NM GF CORE PRACTICE EXAM 2026
PROFESSIONAL PREPARATION WORKBOOK
◉ endoscopic ultrasound used when. Answer: setting of pancreatic
or bile duct cancer to help determine resectability, f
◉ feeding patients with pancreatitis. Answer: nj tube
placed past ligament of treitz as to not stimulate and irritate the
pancreas
◉ treatment gallbladder polyps. Answer: < 10 mm - observation
greater than - lap chole
◉ splenic vein thrombosis. Answer: gastric varices
forces all venous drainage of spleen to travel through short gastric
veins, resulting in large gastric varices that are at risk for rupture
occlusion of splenic vein posterior to pancreas
splenectomy eliminates enlarged short gastrics
◉ dx ischemic colitis. Answer: flex sig
,pain
make patients npo, abx, fluids
◉ anal fissures. Answer: mcc minor painful rectal bleeding
anal trauma - from hard stools, hypertonic/hypertrophied internal
sphincter
posterior midline - due to relatively diminished blood supply
painful defectaion, blood on tissue after wiping
chronic fissures become deeper and will have enlarged anal papillae
with skin tags
sitz baths, fiber, stool softeners--> lateral internal sphinctereotomy
◉ ogilvie's - which part of colon at greatest risk for perforation?.
Answer: cecum , largest radius
tension = pressure * radius
,colon > 10 cm at risk for perf, requires decompression with
colonoscopy and neostigmine
◉ conditions that prevent fistulas from forming. Answer: HIS
FRIEND
high output > 500 cm/day
inflammatory bowel disease
short fistula < 2.5 cmforeign body
radiation
infection
epithelialization
neoplasm
distal obstruction
◉ management sigmoid volvulus. Answer: endoscpic decompression
elective sigmoid colectomy
◉ appendiceal carcinoids - management of. Answer: if less than 1
cm, appendectomy
if larger, R hemicolectomy
, ◉ cea levels should normalize post surg after _____ weeks. Answer: 4-
6
◉ rbc scintigraphy. Answer: noninvasive
more sensitive
can be easily repeated
used when LGIB when patient is actively bleeding and colonoscopy
can't identify the source
ex lap if hemodynamically stable
◉ cancers that met to the brain - which ones don't?. Answer: lung
breast
GU
melanoma
head and neck
prostate and colon DON'T
◉ indications for head ct. Answer: canadian guidelines:
PROFESSIONAL PREPARATION WORKBOOK
◉ endoscopic ultrasound used when. Answer: setting of pancreatic
or bile duct cancer to help determine resectability, f
◉ feeding patients with pancreatitis. Answer: nj tube
placed past ligament of treitz as to not stimulate and irritate the
pancreas
◉ treatment gallbladder polyps. Answer: < 10 mm - observation
greater than - lap chole
◉ splenic vein thrombosis. Answer: gastric varices
forces all venous drainage of spleen to travel through short gastric
veins, resulting in large gastric varices that are at risk for rupture
occlusion of splenic vein posterior to pancreas
splenectomy eliminates enlarged short gastrics
◉ dx ischemic colitis. Answer: flex sig
,pain
make patients npo, abx, fluids
◉ anal fissures. Answer: mcc minor painful rectal bleeding
anal trauma - from hard stools, hypertonic/hypertrophied internal
sphincter
posterior midline - due to relatively diminished blood supply
painful defectaion, blood on tissue after wiping
chronic fissures become deeper and will have enlarged anal papillae
with skin tags
sitz baths, fiber, stool softeners--> lateral internal sphinctereotomy
◉ ogilvie's - which part of colon at greatest risk for perforation?.
Answer: cecum , largest radius
tension = pressure * radius
,colon > 10 cm at risk for perf, requires decompression with
colonoscopy and neostigmine
◉ conditions that prevent fistulas from forming. Answer: HIS
FRIEND
high output > 500 cm/day
inflammatory bowel disease
short fistula < 2.5 cmforeign body
radiation
infection
epithelialization
neoplasm
distal obstruction
◉ management sigmoid volvulus. Answer: endoscpic decompression
elective sigmoid colectomy
◉ appendiceal carcinoids - management of. Answer: if less than 1
cm, appendectomy
if larger, R hemicolectomy
, ◉ cea levels should normalize post surg after _____ weeks. Answer: 4-
6
◉ rbc scintigraphy. Answer: noninvasive
more sensitive
can be easily repeated
used when LGIB when patient is actively bleeding and colonoscopy
can't identify the source
ex lap if hemodynamically stable
◉ cancers that met to the brain - which ones don't?. Answer: lung
breast
GU
melanoma
head and neck
prostate and colon DON'T
◉ indications for head ct. Answer: canadian guidelines:
