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FLS EXAM QUESTIONS WITH 100% CORRECT ANSWERS

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FLS EXAM QUESTIONS WITH 100% CORRECT ANSWERS In what age group port sites 5mm or smaller require closure of the fascia? - Answer-Pediatric Abdominal wall closure of the port sites can be accomplished using... - Answer-Open techniques Laparoscopic-assisted techniques Entirely laparoscopic...

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  • January 16, 2025
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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FLS EXAM QUESTIONS WITH 100%
CORRECT ANSWERS

In what age group port sites 5mm or smaller require closure of the fascia? - Answer-
Pediatric

Abdominal wall closure of the port sites can be accomplished using... - Answer-Open
techniques
Laparoscopic-assisted techniques
Entirely laparoscopic techniques

When should a check for venous bleeding be performed? - Answer-During final
abdominal inspection, while releasing abdominal pressure, and during trocar removal

Once the operative procedure is finished, the surgeon should check which areas before
exiting the abdomen? - Answer-Operative field, dependent portions of the abdomen
away from the field of view at the operative site, abdominal wall at each port site onece
the port has been removed

what is the correct patient position for diagnostic laparoscopy for pelvic procedure? -
Answer-dorsal lithotomy

what is the correct patient position for diagnostic laparoscopy for appendectomy? -
Answer-trendelenburg

which of the following pathology can be diagnosed laparoscopically? - Answer-Crohns,
traumatic diaphragm injury, and ovarian cyst

what are of the abomden is best for placement of ports to view kidneys and adrenal
glands? - Answer-Upper abdomen (epigastric, RUQ, LUQ)

retraction of the uterus can be accomplished by? - Answer-transvaginal manipulator,
blunt grasper, laparoscopic retractor, and suture placed through abdominal wall

In general, if an ovarian cyst is larger than 5cm or has complex internal US findings,
biopsy should be done by? - Answer-oophorectomy

general principles of successful laparoscopic tissue biopsy include all of the following
EXCEPT: - Answer-remove biopsy specimen with an energy source to avoid bleeding

,(correct answers include avoid contacting tissue of extraction site with specimen,
excisions biopsy of small lesions is appropriately, generally avoid biopsy of fluid filled
liver lesions)

which of the following about intracorporeal suturing is not true? - Answer-grasping the
needle is the ideal way to control it when transporting the suture in and out of the
abdomen

true statements include: the ideal suture length is about 6inches, the ideal orientation for
suturing is from 3 o'clock to 9 o'clock, pulling the needling along its arc through the
tissue will minimize damage

general principles regarding hemostasis during laparoscopy include all of the following
EXCEPT: - Answer-applying vascular clips to the general area is usually sufficient

correct statements include: it is best to specifically identify the bleeding point, avoiding
injury to adjacent structures is important, adding extra ports may be necessary,
conversion to open may be necessary

all of the following are generally true regarding port site bleeding EXCEPT - Answer-
there is no need to remove ports under direct visualization

correct answers include: external hemorrhage may require extension of skin incision,
internal hemorrhage may not be present while port is in place, internal hemorrhage may
not be visible from skin incision, ports placed through the rectus muscle should be done
under direct laparoscopic visualization

when compared to monopoly cautery, bipolar cautery affords all of the following
advantages EXCEPT - Answer-more beneficial for capillary sized vessels

correct answers include: useful for larger vessels, functions better in "wet" operative
field, has advanced computer devices available,e has less lateral thermal spread

when dividing a large vascular structure, which of the following is true? - Answer-the
surgeon must be prepared to immediately intervene in case vascular control is lost

for how many days postoperatively will shoulder pain secondary to diaphragmatic
irritation typically persist? - Answer-1-3 days

which of the following classes of medications should NOT be considered to treat a
patient with postoperative nausea and vomiting? - Answer-morphine sulfate

correct answers include antihistamines, serotonin receptor antagonists, and
corticosteroids

, a patient in the early postoperative period following laparoscopic surgery who complains
of several days of increasing pain should be managed by? - Answer-instructing the
patient that he/she needs to be evaluated to determine the cause of the increasing pain

Peumoperitoneum should be? - Answer-10-15mmHg = 1-3L CO2

Relative contraindications to Blind initial trocar insertion - Answer-Previous abdominal
surgery
Previous intra-abdominal inflammatory process

Absolute contraindications to Blind initial trocar insertion - Answer-Abdominal scar from
prior open operation in immediate vicinity of trocar insertion
Through previously placed intraperitoneal mesh for hernia repair

Types of trocar tips - Answer-Knife blade tip
Plastic tip
Protective spring loaded shield
Optical tip

Complications of Veress Needle insertion - Answer-Bowel injury
Mesenteric or omental vascular injury
Retroperitoneal vascular injury
Cardiac arrhythmia
Hypotension
High airway pressures
Pneumothorax (w/initial gas insufflation)
Gas embolism (w/initial gas insufflation)

Why additional (secondary) trocars should not be placed in the middle of the rectus
muscles? - Answer-To avoid injury to the inferior epigastric vessels (cannot be seen
with translumination of the abdominal wall

When checking placement of the Veress needle, which is the most accurate method to
detect proper intraperitoneal placement? - Answer-Insufflator display revealing flow of
CO2 and low initial pressure

Monitoring during pneumoperitoneum - Answer-Cardiac rhythm
Pulse oximetry
End tidial CO2
HR
Blood pressure
Urine output

Upper Abdominal Laparoscopy - Position and equipment - Answer-Arms can be out on
arm boards
Reverse Trendelenberg position (need foot board and leg strap)

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