FES FINAL EVALUATION QUESTIONS WITH ANSWERS
2025/2026 GRADED A+
For patients with (blank) in whom monopolar energy is being considered, ECG
monitoring should be available. - pacemaker
Guidelines published by the ASGE recommend considering the assistance of an
anesthesia specialist when: - Airway abnormalities, complex procedures, intolerance to
sedatives, severe comorbidities
Benefits of midazolam? - short duration of action, minimal venous irritation, anterograde
amnesia
What is the starting dose of midazolam?
Onset of action?
When can you increase the dose? - 0.5 mg to 2 mg IV
3-5 minutes
after 2 minutes
Who should you reduce midazolam doses? - elderly, liver disease, renal failure, in
combination with narcotics
Benzos can cause what complications? - hypoventilation, hypotension, paradoxical
agitation
What is the starting dose of flumazenil? - 0.2 mg IV, titrate up to 1 mg
What is the dosage for fentanyl? - 1 to 2 microgram/kg (usually about 75-150
micrograms)> if used with midazolam start at 50 to 100.
How quickly does naloxone work? - 2 minutes
What are the cardiovascular effects of propofol? - Decrease in cardiac output •
Decrease in systemic vascular resistance • Decrease in arterial pressure • Negative
cardiac inotropy • Respiratory depression
Potential adverse effects of topical anesthetics include - Aspiration • Anaphylactoid
reactions • Methemoglobinemia
While in recovery, patients are still at risk for complications related to sedation. Delayed
presentation of undesirable side effects can be due to: - Lack of procedural stimulation •
Variable drug absorption • Slow drug elimination
DC criteria? - VSS, alert, Scoring system OAA or MOAA, dc to an adult
The overall complication rate related to sedation and endoscopy - 1 in 10,000
, The ASGE recommends considering the assistance of an anesthesia specialist when...
- Risk of complications is increased because of severe comorbidities
The main effect of midazolam during moderate sedation for endoscopy is? - amnesia
What is the half life of naloxone? - 1 to 1.5 hours
What are NOT indications for diagnostic EGD? - Atypical, non-progressive and chronic
abdominal discomfort or pain due to a functional problem
Uncomplicated reflux responsive to medical therapy in non-high risk patients
Evaluation of asymptomatic benign findings on a radiologic study
End stage malignant disease when the results of the procedure will not alter
management or when there is no therapeutic benefit
Known gastric atrophy, including intestinal metaplasia of the stomach without dysplasia,
History of gastrectomy for benign disease...... Is surveillance endoscopy recommended
or not? - NOT
Patients with (Blank) should have a single endoscopy with no follow up if there is no
evidence of malignancy - pernicious anemia
Who should get screening for barretts esophagus? - Men, white race, age greater than
50, GERD >5 years, hiatal hernia, obesity
Timing of barretts endosopy surveillance
-No dysplasia?
-Low grade?
-High grade? - no dyplasia- 3-5 years
low grade 6-12 months
high grade 3 months
Complications of topical pharyngeal sprays - methemoglobinemia, aspiration and
anaphylaxis
Patients with a RNYGB may need what type of endoscope? - Pediatric colonoscope or
device assisted enteroscope
What is a vertical banded gastroplasty> - resistrictive procedure with band/mesh at
bottom of pouch
How far back should you hold the scope with your right hand? - about 12 inches (30 cm
from the tip)
What should you measure during an EGD? - distance of incisiors to Z line
GE junction
2025/2026 GRADED A+
For patients with (blank) in whom monopolar energy is being considered, ECG
monitoring should be available. - pacemaker
Guidelines published by the ASGE recommend considering the assistance of an
anesthesia specialist when: - Airway abnormalities, complex procedures, intolerance to
sedatives, severe comorbidities
Benefits of midazolam? - short duration of action, minimal venous irritation, anterograde
amnesia
What is the starting dose of midazolam?
Onset of action?
When can you increase the dose? - 0.5 mg to 2 mg IV
3-5 minutes
after 2 minutes
Who should you reduce midazolam doses? - elderly, liver disease, renal failure, in
combination with narcotics
Benzos can cause what complications? - hypoventilation, hypotension, paradoxical
agitation
What is the starting dose of flumazenil? - 0.2 mg IV, titrate up to 1 mg
What is the dosage for fentanyl? - 1 to 2 microgram/kg (usually about 75-150
micrograms)> if used with midazolam start at 50 to 100.
How quickly does naloxone work? - 2 minutes
What are the cardiovascular effects of propofol? - Decrease in cardiac output •
Decrease in systemic vascular resistance • Decrease in arterial pressure • Negative
cardiac inotropy • Respiratory depression
Potential adverse effects of topical anesthetics include - Aspiration • Anaphylactoid
reactions • Methemoglobinemia
While in recovery, patients are still at risk for complications related to sedation. Delayed
presentation of undesirable side effects can be due to: - Lack of procedural stimulation •
Variable drug absorption • Slow drug elimination
DC criteria? - VSS, alert, Scoring system OAA or MOAA, dc to an adult
The overall complication rate related to sedation and endoscopy - 1 in 10,000
, The ASGE recommends considering the assistance of an anesthesia specialist when...
- Risk of complications is increased because of severe comorbidities
The main effect of midazolam during moderate sedation for endoscopy is? - amnesia
What is the half life of naloxone? - 1 to 1.5 hours
What are NOT indications for diagnostic EGD? - Atypical, non-progressive and chronic
abdominal discomfort or pain due to a functional problem
Uncomplicated reflux responsive to medical therapy in non-high risk patients
Evaluation of asymptomatic benign findings on a radiologic study
End stage malignant disease when the results of the procedure will not alter
management or when there is no therapeutic benefit
Known gastric atrophy, including intestinal metaplasia of the stomach without dysplasia,
History of gastrectomy for benign disease...... Is surveillance endoscopy recommended
or not? - NOT
Patients with (Blank) should have a single endoscopy with no follow up if there is no
evidence of malignancy - pernicious anemia
Who should get screening for barretts esophagus? - Men, white race, age greater than
50, GERD >5 years, hiatal hernia, obesity
Timing of barretts endosopy surveillance
-No dysplasia?
-Low grade?
-High grade? - no dyplasia- 3-5 years
low grade 6-12 months
high grade 3 months
Complications of topical pharyngeal sprays - methemoglobinemia, aspiration and
anaphylaxis
Patients with a RNYGB may need what type of endoscope? - Pediatric colonoscope or
device assisted enteroscope
What is a vertical banded gastroplasty> - resistrictive procedure with band/mesh at
bottom of pouch
How far back should you hold the scope with your right hand? - about 12 inches (30 cm
from the tip)
What should you measure during an EGD? - distance of incisiors to Z line
GE junction
