Endoscopy Procedures Overview
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What is the primary purpose of a cystoscopy?

  • To examine the inside of the bladder and urethra (correct)
  • To perform barium enemas
  • To evaluate rectal bleeding causes
  • To monitor the growth of polyps in the intestines
  • Which of the following is a contraindication for performing a cystoscopy?

  • Frequent urinary tract infections
  • Active urinary tract infection (correct)
  • Routine bladder examination
  • Searching for foreign bodies
  • What type of cystoscopy uses a flexible instrument?

  • Rigid cystoscopy
  • Flexible cystoscopy (correct)
  • Urethroscopy
  • Ureteroscopy
  • What procedure is typically performed to remove obstructions in the genitourinary tract?

    <p>Cystoscopy</p> Signup and view all the answers

    Which complication may arise after a proctoscopy?

    <p>Heavy blood loss</p> Signup and view all the answers

    Which condition is NOT treated by endoscopy of the small intestine?

    <p>Gallstones</p> Signup and view all the answers

    What is a common complication of bronchoscopy?

    <p>Pneumothorax</p> Signup and view all the answers

    What should patients avoid 24 hours prior to a bronchoscopy?

    <p>Smoking</p> Signup and view all the answers

    Which procedure involves placing a seed into the lung to treat cancer?

    <p>Brachytherapy</p> Signup and view all the answers

    What is a contraindication for performing bronchoscopy?

    <p>Unstable myocardium</p> Signup and view all the answers

    What is a recommended preparation before undergoing an ERCP?

    <p>Fast for 8 hours</p> Signup and view all the answers

    What should not be used during bronchoscopy due to potential complications?

    <p>Local anesthesia</p> Signup and view all the answers

    Which treatment is NOT typically used in bronchoscopy?

    <p>Capsule endoscopy</p> Signup and view all the answers

    What is the primary reason for the removal of dentures, jewelry, or contact lenses before the procedure?

    <p>To avoid interference during the endoscopy</p> Signup and view all the answers

    Which of the following is a significant risk associated with ERCP?

    <p>Inflammation of the pancreas</p> Signup and view all the answers

    What type of anesthesia is used during the ERCP procedure?

    <p>Local anesthetic and IV sedative</p> Signup and view all the answers

    What is the estimated percentage of complications occurring during ERCP?

    <p>1 to 5 percent</p> Signup and view all the answers

    What condition is a contraindication for performing an ERCP?

    <p>Unstable neurologic problems</p> Signup and view all the answers

    Why might a patient require a cystoscopy?

    <p>Repeated urinary tract infections</p> Signup and view all the answers

    What is the primary objective of a proctoscopy?

    <p>To diagnose diseases of the rectum or anus</p> Signup and view all the answers

    Which term is another name for the pancreatic duct?

    <p>Wirsung</p> Signup and view all the answers

    What is one of the primary uses of gastroscopy?

    <p>To diagnose conditions like ulcers and infections</p> Signup and view all the answers

    Which of the following is a limitation of gastroscopy?

    <p>Certain small lesions may go undetected</p> Signup and view all the answers

    What is a general indication for performing a colonoscopy?

    <p>Unexplained weight loss</p> Signup and view all the answers

    Which condition is a contraindication for colonoscopy?

    <p>Acute diverticulitis</p> Signup and view all the answers

    What complication is associated with therapeutic colonoscopy?

    <p>Risk of perforation</p> Signup and view all the answers

    What is an important aspect of colonoscopy regarding its effectiveness?

    <p>Anatomical challenges can affect the procedure</p> Signup and view all the answers

    What is one reason for performing a colonoscopy postpolypectomy?

    <p>For surveillance after polyp removal</p> Signup and view all the answers

    For which of the following issues would a doctor likely recommend a gastroscopy?

    <p>Abdominal pain related to indigestion</p> Signup and view all the answers

    What is one primary use of endoscopy?

    <p>To investigate unusual symptoms</p> Signup and view all the answers

    Which type of endoscopy is specifically used for examining the bladder?

    <p>Cystoscopy</p> Signup and view all the answers

    What is a major disadvantage of endoscopy?

    <p>It can only see the surface of the organ</p> Signup and view all the answers

    What does capsule endoscopy primarily use to visualize the digestive tract?

    <p>A tiny camera in a capsule</p> Signup and view all the answers

    What technique uses high-frequency sound waves to identify diseases?

    <p>Endoscopic ultrasound</p> Signup and view all the answers

    Which symptom is a reason to perform an endoscopy?

    <p>Persistent abdominal pain</p> Signup and view all the answers

    Which advantage is associated with endoscopy compared to open surgery?

    <p>Less invasive than open surgery</p> Signup and view all the answers

    What is one of the components used during capsule endoscopy?

    <p>Sensors attached to the chest</p> Signup and view all the answers

    What is the first basic rule of performing a colonoscopy?

    <p>Advance the endoscope only with a clear view of the lumen</p> Signup and view all the answers

    What should be done if there is uncertainty during the colonoscopy procedure?

    <p>Pull back the endoscope</p> Signup and view all the answers

    What position should the patient be in during pre-intubation for a colonoscopy?

    <p>Left lateral decubitus position with knees bent</p> Signup and view all the answers

    Which part of the anatomy is examined at the start of the colonoscopy?

    <p>Anal canal</p> Signup and view all the answers

    What is the purpose of the digital rectal examination during colonoscopy preparation?

    <p>To lubricate the anal canal and relax the sphincters</p> Signup and view all the answers

    What is indicated by the term 'red-out sign' during the colonoscopy procedure?

    <p>The scope is opposed to the colon mucosa</p> Signup and view all the answers

    Which of the following conditions is NOT a pathology that can be identified during colonoscopy?

    <p>Halitosis</p> Signup and view all the answers

    What characteristic is associated with the terminal ileum during colonoscopy?

    <p>It is closed and may need repetition of anti-clockwise rotations</p> Signup and view all the answers

    Study Notes

    Endoscopy Exam Notes

    • Endoscopy is a procedure used to view and operate on internal organs and vessels.
    • It can be used to investigate unusual symptoms, perform certain types of surgery, and remove small tissue samples for analysis.
    • Endoscopy is not limited to the digestive system; it has a wider scope.

    Types of Endoscopy

    • Laparoscopy: Used for abdominal or pelvic procedures.
    • Hysteroscopy: Examines the uterus.
    • Cystoscopy: Examines the bladder.
    • Gastroscopy/Upper GI endoscopy: Examines the upper gastrointestinal tract.
    • Colonoscopy: Examines the colon.
    • Sigmoidoscopy: Examines the sigmoid colon.
    • ERCP (Endoscopic Retrograde Cholangiopancreatography): Combines endoscopy and X-rays to treat pancreatic and bile duct diseases.
    • Bronchoscopy: Examines the lungs.
    • Laryngoscopy: Examines the larynx.
    • Arthroscopy: Examines joints.
    • Nasopharyngoscopy: Examines the nasal passages and pharynx.
    • Otoscopy: Examines the ear.

    Why Endoscopy?

    • Used to diagnose and treat sources of bleeding, polyps, inflammatory bowel diseases, and other abnormal tissues.
    • The endoscope is less invasive than open surgery.
    • Allows for detailed visual documentation.
    • Low morbidity and mortality rates.

    Disadvantages

    • It can only view the surface of an organ and a small area at a time.

    Investigating Symptoms

    • Vomiting blood
    • Difficulty swallowing (dysphagia)
    • Persistent diarrhea
    • Persistent abdominal pain
    • Heart-related unexplained vomiting
    • Unexplained weight loss

    Latest Techniques in Endoscopy

    • Capsule Endoscopy: A capsule with a camera that is swallowed to examine the digestive tract.
    • Endoscopic Ultrasound: High-frequency sound waves used to identify digestive and lung diseases.
    • Narrow Band Imaging: Filtered light used for clearer visualization of internal organs.
    • Chromolendoscopy: Dyes are used to identify any lesions before endoscopy.

    Endoscopy B

    • Da Vinci Surgical System (robot-assisted) gives improved dexterity and control, reducing hospital stay and risk.
    • Endoscopy is used to diagnose inflammatory bowel diseases (IBD), such as ulcerative colitis and Crohn's disease, and other stomach and intestinal conditions.
    • Endoscopy is used in therapeutic procedures such as removing foreign bodies, dilation, stenting, and feeding tube placement.

    Endoscopy C

    • Gastroscopy and Colonoscopy using endoscopes are reliable diagnostic tools for various conditions.
    • Certain abnormalities like tiny ulcers or early-stage cancers may not be detected during gastroscopy.
    • Colonoscopy procedures are used to detect and treat abnormalities in the large intestine.

    Endoscopy D

    • Procedures include foreign body removal, mucosal resection, etc.
    • Examination of the small intestine is possible using procedures like Enteroscopy.

    Endoscopy E

    • Bronchoscopy is used for various purposes like treating infections or removing foreign objects.
    • Therapeutic procedures like laser therapy, Argon beam coagulation, and brachytherapy are used for treatment and diagnosis.
    • Bronchoscopy complications include pneumothorax, hemorrhage, and bronchospasm.

    Endoscopy F

    • ERCP (Endoscopic Retrograde Cholangiopancreatography): A specialized procedure used to diagnose and treat conditions affecting the bile ducts, gallbladder, pancreas, and liver.
    • ERCP combines endoscopy and fluoroscopy (X-rays) to visualize the bile and pancreatic ducts.
    • ERCP is used when there's a bile duct/pancreatic duct blockage or suspected tumors.

    Endoscopy G

    • Cystoscopy is used to examine the inside of the urinary bladder and urethra.
    • It's used for diagnosis and treatment of urinary tract infections, blood in urine, frequent urination, and unusual cell presence in urine samples.

    Endoscopy H

    • Proctoscopy is a procedure used to examine the rectum and anal canal.
    • It's used to diagnose diseases and abnormalities in the rectum, assess rectum bleeding causes, and evaluate polyps in the rectum.
    • Proctoscopy complications may include heavy bleeding, difficulty urinating, and/or severe pain.

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    Related Documents

    Endoscopy Exam Notes PDF

    Description

    This quiz covers various types of endoscopy and their applications in medicine. Learn about procedures such as laparoscopy, colonoscopy, and bronchoscopy, highlighting their purposes and specialties. Enhance your understanding of this vital diagnostic and surgical tool.

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