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FUTURE LAPAROSCOPIC SURGEONS, Study notes of Biology

Biology

FUTURE LAPAROSCOPIC SURGEONSFUTURE LAPAROSCOPIC SURGEONS

Typology: Study notes

2025/2026

Available from 04/23/2026

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FUTURE LAPAROSCOPIC SURGEONS
(FLS) TEST
if-a-blank-screen,-which-is-NOT-the-problem:
-fred
-cables
-gas
-light-panel---ans-✔✔FRED
if-the-view-is-reduced-in-size,-what-should-be-checked:
-insufflator-control-panel
-gas-tank
-veress-needle
-filter-for-gas-line---ans-✔✔insufflator-control-panel
all-are-preop-checks-except:
-muscle-relaxation
-ancillary-equipment-there
-spare-CO2-tank
-all-power-sources-are-on---ans-✔✔checking-for-muscle-relaxation
during-monopolar-cautery,-the-method-of-quickly-turning-cell-water-to-steam,-causing-the-
cell-to-explode,-is:
-cutting
-coag
-blend---ans-✔✔cutting
thermal-burn-to-appendiceal-stump-should-be-at:
-suture-ligation-of-stump
-very-tip-of-stump-(exposed-mucosa)
-base---ans-✔✔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---ans-✔✔capacitative-coupling
what-should-you-do-with-harmonic-to-avoid-inadvertent-injury
pf3
pf4
pf5

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FUTURE LAPAROSCOPIC SURGEONS

(FLS) TEST

if-a-blank-screen,-which-is-NOT-the-problem: -fred -cables -gas -light-panel---ans-✔✔FRED if-the-view-is-reduced-in-size,-what-should-be-checked: -insufflator-control-panel -gas-tank -veress-needle -filter-for-gas-line---ans-✔✔insufflator-control-panel all-are-preop-checks-except: -muscle-relaxation -ancillary-equipment-there -spare-CO2-tank -all-power-sources-are-on---ans-✔✔checking-for-muscle-relaxation during-monopolar-cautery,-the-method-of-quickly-turning-cell-water-to-steam,-causing-the- cell-to-explode,-is: -cutting -coag -blend---ans-✔✔cutting thermal-burn-to-appendiceal-stump-should-be-at: -suture-ligation-of-stump -very-tip-of-stump-(exposed-mucosa) -base---ans-✔✔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---ans-✔✔capacitative-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---ans-✔✔all-of-the-above ASA-class-3:---ans-✔✔severe-systemic-disease-that-limits-the-patient's-activity-and-may- or-may-not-be-related-to-reason-for-surgery ASA-class-2:---ans-✔✔mild-to-moderate-systemic-disease-due-either-to-surgical- condition-or-to-a-concomitant-disease ASA-class-1:---ans-✔✔no-organic,-physiological,-biochemical,-or-psychiatric-disturbance ASA-class-4:---ans-✔✔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---ans-✔✔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---ans-✔✔previous-abd-surgery which-is-NOT-an-absolute-contraindication: -uncorrectable-hypovolemic-shock -lack-of-proper-surgical-training -inability-to-tolerate-laparotomy -bowel-obstruction---ans-✔✔bowel-obstruction which-can-be-performed-with-local-alone? -appy -ectopic -diagnostic-laparoscopy -chole---ans-✔✔diagnostic-laparoscopy patient-positioning-is-important-because: -avoids-DVTs -location-of-target-anatomy -avoidance-of-position-related-complications -all-of-the-above---ans-✔✔all-of-the-above

-tachycardia -mill-wheel-murmur -JVD---ans-✔✔bradycardia cardiovascular-effects-of-pneumoperitoneum-can-be-caused-by: -pressure-from-the-abdomen -patient-positioning -acid-base-disturbances -all-of-the-above---ans-✔✔all-of-the-above pneumoperitoneum-affects-ventilation-in-all-ways-EXCEPT: -reduced-compliance -increased-peak-pressures -hypocapnea -reduced-FRC---ans-✔✔hypocapnea what-will-be-decreased-by-pneumoperitoneum: -CI -renal-vascular-resistance -PCWP -PVR -SVR---ans-✔✔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---ans-✔✔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---ans-✔✔all-of-the-above close-the-fascia-because: -prevent-hernia -prevent-infxn -prevent-gas-escape -all-of-the-above---ans-✔✔prevent-hernia pelvic-diagnostic-laparoscopy-positioning---ans-✔✔lithotomy,-arms-tucked appendectomy-positioning---ans-✔✔trendelenberg,-airplane-left

intestinal-pathology-that-can't-be-seen-laparoscopically: -crohn's -diaphragm-injury,-traumatic -ovarian-cyst -none-of-the-above---ans-✔✔none-of-the-above-(AKA-all-of-the-above-can-be-seen- laparoscopically) best-port-placement-for-adrenals-and-kidneys---ans-✔✔chevron-(bilateral-subcostal) uterine-retraction: -transvaginal -blunt-grasper -laparoscopic-retractor -suture-through-abd-wall -all-of-the-above---ans-✔✔all-of-the-above gauge-needle-for-liver-core-biopsy---ans-✔✔14-18-gauge if-an-ovary-is-larger-than-5cm-or-has-complex-internal-US-characteristics,-biopsy-should- be: -core -wedge -excisional-(oopherectomy) -FNA---ans-✔✔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---ans-✔✔use-energy-source-to-take-your-biopsies- (this-will-ruin-margins) what-trocar-size-for-SH-type-needle---ans-✔✔10-12mm ideal-suture-length-for-intracorporeal-tying---ans-✔✔6inch,-15cm ideal-suture-length-for-extracorporeal-tying---ans-✔✔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---ans-✔✔grasp-needle-through-trocar hemostasis-includes-everything-BUT: