation • Bioprosthetic valve •
Mechanical valve in the aortic position
High-risk conditions for embolic event - ANSWER• Atrial fibrillation associated with
valvular heart disease • Mechanical valve in the mitral position • Mechanical valve
and prior thromboembolic event
The risk of major embolism in patients with mechanical heart valves without
anticoagulation is(Blank) per 100 person-years, and is reduced to (blank) per 100
person-years in patients with antiplatelet therapy, and to (blank) per 100 person-
years in patients with warfarin. - ANSWER4
2.2
1
Patients with atrial fibrillation but without valvular disease have a risk of
thromboembolism of (blank) per year in the absence of anticoagulation. The risk is
higher in the presence of dilated cardiomyopathy, valvular heart disease, or recent
thromboembolic events - ANSWER5% to 7%
The absolute risk of any embolic event in a patient with a low-risk condition in whom
anticoagulation is stopped for 4 to 7 days is (blanK) per 1000 patients. - ANSWER1 to
2
Pre-procedural management of antithrombotic therapy for procedures with low risk
of significant bleed are as follows: •Endoscopic procedures may be performed in
patients taking antithrombotic therapy (WITH OR WITHOUT***)any alterations. -
ANSWERWithout
WITH COMPLETE SOLUTIONS) Questions and Verified
Answers| 100% Correct| Grade A
(blank) are designed to view the lumen either in a front or side viewing manner -
ANSWERFlexible scopes
(blank) allow for optimal access to certain areas of the stomach and duodenum and
are most commonly utilized during ERCP - ANSWERside-viewing
What is a charge coupled device or complementary metal oxide semioconducter chip
based camera? - ANSWERsends digital message to a digital processor
the suction button and the biopsy cap share a **** - ANSWERcommon channel
The suction/biopsy channel is usually between what position on a clock face -
ANSWER5 and 7 oclock
The (blank) cable connects to the video processing unit either wirelessly or via a
separate cable. - ANSWERumbilical
Can you use saline in your water channel? - ANSWERNO it can crystalize
Do not activate (blank) until the functioning end of the device is fully exited from the
endoscope channel. - ANSWERenergy sources
What scope is a side viewing scope? - ANSWERA duodenoscope
What are external sources of endoscopic illumination? - ANSWERXenon Arc, halogen
filled tungsten filament lamp, LED
What happens when the blue button of the scope handle is depressed? -
ANSWERProvides water to clear the lens
If the endoscope does not have a dedicated auxillary channel for irrigation, what
channel can be used? - ANSWERThe suction/biopsy channel
Informed consent is based on what 2 ethical principles? - ANSWERAutonomy and
self-determination
Is routine testing recommended prior to endoscopy? - ANSWERNo
When should you do a pregnancy test? - ANSWERAll females of child bearing age
Who should get coag tests? - ANSWERactive bleeding, history of bleeding, acquired
coagulopathy
,Who should get a CXR? - ANSWERPatients with a suspected pulmonary or cardiac
decompensation
Who should get a chem panel? - ANSWERpts with impaired renal, hepatic or
endocrine function
Is there a perfect bowel prep? - ANSWERnope
What would be an ideal prep? - ANSWERReliable empties colon
No effect on mucosa
Short time for ingestion and evacuation
No discomfort or signif SE
No fluid or electrolyte shifts
What is a split dose bowel regiment? - ANSWERhalf fluid given in the evening and
then half in the morning of the colonoscopy completing at least 3 hours prior to
procedure.
If you are doing rectum and sigmoid colon endoscopy what can be the prep? -
ANSWER1 or 2 enemas morning of procedure
If your patient is older than 65, what type of bowel prep should you use? -
ANSWERPEG solutions to avoid electrolyte and fluid shifts
(blank) are osmotically balanced, non-absorbable electrolyte solutions that effect
bowel cleansing by washing out the ingested fluid without producing significant fluid
or electrolyte shifts - ANSWERIsosmotic preparations
What fragile patient populations can use isosmotic preps? - ANSWERLiver and renal
failures, CHF, and electrolyte imbalances
(Blank) draw plasma water into the bowel lumen to promote the evacuation of
colonic contents. They are better tolerated due to lower volume, resulting in better
patient compliance. - ANSWERHyperosmotic preparations.
What is the downside to hyperosomotic solutions? - ANSWERcause fluid loss,
dehydration and are costly. Cant give it to people with any type of failure, ileus,
malabsorption or ascites
Antibiotics (are vs Are not?) generally recommended before most endoscopic
procedures. - ANSWERAre NOT
Who should you give antibiotic prophylaxis to? - ANSWERAll patients before PEJ or
PG
People undergoing peritoneal dialysis
Cirrhotic patients with Gi bleed
, High risk cardiac conditions like endocarditis or prosthetic valves
In patients with liver transplant or suspected biliary obstructions
Many endoscopic procedures may be performed safely in the setting of
antithrombotics. Cold forceps mucosal biopsies may be obtained while patient is on
anticoagulation. T or F? - ANSWERTrue
T or F
When anticoagulation is temporary (e.g. warfarin for VTE), elective endoscopic
procedures should be delayed when possible until anticoagulation is no longer
necessary. - ANSWERTrue
Procedures with a high risk of significant bleeding include: - ANSWERPolypectomy •
Biliary sphincterotomy • Pneumatic or bougie dilation • Percutaneous endoscopic
gastrostomy (PEG) placement • Endoscopic mucosal resection / endoscopic
submucosal dissection (EMD/ESD) • Endosonographic-guided fine needle aspiration
and pseudocyst drainage • Laser ablation and coagulation • Treatment of varices
Low-risk conditions for embolic event - ANSWERDeep vein thrombosis •
Uncomplicated or paroxysmal nonvalvular atrial fibrillation • Bioprosthetic valve •
Mechanical valve in the aortic position
High-risk conditions for embolic event - ANSWER• Atrial fibrillation associated with
valvular heart disease • Mechanical valve in the mitral position • Mechanical valve
and prior thromboembolic event
The risk of major embolism in patients with mechanical heart valves without
anticoagulation is(Blank) per 100 person-years, and is reduced to (blank) per 100
person-years in patients with antiplatelet therapy, and to (blank) per 100 person-
years in patients with warfarin. - ANSWER4
2.2
1
Patients with atrial fibrillation but without valvular disease have a risk of
thromboembolism of (blank) per year in the absence of anticoagulation. The risk is
higher in the presence of dilated cardiomyopathy, valvular heart disease, or recent
thromboembolic events - ANSWER5% to 7%
The absolute risk of any embolic event in a patient with a low-risk condition in whom
anticoagulation is stopped for 4 to 7 days is (blanK) per 1000 patients. - ANSWER1 to
2
Pre-procedural management of antithrombotic therapy for procedures with low risk
of significant bleed are as follows: •Endoscopic procedures may be performed in
patients taking antithrombotic therapy (WITH OR WITHOUT***)any alterations. -
ANSWERWithout
