TRUE OR FALSE: GI bleeding is not considered a medical emergency in gastroenterology:
What is FALSE.
What are the two main categories of GI bleeds
a. Variceal
b. Non-Variceal Bleeds.
c. both A and B
What are
c. both A and B
True or False: According to the ASGE, a colonoscopy is effective in the diagnosis and the treatment of LGIB and recommended in the early evaluation of severe acute LGIB
What is TRUE.
This device is designed to capture a lesion or mount of tissue to accomplish tight compression leading to vascular hemostasis, thrombosis, necrosis and eventual sloughing:
a. Gold Probe
b. Snare
c. Endoscopic Clips
d. Bander or ligator
What is a
d. bander or band ligator.
Besides hemostasis for bleeding, Endoscopic clips are indicated for: A. Endoscopic marking
B. Anchoring jejunal feeding tube
C. Closure for mucosal/submucosal defects
D. All of the Above
What is:
D. All of the above
Over ________ patients are admitted annually because of GI bleeds:
A. 100,000
B. 300,000
C. 500,000
What is:
B. 300,000
Which of these would be example of non-variceal, upper GI bleeds?
A. Peptic Ulcer B. Mallory-Weis tears
C. Dieulafoy's lesion D. Malignancy
E. all of the above
What is:
E. all of the above
According to the ASGE, ____should be stopped (if possible) and/or avoided in patients with a history of lower-GI bleeding:
a. blood pressure medication
b. Aspirin and NSAIDS
c. birth control
What are
b. Aspirin and NSAIDS
This device delivers thermal energy by completion of an electrical circuit between 2 electrodes on the tip of a probe, acting as a tamponade. It is a bi polar device so the patient does not need to be grounded.
What is:
a. Gold Probe
b. Snare
c. Endoscopic Clips
d. Bander
What is:
a. Gold Probe
When removing a colonic lesion > 2cm, studies show that if you clip, the defect there is an ____% less chance of rebleed than if you don't clip the defect.
A. 20% B. 40% C. 60% D. 80%
What is:
D. 80%
The cost estimated for GI bleeds each year exceeds ________ billion dollars in the United States:
A. $100 million
B. $1 billion
C. $2.5 billion
What is:
C. $2.5 billion
What are the 2 most common sources of lower GI bleeds?
a. Foreign objects
b. Colonic polyps
c. colonic cancers.
d. both B and C
What are
d. both B and C
According to the ASGE, this device provides the greatest decrease in re-bleed rates:
A. epi injection
B. cautery
C. endoscopic clip
What is:
C. endoscopic clip
This device is intended to provide immediate, direct mechanical hemostasis without injuring neighboring tissue:
a. Gold Probe
b. Snare
c. Endoscopic Clips
d. Bander or ligator
What are
c. endoscopic clips.
Some of the (3) considerations of whether to clip or not to clip when removing a polyp:
What are: Size, Location, patient on blood thinners, sight is actively bleeding, concern of delayed bleed, If the Doctor is questioning whether to clip or not- they should clip (Doug Rex), It's Friday.
___% of GI bleeds occur in the upper GI:
A. 70%
B. 80%C. 90%
What is:
C. 90%
Therapies for Upper GI Bleeds are approximately ____% effective.
A. 65-75%
B. 75-85%
C. 85-95%
What is
C. 85-95%
According to the ASGE, mortality after the index hemorrhage in patients with cirrhosis has been reported to be as high as ___, with a ___ mortality associated with subsequent bleeding episodes
A. 20%, 10% B. 50%, 30% C. 70%, 40%
What is:
B. 50%, 30%
Injection of various solutions through this device achieves hemostasis by both mechanical tamponade and cytochemical mechanisms:
a. Gold Probe
b. Injection Needles
c. Endoscopic Clips
d. Bander or ligator
What are
b. injection needles.
True or False: Superview Super 7 bander bands contain latex
What is: False (Bands are Latex free)
Lower GI bleeds have a mortality % range of:
A. 1-3%
B. 4-10%
C. 10-15%
What is:
B. 4-10%
A bleed is considered a Lower GI bleed if the bleeding is found to start after the:
A. Pylorus
B. Liagment of Treitz
C. Ileocecal Valve
What is:
B. Ligament of Treitz
According to the ASGE, variceal bleeding is a common and serious complication of ______ hypertension.
What is: Portal hypertension
This device is the only device indicated for prophylaxis of bleeding in Endo:
What are
a. Gold Probe
b. Snare
c. Boston Scientific Resolution Endoscopic Clip
d. Bander or ligator
On average, delayed bleeds from polyp removal can be anywhere from 1-7 days but can occur up to as many as ____ days later
A. 10 B. 20 C. 30
What is:
C. 30