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Future Laparoscopic Surgeons (FLS) Test., Exams of Advanced Education

University of Massachusetts - AmherstAdvanced Education

Future Laparoscopic Surgeons (FLS) Test.

Typology: Exams

2025/2026

Available from 04/19/2026

Allen_Nelson
Allen_Nelson 🇺🇸

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Future Laparoscopic Surgeons (FLS) Test.
Save
if a blank screen, which is NOT the problem:
-fred
-cables
-gas
-light panel - ANSWERFRED
if the view is reduced in size, what should be checked:
-insufflator control panel
-gas tank
-veress needle
-filter for gas line - ANSWERinsufflator control panel
all are preop checks except:
-muscle relaxation
-ancillary equipment there
-spare CO2 tank
-all power sources are on - ANSWERchecking for muscle relaxation
during monopolar cautery, the method of quickly turning cell water to steam,
causing the cell to explode, is:
-cutting
pf3
pf4
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Future Laparoscopic Surgeons (FLS) Test.

Save if a blank screen, which is NOT the problem:

  • fred
  • cables
  • gas
  • light panel - ANSWERFRED if the view is reduced in size, what should be checked:
  • insufflator control panel
  • gas tank
  • veress needle
  • filter for gas line - ANSWERinsufflator control panel all are preop checks except:
  • muscle relaxation
  • ancillary equipment there
  • spare CO2 tank
  • all power sources are on - ANSWERchecking for muscle relaxation during monopolar cautery, the method of quickly turning cell water to steam, causing the cell to explode, is:
  • cutting
  • coag
  • blend - ANSWERcutting thermal burn to appendiceal stump should be at:
  • suture ligation of stump
  • very tip of stump (exposed mucosa)
  • base - ANSWERsuture ligation of the stump the use of all-plastic or all-metal trocars can avoid which problem:
  • unintended direct coupling
  • insulation failure
  • capacitative coupling - ANSWERcapacitative 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 - ANSWERall of the above ASA class 3: - ANSWERsevere systemic disease that limits the patient's activity and may or may not be related to reason for surgery ASA class 2: - ANSWERmild-to-moderate systemic disease due either to surgical condition or to a concomitant disease

which can be performed with local alone?

  • appy
  • ectopic
  • diagnostic laparoscopy
  • chole - ANSWERdiagnostic laparoscopy patient positioning is important because:
  • avoids DVTs
  • location of target anatomy
  • avoidance of position-related complications
  • all of the above - ANSWERall of the above which is NOT true about general anesthesia
  • complete neuromuscular relaxation
  • good control of ventilation
  • fewer hemodynamic changes compared to local
  • allows for more flexibility during positioning - ANSWERfewer hemodynamic changes compared to local initial trocar location - ANSWERumbilicus when checking your veress, which is most accurate to ensure proper placement?
  • aspirating blood
  • aspiring enteric contents
  • flow of CO2 and low pressures
  • no flow of CO2 and high pressures - ANSWERflow of CO2 and low pressures umbilical veress is NOT contraindicated in:
  • previous midline laparotomy
  • previous R subcostal incision
  • previous midline laparotomy
  • previous umbilical hernia
  • previous crohn's disease with fistulas - ANSWERR subcostal incision best alternate site for veress besides umbilicus - ANSWERpalmer's midline (umbilical) veress placement is worrisome for injuring what - ANSWERthe aorta which is most likely d/t the effects of pneumoperitoneum:
  • tachy
  • V-fib
  • PVCs
  • brady - ANSWERbradycardia position for gas embolism - ANSWERtrendelenberg, left side down decubitus hypercarbia is influenced by:
  • body's buffer system

what will be decreased by pneumoperitoneum:

  • CI
  • renal vascular resistance
  • PCWP
  • PVR
  • SVR - ANSWERcardiac index when should check for venous bleeding be performed
  • final inspection of abdomen
  • when releasing abdominal pressure
  • during trocar removal
  • all of the above - ANSWERall 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 - ANSWERall of the above close the fascia because:
  • prevent hernia
  • prevent infxn
  • prevent gas escape
  • all of the above - ANSWERprevent hernia

pelvic diagnostic laparoscopy positioning - ANSWERlithotomy, arms tucked appendectomy positioning - ANSWERtrendelenberg, airplane left intestinal pathology that can't be seen laparoscopically:

  • crohn's
  • diaphragm injury, traumatic
  • ovarian cyst
  • none of the above - ANSWERnone of the above (AKA all of the above can be seen laparoscopically) best port placement for adrenals and kidneys - ANSWERchevron (bilateral subcostal) uterine retraction:
  • transvaginal
  • blunt grasper
  • laparoscopic retractor
  • suture through abd wall
  • all of the above - ANSWERall of the above gauge needle for liver core biopsy - ANSWER 14 - 18 gauge

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 - ANSWERapplying general vascular clips to area bipolar is not good for - ANSWERcapillary sized vessels benefits of bipolar - ANSWERbetter for larger vessels functions in wet field has computer enhanced devices less lateral thermal spread post op diaphragmatic irritation lasts for - ANSWER 1 - 3 days