8/17/25, 7:12 AM FES written EXAM (2025/2026) Updated: EXAM QUESTIONS WITH ACCURATE ANSWERS | GET IT RIGHT!! Flashcards | Quizlet
FES written EXAM (2025/2026) Updated: EXAM
QUESTIONS WITH ACCURATE ANSWERS | GET IT
RIGHT!!
Save
Terms in this set (139)
Time frames for upper 1-2 years
endoscopy - Familiar
polyposis
Patient positioning for prone position with the head turn toward the right
ERCP shoulder
patient positioning for left side down, head slightly up.
upper endoscopy
J maneuver (tip up), rotate the shaft of the scope CCW
Maneuver to look at the and withdraw, pulling the scope into the proximal
GE junction body and cardia, rotate the scope 360 around the GE
jx,
selective bile duct cannulation w/ guidewire, stenting
techniques to decrease pancreatic dut w/ stent or guidewire for difficult CBD
post ERCP pancreatitis cannulation, limiting contrast injection into the
pancreatic duct
apply pressure w/ cutting wire toward 11 o'clock
direction, continue the sphincterotomy until the
Technique for billiary
intramural portion is cut. Use blended current with
sphincterotomy
cutting and coag at 15-20J. Alt: can use balloon
dilation but a/w higher rate of post-ECRP pancreatitis
https://quizlet.com/1066168983/fes-written-exam-20252026-updated-exam-questions-with-accurate-answers-get-it-right-flash-cards/?new 1/16
,8/17/25, 7:12 AM FES written EXAM (2025/2026) Updated: EXAM QUESTIONS WITH ACCURATE ANSWERS | GET IT RIGHT!! Flashcards | Quizlet
Direction of pancreatic 1 to 3 o'clock position
cannulation during ERCP
stop 5 days before and switch to heparin or lovenox if
When to stop warfarin
peri-procedural anticoagulation is required. This can
before ERCP
be stopped a day prior to the procedure
rate of post ERCP 3-5%
pancreatitis
Timing of colonoscopy for colonoscopy at age 40 or 10 years before the
first degree relative w/ youngest affected relative, whichever is earlier. Then
CRC or adenomas prior to repeat every 5 yrs
age 60
Tissue sampling - bile duct, pancreatic duct, ampulla
bx
chronic pancreatitis/divisum
pancreatic malignancy
billiary malignancy
Indications for ECRP Benign strictures
Ductal disruption/injury
Jaundice
cholangitis
gallstone pancreatitis
dilated CBD
rotate the scope until the valve is at the bottom of the
maneuvers to enter IC visual field, look down into the valve, gently insufflate
valve 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 20-60%
brush biopsy
band ligation vs equal efficacy but baldn ligation has lower
sclerotherapy for complication rate.
esophageal varices
cancer detection rate of 6-30%
needle aspiration
https://quizlet.com/1066168983/fes-written-exam-20252026-updated-exam-questions-with-accurate-answers-get-it-right-flash-cards/?new 2/16
, 8/17/25, 7:12 AM FES written EXAM (2025/2026) Updated: EXAM QUESTIONS WITH ACCURATE ANSWERS | GET IT RIGHT!! Flashcards | Quizlet
how long after immediate up to 14 days
sphincterotomy can the
bleeding complication
manifest?
relative contraindications anal fissure, recent MI, PE, large bowel obstruction
for colonoscopy
Time frames for upper q6-8weeks
endoscopy - esophageal
varices s/p sclerotherapy
and banding
Indications for screening over 50 y/o, repeat every 10 years
colonoscopies
Time frames for upper single endoscopy w/o f/u
endoscopy - pernicious
anemia
complication rate of 1:1500
diagnostic colonoscopy
Time frames for upper >3 cm, circumferential - yearly
endoscopy - Barett's low grade dysplasia - every 6 mo
esophagus (high risk)
endoscopic stigmata w/ active bleeding and visible
vessles having the highest rebleeding risk,
Factors a/w rebleeding
pigmentation of a red, dark or white color signifying
after endoscopic
gradually maturing clots, ulcer size >2cm and
procedures
proximity to major arteries, age (>60yo), comorbid
status, shock, coagulopathy, anemia
removal timing for 3 weeks
pancreatic duct stent
Definition of post ECRP increased abdominal pain a/w elevation of serum
pancreatitis amylase >3x NL
relative contraindications cardiopulmonary instability, pregnancy, coagulopathy
for ERCP
https://quizlet.com/1066168983/fes-written-exam-20252026-updated-exam-questions-with-accurate-answers-get-it-right-flash-cards/?new 3/16
FES written EXAM (2025/2026) Updated: EXAM
QUESTIONS WITH ACCURATE ANSWERS | GET IT
RIGHT!!
Save
Terms in this set (139)
Time frames for upper 1-2 years
endoscopy - Familiar
polyposis
Patient positioning for prone position with the head turn toward the right
ERCP shoulder
patient positioning for left side down, head slightly up.
upper endoscopy
J maneuver (tip up), rotate the shaft of the scope CCW
Maneuver to look at the and withdraw, pulling the scope into the proximal
GE junction body and cardia, rotate the scope 360 around the GE
jx,
selective bile duct cannulation w/ guidewire, stenting
techniques to decrease pancreatic dut w/ stent or guidewire for difficult CBD
post ERCP pancreatitis cannulation, limiting contrast injection into the
pancreatic duct
apply pressure w/ cutting wire toward 11 o'clock
direction, continue the sphincterotomy until the
Technique for billiary
intramural portion is cut. Use blended current with
sphincterotomy
cutting and coag at 15-20J. Alt: can use balloon
dilation but a/w higher rate of post-ECRP pancreatitis
https://quizlet.com/1066168983/fes-written-exam-20252026-updated-exam-questions-with-accurate-answers-get-it-right-flash-cards/?new 1/16
,8/17/25, 7:12 AM FES written EXAM (2025/2026) Updated: EXAM QUESTIONS WITH ACCURATE ANSWERS | GET IT RIGHT!! Flashcards | Quizlet
Direction of pancreatic 1 to 3 o'clock position
cannulation during ERCP
stop 5 days before and switch to heparin or lovenox if
When to stop warfarin
peri-procedural anticoagulation is required. This can
before ERCP
be stopped a day prior to the procedure
rate of post ERCP 3-5%
pancreatitis
Timing of colonoscopy for colonoscopy at age 40 or 10 years before the
first degree relative w/ youngest affected relative, whichever is earlier. Then
CRC or adenomas prior to repeat every 5 yrs
age 60
Tissue sampling - bile duct, pancreatic duct, ampulla
bx
chronic pancreatitis/divisum
pancreatic malignancy
billiary malignancy
Indications for ECRP Benign strictures
Ductal disruption/injury
Jaundice
cholangitis
gallstone pancreatitis
dilated CBD
rotate the scope until the valve is at the bottom of the
maneuvers to enter IC visual field, look down into the valve, gently insufflate
valve 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 20-60%
brush biopsy
band ligation vs equal efficacy but baldn ligation has lower
sclerotherapy for complication rate.
esophageal varices
cancer detection rate of 6-30%
needle aspiration
https://quizlet.com/1066168983/fes-written-exam-20252026-updated-exam-questions-with-accurate-answers-get-it-right-flash-cards/?new 2/16
, 8/17/25, 7:12 AM FES written EXAM (2025/2026) Updated: EXAM QUESTIONS WITH ACCURATE ANSWERS | GET IT RIGHT!! Flashcards | Quizlet
how long after immediate up to 14 days
sphincterotomy can the
bleeding complication
manifest?
relative contraindications anal fissure, recent MI, PE, large bowel obstruction
for colonoscopy
Time frames for upper q6-8weeks
endoscopy - esophageal
varices s/p sclerotherapy
and banding
Indications for screening over 50 y/o, repeat every 10 years
colonoscopies
Time frames for upper single endoscopy w/o f/u
endoscopy - pernicious
anemia
complication rate of 1:1500
diagnostic colonoscopy
Time frames for upper >3 cm, circumferential - yearly
endoscopy - Barett's low grade dysplasia - every 6 mo
esophagus (high risk)
endoscopic stigmata w/ active bleeding and visible
vessles having the highest rebleeding risk,
Factors a/w rebleeding
pigmentation of a red, dark or white color signifying
after endoscopic
gradually maturing clots, ulcer size >2cm and
procedures
proximity to major arteries, age (>60yo), comorbid
status, shock, coagulopathy, anemia
removal timing for 3 weeks
pancreatic duct stent
Definition of post ECRP increased abdominal pain a/w elevation of serum
pancreatitis amylase >3x NL
relative contraindications cardiopulmonary instability, pregnancy, coagulopathy
for ERCP
https://quizlet.com/1066168983/fes-written-exam-20252026-updated-exam-questions-with-accurate-answers-get-it-right-flash-cards/?new 3/16
