FUTURE LAPAROSCOPIC SURGEONS (FLS) TEST QUESTIONS, Exams of Nursing

FUTURE LAPAROSCOPIC SURGEONS (FLS) TEST QUESTIONS

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2025/2026

Available from 01/09/2026

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FUTURE LAPAROSCOPIC SURGEONS (FLS) TEST
QUESTIONS
If a blank screen, which is NOT the problem:
-fred
-cables
-gas
-light panel - Answer -FRED
If the view is reduced in size, what should be checked:
-insufflator control panel
-gas tank
-veress needle
-filter for gas line - Answer -insufflator control panel
All are preop checks except:
-muscle relaxation
-ancillary equipment there
-spare CO2 tank
-all power sources are on - Answer -checking for muscle relaxation
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 - Answer -all of the above
ASA class 3: - Answer -severe systemic disease that limits the patient's activity and
may or may not be related to reason for surgery
ASA class 2: - Answer -mild-to-moderate systemic disease due either to surgical
condition or to a concomitant disease
ASA class 1: - Answer -no organic, physiological, biochemical, or psychiatric
disturbance
ASA class 4: - Answer -Severe systemic disturbance that is life-threatening with or
without surgery
Initial consultation should include:
-types of trocars used
-details of pneumoperitoneum
-possibility of conversion to open surgery
-type of insufflation gas to be used - Answer -possibility of conversion to open surgery
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FUTURE LAPAROSCOPIC SURGEONS (FLS) TEST

QUESTIONS

If a blank screen, which is NOT the problem:

  • fred
  • cables
  • gas
  • light panel - Answer - FRED If the view is reduced in size, what should be checked:
  • insufflator control panel
  • gas tank
  • veress needle
  • filter for gas line - Answer - insufflator control panel All are preop checks except:
  • muscle relaxation
  • ancillary equipment there
  • spare CO2 tank
  • all power sources are on - Answer - checking for muscle relaxation 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 - Answer - all of the above ASA class 3: - Answer - severe systemic disease that limits the patient's activity and may or may not be related to reason for surgery ASA class 2: - Answer - mild-to-moderate systemic disease due either to surgical condition or to a concomitant disease ASA class 1: - Answer - no organic, physiological, biochemical, or psychiatric disturbance ASA class 4: - Answer - Severe systemic disturbance that is life-threatening with or without surgery Initial consultation should include:
  • types of trocars used
  • details of pneumoperitoneum
  • possibility of conversion to open surgery
  • type of insufflation gas to be used - Answer - possibility of conversion to open surgery

Which is a relative contraindication:

  • hypovolemic shock, uncorrectable
  • previous abd surgery
  • inability to tolerate a laparotomy
  • lack of appropriate facilities - Answer - previous abd surgery Which is NOT an absolute contraindication:
  • uncorrectable hypovolemic shock
  • lack of proper surgical training
  • inability to tolerate laparotomy
  • bowel obstruction - Answer - bowel obstruction During monopolar cautery, the method of quickly turning cell water to steam, causing the cell to explode, is:
  • cutting
  • coag
  • blend - Answer - cutting Thermal burn to appendiceal stump should be at:
  • suture ligation of stump
  • very tip of stump (exposed mucosa)
  • base - Answer - suture ligation of the stump The use of all-plastic or all-metal trocars can avoid which problem:
  • unintended direct coupling
  • insulation failure
  • capacitative coupling - Answer - capacitative coupling Which can be performed with local alone?
  • appy
  • ectopic
  • diagnostic laparoscopy
  • chole - Answer - diagnostic laparoscopy Patient positioning is important because:
  • avoids dvts
  • location of target anatomy
  • avoidance of position-related complications
  • all of the above - Answer - all of the above Which is NOT true about general anesthesia
  • complete neuromuscular relaxation
  • good control of ventilation
  • fewer hemodynamic changes compared to local
  • patient positioning
  • acid-base disturbances
  • all of the above - Answer - all of the above Pneumoperitoneum affects ventilation in all ways EXCEPT:
  • reduced compliance
  • increased peak pressures
  • hypocapnea
  • reduced FRC - Answer - hypocapnea What will be decreased by pneumoperitoneum:
  • CI
  • renal vascular resistance
  • PCWP
  • PVR
  • SVR - Answer - cardiac index When should check for venous bleeding be performed
  • final inspection of abdomen
  • when releasing abdominal pressure
  • during trocar removal
  • all of the above - Answer - all 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 - Answer - all of the above Close the fascia because:
  • prevent hernia
  • prevent infxn
  • prevent gas escape
  • all of the above - Answer - prevent hernia Pelvic diagnostic laparoscopy positioning - Answer - lithotomy, arms tucked Appendectomy positioning - Answer - trendelenberg, airplane left Intestinal pathology that can't be seen laparoscopically:
  • crohn's
  • diaphragm injury, traumatic
  • ovarian cyst
  • none of the above - Answer - none of the above (AKA all of the above can be seen laparoscopically)

Best port placement for adrenals and kidneys - Answer - chevron (bilateral subcostal) Uterine retraction:

  • transvaginal
  • blunt grasper
  • laparoscopic retractor
  • suture through abd wall
  • all of the above - Answer - all of the above Gauge needle for liver core biopsy - Answer - 14 - 18 gauge If an ovary is larger than 5cm or has complex internal US characteristics, biopsy should be:
  • core
  • wedge
  • excisional (oopherectomy)
  • FNA - Answer - oopherectomy Successful tissue biopsy laparoscopically includes everything BUT:
  • avoid contacting tissue with extraction site
  • use energy source to take your biopsies
  • excise small lesions
  • avoid biopsy of fluid-filled liver lesions - Answer - use energy source to take your biopsies (this will ruin margins) What trocar size for SH type needle - Answer - 10 - 12 mm Ideal suture length for intracorporeal tying - Answer - 6inch, 15cm Ideal suture length for extracorporeal tying - Answer - 30inches, 75cm Which is NOT true about intracorporeal tying
  • grasp needle through trocar
  • ideal length is 6in, 15cm
  • ideal orientation is 3-to-9 o'clock
  • pulling needle along its arc - Answer - grasp needle through trocar Hemostasis includes everything BUT:
  • identify specific point of bleeding
  • avoid injury to nearby structures
  • add extra ports PRN
  • convert to open PRN
  • apply vascular clips to general area is usually sufficient - Answer - applying general vascular clips to area Bipolar is not good for - Answer - capillary sized vessels