Endoscopy Techniques and Applications Quiz

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What is the primary purpose of endoscopy?

  • To diagnose heart conditions exclusively
  • To enhance physical therapy efficacy
  • To conduct open surgery on internal organs
  • To view and operate on internal organs and vessels (correct)

Which of the following is not a reason to perform an endoscopy?

  • Performing certain types of surgery
  • Treating heart-related diseases (correct)
  • Removing a sample of tissue
  • Investigating unusual symptoms

What is a disadvantage of endoscopy?

  • It is more invasive than surgery
  • It requires long recovery times
  • It can only view the surface of the organ (correct)
  • It allows for detailed and extensive visual observation

Which type of endoscopy is used to examine the bladder?

<p>Cystoscopy (A)</p> Signup and view all the answers

What is a distinguishing feature of capsule endoscopy?

<p>It involves a swallowed camera capsule (D)</p> Signup and view all the answers

What technique combines endoscopy and X-ray to treat pancreatic and bile diseases?

<p>Endoscopic retrograde cholangiopancreatography (ERCP) (D)</p> Signup and view all the answers

What is the recommended preparation before undergoing capsule endoscopy?

<p>Fast for no less than 12 hours (D)</p> Signup and view all the answers

Which of the following describes narrowband imaging?

<p>Utilizing filtered light for improved visualization (D)</p> Signup and view all the answers

What is the primary purpose of inflating the abdomen during laparoscopic intervention?

<p>To tighten the abdominal wall for space (C)</p> Signup and view all the answers

Which technology enhances dexterity and control during surgeries related to GERD?

<p>Da Vinci Surgical System (D)</p> Signup and view all the answers

What is one of the main advantages of using endoscopy in medical procedures?

<p>Reduced number of staff required (B)</p> Signup and view all the answers

Which of the following is a typical use of endoscopy?

<p>Diagnosis of inflammatory bowel diseases (A)</p> Signup and view all the answers

What can small bowel enteroscopy help confirm or rule out?

<p>Stomach and oesophageal cancer (C)</p> Signup and view all the answers

Which therapeutic application is associated with small bowel enteroscopy?

<p>Mucosal resection (B)</p> Signup and view all the answers

Which condition is typically NOT diagnosed using endoscopy?

<p>Kidney stones (A)</p> Signup and view all the answers

What is a potential therapeutic application of endoscopy for controlling hemorrhage?

<p>Injection or clips (C)</p> Signup and view all the answers

What is a primary indication for performing a cystoscopy?

<p>Routine examination of the urinary bladder (C)</p> Signup and view all the answers

Which of the following conditions is a contraindication for cystoscopy?

<p>Active urinary tract infection (C)</p> Signup and view all the answers

What should be done if there is uncertainty while advancing the endoscope?

<p>Pull back if in doubt. (C)</p> Signup and view all the answers

What type of cystoscopy uses flexible instruments for examination?

<p>Flexible cystoscopy (D)</p> Signup and view all the answers

What complication may arise following a proctoscopy?

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

Which segment of the colon is characterized by having a red dotted circle due to potential difficulties during colonoscopy?

<p>Rectosigmoid junction (C)</p> Signup and view all the answers

What is the purpose of catheterizing the ureters?

<p>To treat lesions or tumors (A)</p> Signup and view all the answers

Which of the following is NOT one of the basic rules for conducting a colonoscopy?

<p>Always advance the endoscope without hesitation. (A)</p> Signup and view all the answers

What is the purpose of conducting a digital rectal examination with topical anesthetic jelly before intubation?

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

Which imaging technique is used to visualize the terminal ileum during a colonoscopy?

<p>Narrow-band imaging mode (C)</p> Signup and view all the answers

Which condition is characterized by the presence of small pouches in the colon?

<p>Diverticulosis (D)</p> Signup and view all the answers

What position should patients typically be in before a colonoscopy?

<p>Left lateral decubitus with knees bent. (C)</p> Signup and view all the answers

What characteristic sign indicates that the colonoscope is opposed to the colon mucosa?

<p>Red-out sign (D)</p> Signup and view all the answers

What is one of the primary purposes of endoscopy in the small intestine?

<p>To diagnose and treat conditions in the small intestine (A)</p> Signup and view all the answers

Which of the following is NOT a type of endoscopy used for the small intestine?

<p>Laparoscopic Enteroscopy (C)</p> Signup and view all the answers

Which complication is associated with bronchoscopy?

<p>Pneumothorax (D)</p> Signup and view all the answers

What is recommended before a bronchoscopy procedure?

<p>Fasting for 6-12 hours (D)</p> Signup and view all the answers

Which of the following is a contraindication for bronchoscopy?

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

Which therapeutic indication applies to ERCP?

<p>Gallstone removal (A)</p> Signup and view all the answers

What is a common risk associated with bronchoscopy?

<p>Hoarseness from vocal cord abrasion (B)</p> Signup and view all the answers

What must be done to the patient's upper gastrointestinal tract before an ERCP?

<p>It must be empty (C)</p> Signup and view all the answers

What is one of the preparations needed before an ERCP procedure?

<p>Removing contact lenses (D)</p> Signup and view all the answers

What is a significant risk associated with ERCP?

<p>Allergic reaction to sedative (D)</p> Signup and view all the answers

What should patients do after an ERCP until the sedative wears off?

<p>Stay in the recovery area (D)</p> Signup and view all the answers

Which of the following is NOT a contraindication for ERCP?

<p>Stable cardiopulmonary patients (A)</p> Signup and view all the answers

What is the purpose of a proctoscopy?

<p>To detect diseases of the rectum or anus (A)</p> Signup and view all the answers

What is the alternate name for the pancreatic duct?

<p>Duct of Wirsung (C)</p> Signup and view all the answers

Which of the following conditions is an indication for cystoscopy?

<p>Frequent urinary tract infections (C)</p> Signup and view all the answers

What percentage of ERCP complications may occur depending on the physician's skill?

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

Flashcards

Endoscopy

A medical procedure used to examine and treat internal organs and vessels using a long, flexible tube with a camera called an endoscope.

Investigating Symptoms with Endoscopy

Procedure using an endoscope to investigate unusual symptoms like vomiting blood, persistent diarrhea, or difficulty swallowing.

Capsule Endoscopy

A type of endoscopy that uses a small capsule with a camera to examine the digestive tract.

Endoscopic Visualization

The ability to directly visualize the organs and tissues during the procedure, allowing for detailed observation.

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Endoscopy Advantages

A minimally invasive procedure, meaning it involves smaller incisions and less downtime than traditional surgery.

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Endoscopy Limitations

Endoscopy can only visualize the surface of an organ and only a small area at a time.

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ERCP (Endoscopic Retrograde Cholangiopancreatography)

A specialized endoscopic procedure combining X-ray and endoscopy to diagnose and treat pancreatic and bile diseases.

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Endoscopic Ultrasound

Endoscopy uses high-frequency sound waves to create images of organs and structures, helping in diagnosis.

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Insufflation

A method using gas to inflate the abdomen, creating space for image and manipulation during laparoscopic interventions. It's like blowing up a balloon to create a workspace for the surgeon.

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Small Bowel Enteroscopy

A specialized type of endoscope that is fitted with a camera and inserted into the small intestine to visualize the lining. It is a flexible tube used for diagnosis and treatment of the small intestine.

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GT Bleeding of Obscure Origin

Bleeding in the gastrointestinal tract (GI) where the origin of the bleeding is difficult to determine.

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Gastroesophageal Reflux Disease (GERD)

A common condition where the stomach contents flow back up into the esophagus, causing irritation and discomfort.

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Da Vinci Surgical System

The surgical system that leverages robotics to enhance precision and dexterity during complex surgeries. It is commonly used for procedures in the abdomen and chest.

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Take Biopsies

A procedure where biopsies are collected during endoscopy to examine tissue under a microscope for diagnosis. Like taking a small sample of tissue for closer inspection.

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Reflux Oesophagitis

Inflammation of the esophagus caused by acid reflux, usually associated with GERD.

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Anal Canal

A short segment (2-3 cm) from the anal verge to the dentate line. It is the starting point of the colonoscopy procedure.

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Red-Out Sign During Anal Canal Insertion

A red-out sign occurs here when the colonoscope is introduced. This means the scope is opposed to the colon mucosa, and air or water must be infused to open the passage.

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Terminal Ileum (TI)

The last part of the small intestine, usually closed. Air suction and a repeated approach with the colonoscope are needed to open the entrance and visualize the TI.

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Villi in the Terminal Ileum

Characteristic villi found in the TI. Water-filling, Indigocarmine-dye, and Narrow-band imaging can be used to visualize these structures.

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Diverticulosis

A condition where pouches form in the wall of the colon. It can be asymptomatic or cause symptoms such as pain, bloating, or bleeding.

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Diverticulitis

Inflammation of the diverticula. It can cause pain, fever, nausea, and bowel changes.

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Enteroscopy

A procedure to examine the deeper parts of the small intestine, which cannot be accessed by a standard gastroscope.

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Cystoscope

A thin, tube-like instrument used to view the inside of the bladder and urethra, providing detailed images on a screen.

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Cystoscopy

Examination of the inside of the bladder using a cystoscope.

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Ureter Renoscopy (URS)

A procedure to look at the upper urinary tract, including the renal pelvis and calyx, using a specialized instrument.

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Acute Prostatitis

Inflammation of the prostate gland, a common cause for discomfort and difficulty urinating in men. Often a contraindication for cystoscopy due to potential complications.

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Hematuria

A condition characterized by blood in the urine, often a reason for undergoing cystoscopy to investigate the cause.

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Small Intestine Endoscopy

A procedure used to examine and treat the small intestine, often beyond the duodenum. Examples include Capsule Endoscopy and Double-Balloon Enteroscopy.

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Double-Balloon Enteroscopy

This type of endoscopy uses a long, flexible tube with a camera and a balloon to navigate the small intestine, allowing for biopsy or removal of polyps.

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Bronchoscopy

A procedure used to examine and treat the airways, lungs, and the surrounding area using a thin, flexible tube with a camera mounted on the end, called a bronchoscope.

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Endoscopic Retrograde Cholangiopancreatography (ERCP)

A medical procedure used to diagnose and treat conditions involving the gallbladder, such as gallstones.

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Proctoscopy

A procedure to examine the rectum and anal canal, using a short, rigid instrument.

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Pancreatitis

Inflammation of the pancreas, often caused by gallstones or alcohol abuse.

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Ampulla of Vater

The lower portion of the bile duct where it joins the pancreatic duct. It acts like a valve controlling the flow of bile and pancreatic juice into the small intestine.

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Bile Duct

The tube that carries bile from the liver to the gallbladder and small intestine.

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Structural Abnormalities in the GI Tract

Abnormality of the esophagus, stomach, or small intestine that can prevent ERCP from being performed safely.

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Study Notes

Endoscopy Exam Notes

  • Endoscopy is a procedure used to view and operate on internal organs and vessels.
  • It can be used for investigation, to help perform certain types of surgery, and to remove a small sample of tissue for further analysis
  • Endoscopy is not only used for digestive systems. It has a wider scope
  • Different types of endoscopy include: Laparoscopy (for abdomen/pelvis), Hysteroscopy (for uterus), Cystoscopy (for bladder), Gastroscopy (upper GI), Colonoscopy (for colon), Sigmoidoscopy (for colon), Endoscopic Retrograde Cholangiopancreatography (ERCP), Bronchoscopy (for lungs), Laryngoscopy, Arthroscopy (for joints), Nasopharyngoscopy, and Otoscopy (for ears)
  • Endoscopy is helpful for diagnosing and treating conditions such as bleeding, polyps, inflammatory bowel diseases, and abnormal tissues
  • It can only view a small area at a time and the surface of the organ
  • Some advantages of endoscopy include less invasion compared to open surgery, allowing for descriptive and photographic documentation, low morbidity, and low mortality.
  • Disadvantages include only viewing the surface and a small area at a time.

Capsule Endoscopy

  • A capsule endoscopy is a small capsule with a camera that is swallowed.
  • It transmits images as it passes through the digestive tract.
  • The images are recorded on a data recorder attached to a belt around the waist.
  • A capsule endoscopy is for examining the digestive tract, such as the esophagus, stomach, and small intestine.

Endoscopic Retrograde Cholangiopancreatography (ERCP)

  • ERCP combines endoscopy and X-rays.
  • It's used for diagnosing and treating conditions affecting the bile ducts, gallbladder, pancreas, and liver.
  • It allows visualization of the bile and pancreatic ducts.
  • ERCP is used when a person is suspected of having bile duct or pancreatic duct problems, or when there's a blockage.

Bronchoscopy

  • Bronchoscopy is inserting a thin, tube-like instrument through the nose or mouth to view the airways (trachea, bronchi, and smaller airways)
  • Used in Diagnosis and treatment of conditions affecting the lungs, like cancer staging, infections, and bleeding.
  • It collects bronchial/lung secretions for biopsy.
  • There are flexible and rigid types.
  • Advantages are wide channels for biopsy and specimen removal.
  • Disadvantages include manoeuvrability challenges and need for anesthesia.

Colonscopy

  • Examines the large intestine using a flexible tube.
  • Used to screen for polyps and cancers, and to treat certain conditions.
  • Patient preparation is important (no eating or drinking before the procedure)

Cystoscopy

  • Examines the inside of the bladder and urethra using a thin, tube-like instrument.
  • Used to diagnose infections, blood in urine, and detect abnormal growths or stones.

Proctoscopy

  • Examines the rectum and anus using a short, rigid instrument.
  • Used to detect diseases, evaluate abnormal results, check for rectal bleeding, monitor polyp growth, and check for cancer.

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