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
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 ________ number of 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
This closure device enables mobilization of tissue for lesions less than 3cm, with minimal tissue slippage.
What is Mantis
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 ________ 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
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%
This device can be used for larger, uniquely shaped defects and allows for independent, TTS placement of fixation points.
A. Overstitch
B. NXT
C. X-Tack
D. Ovesco
What is C. X-Tack
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%
Post polypectomy bleeds are most common on this side of the colon.
Why?
What is: Right
Because the tissue is thinner on the right side.
When using Overstitch, you must use _____ scope.
What is double channel?
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