GI Endoscopy & Procedural Care

Question 1

What is the primary purpose of a colonoscopy?

Accepted Answer

To visualize the entire large intestine from rectum to cecum

Answer

A colonoscopy uses a flexible scope to visualize the entire large intestine (colon) from the rectum to the cecum, allowing detection of polyps, cancer, and inflammatory conditions.

Question 2

Which patient position is typically used for the insertion phase of a colonoscopy?

Accepted Answer

Left lateral decubitus (Sims' position)

Answer

The left lateral decubitus (Sims') position is standard for colonoscopy as it facilitates scope insertion through the rectum and navigation of the sigmoid colon.

Question 3

Which medication class is most commonly used for conscious sedation during upper endoscopy?

Accepted Answer

Benzodiazepines such as midazolam

Answer

Benzodiazepines such as midazolam are commonly used for conscious sedation during endoscopy to provide anxiolysis, amnesia, and mild sedation.

Question 4

Which complication is most specifically associated with ERCP compared to other endoscopic procedures?

Accepted Answer

Post-procedural pancreatitis

Answer

Post-ERCP pancreatitis is the most common and specific complication of ERCP, occurring due to manipulation and cannulation of the pancreatic duct.

Question 5

Per current fasting guidelines, how long should a patient be NPO before an elective upper endoscopy (EGD)?

Accepted Answer

At least 6 hours for solids and 2 hours for clear liquids

Answer

Per ASA guidelines, patients should fast at least 6 hours for solid food and 2 hours for clear liquids before elective upper endoscopy to reduce aspiration risk.

(GI) Gastrointestinal Practice Test

(GI) Gastrointestinal Practice Test

GI Endoscopy & Procedural Care