CGRN Upper Endoscopy Procedures 2

Question 1

During EGD, a Forrest Ia bleeding ulcer is identified. What does this classification indicate?

Accepted Answer

Active spurting arterial hemorrhage

Answer

Clean-based ulcer

Answer

Visible vessel without active bleeding

Answer

Adherent clot on ulcer base

Question 2

What is the recommended surveillance interval for non-dysplastic Barrett's esophagus?

Accepted Answer

Every 3-5 years

Answer

Every 6 months

Answer

Every 1 year

Answer

No surveillance needed

Question 3

Which esophageal foreign body is considered a medical emergency requiring immediate removal?

Accepted Answer

Button battery lodged in the esophagus

Answer

Coin in the stomach for <24 hours

Answer

Blunt object in the stomach for <48 hours

Answer

Food bolus in the stomach

Question 4

What is the primary purpose of chromoendoscopy during upper endoscopy?

Accepted Answer

Enhance detection and characterization of mucosal lesions by highlighting surface patterns

Answer

Improve general visualization

Answer

Treat mucosal lesions

Answer

Measure esophageal pH

Question 5

A patient presents with coffee-ground emesis and hemoglobin of 7.2 g/dL. What is the Blatchford score used for?

Accepted Answer

Stratifying upper GI bleeding risk pre-endoscopically

Answer

Predicting variceal size

Answer

Determining sedation dose

Answer

Classifying peptic ulcer type

Question 6

What is the nurse's role during endoscopic esophageal dilation?

Accepted Answer

Preparing equipment, monitoring for complications, managing sedation, and documenting dilator sizes

Answer

Observing only

Answer

Operating the endoscope

Answer

Performing dilation independently