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FES written Exam Comprehensive Questions and Answers (Verified Answers) Updated (Actual Exam) LATEST VERSION!!

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FES written Exam Comprehensive Questions and Answers (Verified Answers) Updated (Actual Exam) LATEST VERSION!!

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7/19/26, 9:06 AM FES written Exam Comprehensive Questions and Answers (Verified Answers) Updated (Actual Exam) 2025\2026 LATEST VERSIO…




FES written Exam Comprehensive Questions and
Answers (Verified Answers) Updated (Actual
Exam) 2025\2026 LATEST VERSION!!

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Terms in this set (139)



Time frames for upper endoscopy - 1-2 years
Familiar polyposis


Patient positioning for ERCP prone position with the head turn toward the right
shoulder


patient positioning for upper left side down, head slightly up.
endoscopy




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,7/19/26, 9:06 AM FES written Exam Comprehensive Questions and Answers (Verified Answers) Updated (Actual Exam) 2025\2026 LATEST VERSIO…




Maneuver to look at the GE junction 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 selective bile duct cannulation w/ guidewire,
pancreatitis stenting pancreatic dut w/ stent or guidewire for
difficult CBD cannulation, limiting contrast injection
into the pancreatic duct


Technique for billiary sphincterotomy 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 1 to 3 o'clock position
during ERCP


When to stop warfarin before ERCP 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 3-5%



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, 7/19/26, 9:06 AM FES written Exam Comprehensive Questions and Answers (Verified Answers) Updated (Actual Exam) 2025\2026 LATEST VERSIO…



Timing of colonoscopy for first colonoscopy at age 40 or 10 years before the
degree relative w/ CRC or adenomas youngest affected relative, whichever is earlier.
prior to age 60 Then repeat every 5 yrs


Indications for ECRP 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 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 20-60%
biopsy




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