FES Exam (2024/ 2025 Update) Questions and Verified Answers| 100% Correct| Grade A

FES Exam (2024/ 2025 Update) Questions and Verified Answers| 100% Correct| Grade A Q: Informed consent is based on what 2 ethical principles? Answer: Autonomy and self-determination Q: Is routine testing recommended prior to endoscopy? Answer: No Q: When should you do a pregnancy test? Answer: All females of child bearing age Q: Who should get coag tests? Answer: active bleeding, history of bleeding, acquired coagulopathy Q: Who should get a CXR? Answer: Patients with a suspected pulmonary or cardiac decompensation Q: Who should get a chem panel? Answer: pts with impaired renal, hepatic or endocrine function Q: Is there a perfect bowel prep? Answer: nope Q: What would be an ideal prep? Answer: Reliable empties colon No effect on mucosa Short time for ingestion and evacuation No discomfort or signif SE No fluid or electrolyte shifts Q: What is a split dose bowel regiment? Answer: half fluid given in the evening and then half in the morning of the colonoscopy completing at least 3 hours prior to procedure. Q: If you are doing rectum and sigmoid colon endoscopy what can be the prep? Answer: 1 or 2 enemas morning of procedure Q: If your patient is older than 65, what type of bowel prep should you use? Answer: PEG solutions to avoid electrolyte and fluid shifts Q: ------------ are osmotically balanced, non-absorbable electrolyte solutions that effect bowel cleansing by washing out the ingested fluid without producing significant fluid or electrolyte shifts Answer: Isosmotic preparations Q: What fragile patient populations can use isosmotic preps? Answer: Liver and renal failures, CHF, and electrolyte imbalances Q: ------------ 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. Answer: Hyperosmotic preparations. Q: What is the downside to hyperosomotic solutions? Answer: cause fluid loss, dehydration and are costly. Cant give it to people with any type of failure, ileus, malabsorption or ascites Q: Antibiotics (are vs Are not?) generally recommended before most endoscopic procedures. Answer: Are NOT Q: Who should you give antibiotic prophylaxis to? Answer: All patients before PEJ or PG People undergoing peritoneal dialysis Cirrhotic patients with Gi bleed High risk cardiac conditions like endocarditis or prosthetic valves In patients with liver transplant or suspected biliary obstructions Q: Many endoscopic procedures may be performed safely in the setting of antithrombotics. Cold forceps mucosal biopsies may be obtained while patient is on anticoagulation. T or F? Answer: True Q: T or F When anticoagulation is temporary (e.g. warfarin for VTE), elective endoscopic procedures should be delayed when possible until anticoagulation is no longer necessary. Answer: True Q: Procedures