1|Page
FES WRITTEN TEST EXAM ACTUAL EXAM
COMPLETE 200 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS) /
ALREADY GRADED A+|| LATEST EXAM!!!
Time frames for upper endoscopy - Familiar polyposis -
Answer-1-2 years
Patient positioning for ERCP - Answer-prone position with
the head turn toward the right shoulder
patient positioning for upper endoscopy - Answer-left side
down, head slightly up.
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,
techniques to decrease post ERCP pancreatitis - Answer-
selective bile duct cannulation w/ guidewire, stenting
pancreatic dut w/ stent or guidewire for difficult CBD
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cannulation, limiting contrast injection into the pancreatic
duct
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: can use balloon dilation but a/w higher rate of post-
ECRP pancreatitis
Direction of pancreatic cannulation during ERCP - Answer-
1 to 3 o'clock position
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
rate of post ERCP pancreatitis - Answer-3-5%
Timing of colonoscopy for first degree relative w/ CRC or
adenomas prior to age 60 - Answer-colonoscopy at age 40
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or 10 years before the youngest affected relative,
whichever is earlier. Then repeat every 5 yrs
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
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)
cancer detection rate of brush biopsy - Answer-20-60%
FES WRITTEN TEST EXAM ACTUAL EXAM
COMPLETE 200 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS) /
ALREADY GRADED A+|| LATEST EXAM!!!
Time frames for upper endoscopy - Familiar polyposis -
Answer-1-2 years
Patient positioning for ERCP - Answer-prone position with
the head turn toward the right shoulder
patient positioning for upper endoscopy - Answer-left side
down, head slightly up.
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,
techniques to decrease post ERCP pancreatitis - Answer-
selective bile duct cannulation w/ guidewire, stenting
pancreatic dut w/ stent or guidewire for difficult CBD
,2|Page
cannulation, limiting contrast injection into the pancreatic
duct
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: can use balloon dilation but a/w higher rate of post-
ECRP pancreatitis
Direction of pancreatic cannulation during ERCP - Answer-
1 to 3 o'clock position
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
rate of post ERCP pancreatitis - Answer-3-5%
Timing of colonoscopy for first degree relative w/ CRC or
adenomas prior to age 60 - Answer-colonoscopy at age 40
, 3|Page
or 10 years before the youngest affected relative,
whichever is earlier. Then repeat every 5 yrs
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
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)
cancer detection rate of brush biopsy - Answer-20-60%
