Fundamentals of Laparoscopic Surgery (FLS) Mock Exam
2026 | Trusted Questions & Answers
1. During a laparoscopic procedure, if a patient develops bradycardia after
pneumoperitoneum is established, what immediate action should the surgical
team consider?
Increase the pneumoperitoneum pressure to counteract bradycardia.
Administer atropine immediately without assessment.
Continue the procedure without any changes.
Assess the patient's hemodynamic status and consider adjusting the
intra-abdominal pressure.
2. Which device uses ultrasonic energy to cut and coagulate tissue
simultaneously, and, because of the lower temperature used there is less
vaporized tissue plume, requires no grounding pad, and is used frequently
during laparoscopic procedures?
Cryotherapy unit
Argon-enhanced Coagulator
Harmonic Scalpel®
CUSA
3. Describe the importance of the insufflation system in laparoscopic
procedures.
The insufflation system is only used during open surgeries.
The insufflation system provides power to the surgical instruments.
The insufflation system is crucial for creating a working space in the
abdomen, allowing surgeons to perform procedures safely and
effectively.
, The insufflation system is used to sterilize instruments before surgery.
4. In a laparoscopic procedure, if a surgeon opts to use ultrasonic energy
instead of monopolar electrosurgery, what potential benefits might they
expect?
Increased risk of thermal injury to surrounding tissues
Higher costs associated with ultrasonic devices
Longer procedure time due to equipment complexity
Reduced thermal spread and improved precision in tissue handling
5. What gas is primarily responsible for the decrease in cardiac output during
laparoscopic surgery?
N2
CO2
O2
He
6. If a patient has been taking NSAIDs regularly and is scheduled for
laparoscopic surgery, what should be the recommended course of action?
The patient should increase the dosage of NSAIDs before surgery.
The patient should be advised to discontinue NSAIDs prior to the
surgery.
The patient should switch to a different pain reliever.
The patient should continue taking NSAIDs until the day of surgery.
,7. What is the primary function of the insufflation system in laparoscopic
surgery?
To visualize internal organs
To remove carbon dioxide from the abdomen
To provide electrical energy for cutting
To inflate the abdominal cavity with gas
8. What is the primary characteristic of monopolar electrosurgery in
laparoscopic procedures?
It is exclusively used for suturing.
It uses a single electrode to deliver electrical current.
It requires no electrical current.
It employs two electrodes for current delivery.
9. What is the primary effect of tissue desiccation during laparoscopic surgery?
Promotion of tissue healing
Reduction of surgical site infection
Destruction of tissue through dehydration
Enhancement of blood flow
10. What is one relative contraindication to blind initial trocar insertion during
laparoscopic surgery?
Obesity
Diabetes
Age over 65
, Previous abdominal surgery
11. What is one common contraindication for laparoscopic hernia repair?
Age over 70
Previous abdominal surgery
Severe cardiopulmonary disease
Obesity
12. In a clinical scenario where a patient has a suspected malignancy, what
might be a reason to choose a biopsy over Fine Needle Aspiration (FNA)?
To avoid complications associated with surgery.
To minimize patient discomfort.
To quickly assess cytological details.
To obtain detailed histological information.
13. Describe the limitations of Fine Needle Aspiration (FNA) in diagnosing
medical conditions.
FNA can accurately diagnose all types of tumors.
FNA is primarily used for surgical procedures.
FNA is effective in determining tumor size and presence of infection.
FNA provides limited information about histological details, which
are crucial for definitive diagnosis.
14. Intraabdominal pressure during insufflation should remain at
20-25 mmHg
5-10 mmHg
2026 | Trusted Questions & Answers
1. During a laparoscopic procedure, if a patient develops bradycardia after
pneumoperitoneum is established, what immediate action should the surgical
team consider?
Increase the pneumoperitoneum pressure to counteract bradycardia.
Administer atropine immediately without assessment.
Continue the procedure without any changes.
Assess the patient's hemodynamic status and consider adjusting the
intra-abdominal pressure.
2. Which device uses ultrasonic energy to cut and coagulate tissue
simultaneously, and, because of the lower temperature used there is less
vaporized tissue plume, requires no grounding pad, and is used frequently
during laparoscopic procedures?
Cryotherapy unit
Argon-enhanced Coagulator
Harmonic Scalpel®
CUSA
3. Describe the importance of the insufflation system in laparoscopic
procedures.
The insufflation system is only used during open surgeries.
The insufflation system provides power to the surgical instruments.
The insufflation system is crucial for creating a working space in the
abdomen, allowing surgeons to perform procedures safely and
effectively.
, The insufflation system is used to sterilize instruments before surgery.
4. In a laparoscopic procedure, if a surgeon opts to use ultrasonic energy
instead of monopolar electrosurgery, what potential benefits might they
expect?
Increased risk of thermal injury to surrounding tissues
Higher costs associated with ultrasonic devices
Longer procedure time due to equipment complexity
Reduced thermal spread and improved precision in tissue handling
5. What gas is primarily responsible for the decrease in cardiac output during
laparoscopic surgery?
N2
CO2
O2
He
6. If a patient has been taking NSAIDs regularly and is scheduled for
laparoscopic surgery, what should be the recommended course of action?
The patient should increase the dosage of NSAIDs before surgery.
The patient should be advised to discontinue NSAIDs prior to the
surgery.
The patient should switch to a different pain reliever.
The patient should continue taking NSAIDs until the day of surgery.
,7. What is the primary function of the insufflation system in laparoscopic
surgery?
To visualize internal organs
To remove carbon dioxide from the abdomen
To provide electrical energy for cutting
To inflate the abdominal cavity with gas
8. What is the primary characteristic of monopolar electrosurgery in
laparoscopic procedures?
It is exclusively used for suturing.
It uses a single electrode to deliver electrical current.
It requires no electrical current.
It employs two electrodes for current delivery.
9. What is the primary effect of tissue desiccation during laparoscopic surgery?
Promotion of tissue healing
Reduction of surgical site infection
Destruction of tissue through dehydration
Enhancement of blood flow
10. What is one relative contraindication to blind initial trocar insertion during
laparoscopic surgery?
Obesity
Diabetes
Age over 65
, Previous abdominal surgery
11. What is one common contraindication for laparoscopic hernia repair?
Age over 70
Previous abdominal surgery
Severe cardiopulmonary disease
Obesity
12. In a clinical scenario where a patient has a suspected malignancy, what
might be a reason to choose a biopsy over Fine Needle Aspiration (FNA)?
To avoid complications associated with surgery.
To minimize patient discomfort.
To quickly assess cytological details.
To obtain detailed histological information.
13. Describe the limitations of Fine Needle Aspiration (FNA) in diagnosing
medical conditions.
FNA can accurately diagnose all types of tumors.
FNA is primarily used for surgical procedures.
FNA is effective in determining tumor size and presence of infection.
FNA provides limited information about histological details, which
are crucial for definitive diagnosis.
14. Intraabdominal pressure during insufflation should remain at
20-25 mmHg
5-10 mmHg
