FES written Exam with Questions
And
Answers 100% Verified
(blank) are designed to view the lumen either in a front or side viewing
manner --correct answer--Flexible scopes
(blank) allow for optimal access to certain areas of the stomach and
duodenum and are most commonly utilized during ERCP --correct answer--
side-viewing
PR
What is a charge coupled device or complementary metal oxide
semioconducter chip based camera? --correct answer--sends digital
message to a digital processor
the suction button and the biopsy cap share a **** --correct answer--
O
common channel
The suction/biopsy channel is usually between what position on a clock face
FD
--correct answer--5 and 7 oclock
The (blank) cable connects to the video processing unit either
wirelessly or via a separate cable. --correct answer--umbilical
Can you use saline in your water channel? --correct answer--NO it can
O
crystalize
Do not activate (blank) until the functioning end of the device is fully
exited from the endoscope channel. --correct answer--energy sources
C
What scope is a side viewing scope? --correct answer--A
duodenoscope What are external sources of endoscopic illumination? --
correct answer-- Xenon Arc, halogen filled tungsten filament lamp, LED
What happens when the blue button of the scope handle is depressed? --
correct answer--Provides water to clear the lens
If the endoscope does not have a dedicated auxillary channel for
irrigation, what channel can be used? --correct answer--The
suction/biopsy channel
,@PROFDOCDIGITALLIBRARIES
Informed consent is based on what 2 ethical principles? --correct answer--
Autonomy and self-determination
Is routine testing recommended prior to endoscopy? --correct answer-
-No When should you do a pregnancy test? --correct answer--All females
of child bearing age
Who should get coag tests? --correct answer--active bleeding, history of
bleeding, acquired coagulopathy
Who should get a CXR? --correct answer--Patients with a suspected
pulmonary or cardiac decompensation
Who should get a chem panel? --correct answer--pts with impaired renal,
hepatic or endocrine function
PR
Is there a perfect bowel prep? --correct answer--nope
What would be an ideal prep? --correct answer--Reliable empties
colon No effect on mucosa
Short time for ingestion and
O
evacuation No discomfort or signif
SE
FD
No fluid or electrolyte shifts
What is a split dose bowel regiment? --correct answer--half fluid
given in the evening and then half in the morning of the colonoscopy
completing at least 3 hours prior to procedure.
O
If you are doing rectum and sigmoid colon endoscopy what can be the prep?
--correct answer--1 or 2 enemas morning of procedure
C
If your patient is older than 65, what type of bowel prep should you use?
-- correct answer--PEG 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 --correct answer--
Isosmotic preparations
, @PROFDOCDIGITALLIBRARIES
What fragile patient populations can use isosmotic preps? --correct answer--
Liver 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. --correct answer--
Hyperosmotic preparations. What is the downside to hyperosomotic
solutions? --correct answer--cause 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. --correct answer--Are NOT
PR
Who should you give antibiotic prophylaxis to? --correct answer--All
patients before PEJ or PG
People undergoing peritoneal
dialysis Cirrhotic patients with Gi
O
bleed
High risk cardiac conditions like endocarditis or prosthetic
FD
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
O
patient is on anticoagulation. T or F? --correct answer--True
T or F
C
When anticoagulation is temporary (e.g. warfarin for VTE), elective
endoscopic procedures should be delayed when possible until
anticoagulation is no longer necessary. --correct answer--True
Procedures with a high risk of significant bleeding include: --correct answer-
-Polypectomy • 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