Download Future Laparoscopic Surgeons (FLS) Test2025/2026 and more Exams Nursing in PDF only on Docsity!
Future Laparoscopic
Surgeons (FLS)
Test2025/
if a blank screen, which is NOT the problem: -fred -cables -gas -light panel - ansFRED
if the view is reduced in size, what should be checked: -insufflator control panel -gas tank -veress needle -filter for gas line - ansinsufflator control panel
all are preop checks except: -muscle relaxation -ancillary equipment there -spare CO2 tank -all power sources are on - anschecking for muscle relaxation
during monopolar cautery, the method of quickly turning cell water to steam, causing the cell to explode, is: -cutting -coag -blend - anscutting
thermal burn to appendiceal stump should be at: -suture ligation of stump -very tip of stump (exposed mucosa) -base - anssuture ligation of the stump
the use of all-plastic or all-metal trocars can avoid which problem: -unintended direct coupling -insulation failure -capacitative coupling - anscapacitative 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 - ansall of the above
ASA class 3: - anssevere systemic disease that limits the patient's activity and may or may not be related to reason for surgery
ASA class 2: - ansmild-to-moderate systemic disease due either to surgical condition or to a concomitant disease
ASA class 1: - ansno organic, physiological, biochemical, or psychiatric disturbance
ASA class 4: - ansSevere 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 - anspossibility 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 - ansprevious abd surgery
which is NOT an absolute contraindication: -uncorrectable hypovolemic shock -lack of proper surgical training -inability to tolerate laparotomy -bowel obstruction - ansbowel obstruction
which can be performed with local alone? -appy -ectopic -diagnostic laparoscopy -chole - ansdiagnostic laparoscopy
patient positioning is important because: -avoids DVTs -location of target anatomy -avoidance of position-related complications -all of the above - ansall 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 - ansfewer hemodynamic changes compared to local
initial trocar location - ansumbilicus
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 - ansflow of CO2 and low pressures
umbilical veress is NOT contraindicated in: -previous midline laparotomy
-during trocar removal -all of the above - ansall 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 - ansall of the above
close the fascia because: -prevent hernia -prevent infxn -prevent gas escape -all of the above - ansprevent hernia
pelvic diagnostic laparoscopy positioning - anslithotomy, arms tucked
appendectomy positioning - anstrendelenberg, airplane left
intestinal pathology that can't be seen laparoscopically: -crohn's -diaphragm injury, traumatic -ovarian cyst -none of the above - ansnone of the above (AKA all of the above can be seen laparoscopically)
best port placement for adrenals and kidneys - anschevron (bilateral subcostal)
uterine retraction: -transvaginal -blunt grasper -laparoscopic retractor -suture through abd wall -all of the above - ansall of the above
gauge needle for liver core biopsy - ans14-18 gauge
if an ovary is larger than 5cm or has complex internal US characteristics, biopsy should be: -core -wedge -excisional (oopherectomy) -FNA - ansoopherectomy
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 - ansuse energy source to take your biopsies (this will ruin margins)
what trocar size for SH type needle - ans10-12mm
ideal suture length for intracorporeal tying - ans6inch, 15cm
ideal suture length for extracorporeal tying - ans30inches, 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 - ansgrasp 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 - ansapplying general vascular clips to area
bipolar is not good for - anscapillary sized vessels
benefits of bipolar - ansbetter for larger vessels functions in wet field has computer enhanced devices less lateral thermal spread
post op diaphragmatic irritation lasts for - ans1-3 days
