Mixed Deck — All CET Topics Flashcards

Epinephrine injected into a bleeding GI lesion during endoscopic hemostasis controls bleeding primarily by:

Answer: Causing local vasoconstriction and promoting platelet aggregation

Epinephrine causes vasoconstriction of submucosal vessels and promotes platelet aggregation when injected around a bleeding lesion during endoscopic hemostasis.

How does continuing education relate to communication & interprofessional collaboration for CET certified professionals?

Answer: It ensures professionals stay current with evolving standards and best practices

Continuing education ensures CET professionals stay current with evolving standards, technologies, and best practices in communication & interprofessional collaboration, maintaining competency throughout their careers.

What function does the biopsy channel serve in an endoscope?

Answer: To collect tissue samples

The biopsy channel is a dedicated working channel within the endoscope's insertion tube. Its primary function is to allow the passage of various endoscopic accessories, most notably biopsy forceps, to collect tissue samples from suspicious areas. These samples are then sent for pathological examination to aid in diagnosis.

During a therapeutic upper endoscopy, the endoscopist asks for the argon plasma coagulation (APC) unit. What should the technician check before activating the APC device?

Answer: Verify the grounding pad is properly placed on the patient and the unit settings are correct

APC delivers electrosurgical energy through argon gas; a properly placed dispersive grounding pad and correct power settings are essential for patient safety.

During an upper endoscopy, the endoscopist requests a cold biopsy forceps to sample a gastric lesion. What does 'cold' mean in this context?

Answer: The forceps is used without electrocautery current

Cold biopsy refers to tissue sampling using mechanical force only, without applying electrocautery current through the forceps.

Per most US state regulations, minimum safe staffing for moderate sedation endoscopy requires:

Answer: The endoscopist plus a dedicated nurse monitoring the patient

A dedicated nurse assigned solely to patient monitoring is required in addition to the endoscopist performing the procedure to ensure continuous assessment of the sedated patient.

If an endoscope contacts an unsterile surface (e.g., the floor) during a procedure, the correct action is to:

Answer: Remove it from use and send it through the full reprocessing cycle

Any scope that contacts an unsterile surface must be removed from the sterile field and subjected to a complete reprocessing cycle before use on any patient.

A colonoscope is classified under Spaulding's classification as which category, requiring which reprocessing level?

Answer: Semi-critical — requires at minimum high-level disinfection

Colonoscopes contact intact mucous membranes and are classified as semi-critical, requiring at minimum high-level disinfection between patient uses.

The pre-procedure 'time-out' in endoscopy is performed to:

Answer: Verify patient identity, correct procedure, and relevant clinical information

The pre-procedure time-out is a Joint Commission-mandated safety protocol to confirm correct patient, correct procedure, and relevant allergies or contraindications before starting.

Which device helps maintain a clear field by removing fluids during the procedure?

Answer: Suction valve

The suction valve, located on the endoscope's control body, is crucial for maintaining a clear field of view during an endoscopy. When activated, it draws fluids, mucus, blood, or debris through the working channel, preventing obstructions to visualization. This ensures the physician can clearly see the internal structures and perform necessary interventions.

What is the first-line medication for treating anaphylaxis that occurs during an endoscopy procedure?

Answer: Epinephrine

Epinephrine (adrenaline) is the first-line treatment for anaphylaxis because it reverses bronchospasm, vasodilation, and urticaria through alpha and beta adrenergic stimulation.

During endoscopy, which finding on continuous monitoring most directly indicates respiratory compromise?

Answer: Decreasing oxygen saturation on pulse oximetry

A declining SpO2 on pulse oximetry is the primary objective indicator of respiratory compromise and requires immediate intervention during endoscopy sedation.

In the GI tract, where does the majority of water absorption occur?

Answer: Small intestine

The small intestine absorbs approximately 7–8 liters of water daily, far more than the large intestine's 1–2 liters.

Which assessment finding would be most concerning in a patient recovering from colonoscopy under moderate sedation?

Answer: Respiratory rate of 8 breaths per minute

A respiratory rate of 8 is a sign of respiratory depression, a serious complication of opioid and benzodiazepine sedation.

Erythromycin administered before emergent upper endoscopy in an upper GI bleed patient is intended to:

Answer: Clear the stomach of blood to improve visualization

Erythromycin acts as a motilin receptor agonist to accelerate gastric emptying, clearing blood and clots to improve visualization at emergent upper endoscopy.

During a conscious sedation procedure, the patient's oxygen saturation drops to 88%. What should the technician do first?

Answer: Apply supplemental oxygen via nasal cannula or face mask

Applying supplemental oxygen is the first-line intervention for a desaturation event during procedural sedation.

How does continuing education relate to professional ethics & legal compliance for CET certified professionals?

Answer: It ensures professionals stay current with evolving standards and best practices

Continuing education ensures CET professionals stay current with evolving standards, technologies, and best practices in professional ethics & legal compliance, maintaining competency throughout their careers.

What is the primary purpose of professional ethics & legal compliance in the context of Certified Euthanasia Technician?

Answer: To ensure consistent quality and professional accountability

Professional Ethics & Legal Compliance in Certified Euthanasia Technician primarily ensures consistent quality and professional accountability, forming the foundation of competent practice in this field.

During a colonoscopy, the patient reports severe left lower quadrant pain and the monitor shows a sudden rise in insufflation pressure. What complication should be suspected?

Answer: Perforation

Sudden severe abdominal pain with increased insufflation resistance during colonoscopy is a classic warning sign of bowel perforation.

When perforation is suspected after upper endoscopy, the endoscopy technician should immediately:

Answer: Notify the physician and prepare for emergent intervention

Perforation is a life-threatening emergency requiring immediate physician notification and preparation for emergent endoscopic or surgical intervention.