Amedco - Quiz
October JPGN 2018
1 - In the opinion of the authors, which of the following is the most important variable to consider when selecting an OTSC for use in the setting of GI bleeding?
A - The depth of the suction cap
B - Ability to utilize an application aid (tissue grasper/anchor) to assist with tissue acquisition with the selected OTSC
C - Tooth configuration of the OTSC
D - Outer diameter of the endoscope to which OTSC will be attached
2 - Which of the following is true regarding OTSCs:
A - They have the same MRI compatibility rating as most through the scope clips
B - They are biodegradable
C - They are not safe to be left in as a long term implant
D - They are not radio-opaque
3 - With which of the following flexible endsocopes can an OTSC system be utilized?
A - Side viewing therapeutic duodenoscope with tip outer diameter of 12mm
B - Forward viewing radial echoendoscope with tip outer diameter of 12mm
C - Forward viewing upper endoscope with tip outer diameter of 5.4mm
D - Forward viewing pediatric colonoscope with tip outer diameter of 9.8 mm
4 - You are contemplating utilizing an OTSC to control hemodynamically significant upper GI bleeding in a 15-year-old child weighing 50kg who has a history of tracheoesophageal fistula repair and sensitivity to Nickel. Which of the following is most likely to present an obstacle to OTSC utilization in this patient.
A - Passage of the upper esophageal sphincter
B - Passage through the esophagus
C - His sensitivity to Nickel
D - FDA approval for the device
5 - You are contemplating utilizing an OTSC to control hemodynamically significant GI bleeding in the following clinical scenarios. For which of the following scenarios would OTSC use be contraindicated?
A - 14 year old with a 1cm gastric ulcer with active bleeding from a visible vessel in the setting of H pylori infection
B - 3 year old with pulsatile bleeding from a visible vessel after polypectomy in the sigmoid colon
C - 16 year old with pulsatile bleeding from a visible vessel after biliary sphincterotomy during ERCP
D - 10 year old with active variceal bleeding
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