FES written exam 2026 Actual Questions and Answers with complete solutions

FES written exam 2025 Actual Questions and Answers with complete solutions Time frames for upper endoscopy - Familiar polyposis 1-2 years Patient positioning for ERCP prone position with the head turn toward the right shoulder patient positioning for upper endoscopy left side down, head slightly up. 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 pancreatitis selective bile duct cannulation w/ guidewire, 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 during ERCP 1 to 3 o'clock position 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% Timing of colonoscopy for first degree relative w/ CRC or adenomas prior to age 60 colonoscopy at age 40 or 10 years before the youngest affected relative, whichever is earlier. 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