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

Forrest Ia indicates active spurting hemorrhage, carrying the highest rebleeding risk.

Question 2

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

Accepted Answer

Every 3-5 years

Answer

Non-dysplastic Barrett's requires surveillance EGD every 3-5 years with systematic biopsies.

Question 3

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

Accepted Answer

Button battery lodged in the esophagus

Answer

A button battery in the esophagus causes rapid electrochemical burns and must be removed immediately.

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

Chromoendoscopy uses dye agents to enhance visualization of mucosal surface patterns for better lesion detection.

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

The Glasgow-Blatchford Score predicts the need for intervention before endoscopy is performed.

CGRN - Certified Gastroenterology Registered Nurse Practice Test