Continuing Medical Education Questions: November 2022 : Official journal of the American College of Gastroenterology | ACG

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CME QUESTIONS

Continuing Medical Education Questions: November 2022

Yaghoobi, Mohammad MD, MSc, FRCPC, FACG

Author Information
The American Journal of Gastroenterology: November 2022 - Volume 117 - Issue 11 - p 1741
doi: 10.14309/ajg.0000000000002000
  • Free

Abstract

LEARNING OBJECTIVE

After this activity, the participant will be able to identify the quality indicators in practicing and reporting capsule endoscopy and deep enteroscopy.

QUESTION 1

Which 1 of the following is the leading quality indicator in a capsule endoscopy practice?

  • A. The frequency of recommending an appropriate management plan based on the capsule findings
  • B. The frequency of performing capsule endoscopy in a timely manner after a suspected small bowel bleed and not repeating previous endoscopy and colonoscopy procedures
  • C. The frequency of testing for luminal patency before performing capsule endoscopy
  • D. The frequency of performing endoscopic capsule placement

QUESTION 2

Which of the following is an appropriate indication for capsule endoscopy with a potential high yield?

  • A. Iron deficiency anemia without evidence of gastrointestinal bleeding
  • B. Abdominal pain
  • C. Abnormal small bowel imaging with a suspected small bowel tumor
  • D. Malabsorption

QUESTION 3

A 67-year-old man, who was diagnosed with occult gastrointestinal bleeding, is referred for deep enteroscopy after a capsule endoscopy suggested 2 angiodysplasias oozing blood at 53% of small bowel transit time. Which one of the following decisions could improve the overall quality of the practice?

  • A. A review of his previous endoscopy and colonoscopy
  • B. Asking the patient to hold his anticoagulant before the procedure
  • C. Proceeding with retrograde deep enteroscopy
  • D. Performing deep enteroscopy within 7 days of capsule endoscopy

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