Future Laparoscopic Surgeons (FLS) Test Practice Guide 2026, Exams of General Surgery

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Future Laparoscopic Surgeons (FLS) Test Practice Guide 2026

“1 I I I I I I I I I I I I I I I I I I I I I I I I al Future Laparoscopic Surgeons (FLS) Test Practice Guide 2026 ifa blank screen, which is NOT the problem: -fred -cables “gas sight panel - SORRECSIAISNPBRE 3510 if the view is reduced in size, what should be checked: -insufflator control panel -gas tank -veress needle -filter for gas line - GORRECTANGWER insufflacor control panel all are preop checks except: -muscle relaxation -ancillary equipment there -spare CO2 tank -all power sources are on - GORRECTMNGWER checking for muscle relaxation during monopolar cautery, the method of quickly turning cell water to steam, causing the cell to explode, is: -cutting r I I I I I I I I I I I I I I I I I I I I I I I I L a | -coag end - ORRESTANISIBRE cng thermal burn co appendiceal stump should be at: -suture ligation of stump -very tip of stump (exposed. mucosa) -base - GORRECTANGWER sucure ligation of the stump the use of all-plastic or all-metal trocars can avoid which problem: -unintended direct coupling -insulation failure -eapacitative coupling- CORRECT ANSWER -capacitaive coupling what should you do with harmonic to avoid inadvertent injury -be aware of blade -grab and elevate your target -keep active blade upwards and in view -all of the above - CORRECT ANSWER -all of the above ASA class 3: - GORRECTANGWER severe systemic disease that limits the patient's activity and may or may not be related to reason for surgery ASA class 2: - GORRECTANSWER mild-to-moderate systemic disease due either to surgical condition or to a concomitant disease ASA class 1: - CORRECT ANSWER -no organic, physiological, biochemical, or psychiatric disturbance bua ee ee ee ee eee ee ee ee ee eee eee eee Ds ce eee ee ee es “1 I I I I I I I I I I I I I I I I I I I I I I I I al -diagnostic laparoscopy -chole- CORRECT ANSWER . licguostic laparoscopy patient positioning is important because: -avoids DVTs -location of target anatomy -avoidance of position-related complications -all of the above - CORRECT ANSWER. all of the above which is NOT crue about general anesthesia -complete neuromuscular relaxation -good control of ventilation -fewer hemodynamic changes compared to local -allows for more flexibility during positioning GORRECTENGWER fewer hemodynamic changes compared to local initial trocar location - GORRECTENGWER! umbilicus when checking your veress, which is most accurate te ensure proper placement? -aspirating blood -aspiring enteric contents -flow of CO2 and low pressures -no flow of CO2 and high pressures umbilical veress is NOT contraindicated in: GORRECTANSWER flow of CO2 and low pressures r I I I I I I I I I I I I I I I I I I I I I I I I L “1 I I I I I I I I I I I I I I I I I I I I I I I I al -previous midline laparotomy -previous R subcostal incision -previous midline laparotomy -previous umbilical hernia -previous crohn’s disease with fistulas - CORRECT ANSWER -R subcostal incision best alcernate site for veress besides umbilicus - GORRECTANSWER! palmer's midline (umbilical) veress placement is worrisome for injuring what - CORRECT ANSWER -the aorta which is most likely d/t the effects of pneumoperitoneum: -tachy -V-fib -PVCs -brady - GORRECTMNGWER bradycardia position for gas embolism - GORRECTANGWER trendelenberg, left side down decubitus hypercarbia is influenced by: -body's buffer system -patienc’s pulm system -extrapericoneal insufflation -A+B -A+B+C, all of the above - SORREGIINSWERI-A+B+C, all of the above r I I I I I I I I I I I I I I I I I I I I I I I I L “1 I I I I I I I I I I I I I I I I I I I I I I I I al when should check for venous bleeding be performed -tinal inspection of abdomen -when releasing abdominal pressure -during trocar removal -all of the above - GORRECTANSWERI-al! of the above what should you check before exiting the abdomen: -operative field -dependent portions of abdomen -abdominal wall at each previous trocar site -all of the above - CORRECT ANSWER -all of the above close the fascia because: -prevent hernia -prevent infxn ~prevent gas escape -all of the above - GORRECTANSWER prevent hernia pelvic diagnostic laparoscopy positioning - GORRECTANSWERithotomy, arms tucked appendectomy positioning - GORRECTANGWER trendelenberg, airplane left intestinal pathology that can’t be seen laparoscopically: -crohn's r I I I I I I I I I I I I I I I I I I I I I I I I L “1 I I I I I I I I I I I I I I I I I I I I I I I I al -diaphragm injury, traumatic ovarian cyst -none of the above - CORRECT ANSWER -none of the above (AKA all of the above can be seen Japaroscopically) best port placement for adrenals and kidneys - GORRECTANSWER! chevron (bilateral subcostal) uterine retraction: -transvaginal -blunc grasper -laparoscopic retractor -suture through abd wall CORRECHANSWENE ofthe above -all of the above gauge needle for liver core biopsy - GORRDGHANS WER 14-18 gauge if an ovary is larger than 5cm or has complex internal US characteristics, biopsy should be: -core -wedge -excisional (oopherectomy) -FNA- GORRESTANSWER-copherectomy successful tissue biopsy laparoscopically includes everything BUT: -avoid contacting tissue with extraction site -use energy source to take your biopsies r I I I I I I I I I I I I I I I I I I I I I I I I L “1 I I I I I I I I I I I I I I I I I I I I I I I I al benefits of bipolar - GORRECMANSWER-better for larger vessels functions in wet field has computer enhanced devices Jess lateral thermal spread post op diaphragmatic irritation lasts for - CORRECT ANSWER -1-3 days r I I I I I I I I I I I I I I I I I I I I I I I I L