FLS Modules Exam Questions with Answers Latest
Update 2026 | Pass Exam Prep
1. If a surgeon needs to perform a laparoscopic procedure on a patient with a
very small abdominal cavity, which diameter of instruments would be most
appropriate?
5 mm
15 mm
20 mm
10 mm
2. During a laparoscopic procedure, a patient exhibits signs of decreased
cardiac output. What immediate action should the surgical team take to
address this issue?
Administer additional anesthesia.
Evaluate and adjust the insufflation pressure.
Change the surgical position to supine.
Increase the patient's fluid intake.
3. Describe the implications of having severe cardiopulmonary disease as a
relative contraindication for laparoscopic procedures.
Severe cardiopulmonary disease allows for safer laparoscopic
procedures.
There are no implications for surgery in patients with severe
cardiopulmonary disease.
Patients with severe cardiopulmonary disease may have an
increased risk of complications during laparoscopic surgery due to
anesthesia and CO2 insufflation.
, Patients with this condition are always suitable for laparoscopic
surgery.
4. What is one potential hazard of using bipolar energy delivery methods in
laparoscopic procedures?
Thermal injury to surrounding tissues
Excessive bleeding
Inadequate insufflation
Increased risk of infection
5. What is a key consideration when performing laparoscopy on pregnant
patients?
Avoiding excessive CO2 insufflation pressure
Performing the procedure without anesthesia
Limiting the duration of the surgery to under an hour
Using only monopolar energy delivery
6. In a scenario where a patient is experiencing slippage during a laparoscopic
procedure in the steep reverse Trendelenburg position, what would be the
most appropriate action to take?
Increase the insufflation pressure to stabilize the abdomen
Adjust the footboard to secure the patient's position
Remove the laparoscopic instruments to reduce weight
Change the patient's position to supine immediately
7. Significant CV effects of pneumoperitoneum can be caused by
, Pressure of pneumoperitoneum
Patient position
Acid-base disturbances from CO2
None of the above
All of the above
8. Describe how CO2 pneumoperitoneum can affect cardiac output during
laparoscopic surgery.
CO2 pneumoperitoneum can increase intra-abdominal pressure,
leading to decreased venous return and reduced cardiac output.
CO2 pneumoperitoneum decreases intra-abdominal pressure, which
increases cardiac output.
CO2 pneumoperitoneum has no effect on cardiac output.
CO2 pneumoperitoneum enhances venous return, thus increasing
cardiac output.
9. Which conditions are considered relative contraindications for pelvic
laparoscopy?
Severe cardiovascular disease, coagulopathy, and significant
pulmonary disease.
Age over 65, previous abdominal surgeries, and pregnancy.
Obesity, diabetes, and hypertension.
Allergy to anesthesia, smoking, and chronic kidney disease.
10. What is the primary purpose of the Hasson technique in laparoscopic
surgery?
To insufflate the abdominal cavity with gas.
, To remove excess fluid from the surgical site.
To deliver energy for tissue cutting.
To create a safe entry point into the abdominal cavity.
11. What is the main reason for warming and humidifying CO2 used in
laparoscopic procedures?
To prevent hypothermia and maintain patient comfort.
To reduce the risk of infection.
To increase the pressure in the abdominal cavity.
To enhance visibility during the procedure.
12. What is the typical percentage drop in venous flow rates during
pneumoperitoneum?
50%
10%
20%
30%
13. What is the primary ergonomic position recommended for a surgeon during
laparoscopic surgeries?
Sitting with the back slouched and arms extended forward.
Standing with the torso upright and arms at a comfortable angle.
Leaning over the operating table with a bent back.
Kneeling on the floor with arms raised above the head.
Update 2026 | Pass Exam Prep
1. If a surgeon needs to perform a laparoscopic procedure on a patient with a
very small abdominal cavity, which diameter of instruments would be most
appropriate?
5 mm
15 mm
20 mm
10 mm
2. During a laparoscopic procedure, a patient exhibits signs of decreased
cardiac output. What immediate action should the surgical team take to
address this issue?
Administer additional anesthesia.
Evaluate and adjust the insufflation pressure.
Change the surgical position to supine.
Increase the patient's fluid intake.
3. Describe the implications of having severe cardiopulmonary disease as a
relative contraindication for laparoscopic procedures.
Severe cardiopulmonary disease allows for safer laparoscopic
procedures.
There are no implications for surgery in patients with severe
cardiopulmonary disease.
Patients with severe cardiopulmonary disease may have an
increased risk of complications during laparoscopic surgery due to
anesthesia and CO2 insufflation.
, Patients with this condition are always suitable for laparoscopic
surgery.
4. What is one potential hazard of using bipolar energy delivery methods in
laparoscopic procedures?
Thermal injury to surrounding tissues
Excessive bleeding
Inadequate insufflation
Increased risk of infection
5. What is a key consideration when performing laparoscopy on pregnant
patients?
Avoiding excessive CO2 insufflation pressure
Performing the procedure without anesthesia
Limiting the duration of the surgery to under an hour
Using only monopolar energy delivery
6. In a scenario where a patient is experiencing slippage during a laparoscopic
procedure in the steep reverse Trendelenburg position, what would be the
most appropriate action to take?
Increase the insufflation pressure to stabilize the abdomen
Adjust the footboard to secure the patient's position
Remove the laparoscopic instruments to reduce weight
Change the patient's position to supine immediately
7. Significant CV effects of pneumoperitoneum can be caused by
, Pressure of pneumoperitoneum
Patient position
Acid-base disturbances from CO2
None of the above
All of the above
8. Describe how CO2 pneumoperitoneum can affect cardiac output during
laparoscopic surgery.
CO2 pneumoperitoneum can increase intra-abdominal pressure,
leading to decreased venous return and reduced cardiac output.
CO2 pneumoperitoneum decreases intra-abdominal pressure, which
increases cardiac output.
CO2 pneumoperitoneum has no effect on cardiac output.
CO2 pneumoperitoneum enhances venous return, thus increasing
cardiac output.
9. Which conditions are considered relative contraindications for pelvic
laparoscopy?
Severe cardiovascular disease, coagulopathy, and significant
pulmonary disease.
Age over 65, previous abdominal surgeries, and pregnancy.
Obesity, diabetes, and hypertension.
Allergy to anesthesia, smoking, and chronic kidney disease.
10. What is the primary purpose of the Hasson technique in laparoscopic
surgery?
To insufflate the abdominal cavity with gas.
, To remove excess fluid from the surgical site.
To deliver energy for tissue cutting.
To create a safe entry point into the abdominal cavity.
11. What is the main reason for warming and humidifying CO2 used in
laparoscopic procedures?
To prevent hypothermia and maintain patient comfort.
To reduce the risk of infection.
To increase the pressure in the abdominal cavity.
To enhance visibility during the procedure.
12. What is the typical percentage drop in venous flow rates during
pneumoperitoneum?
50%
10%
20%
30%
13. What is the primary ergonomic position recommended for a surgeon during
laparoscopic surgeries?
Sitting with the back slouched and arms extended forward.
Standing with the torso upright and arms at a comfortable angle.
Leaning over the operating table with a bent back.
Kneeling on the floor with arms raised above the head.
