FLS PREP EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS); ALREADY GRADED A+
4 scenarios when you should avoid entering with Veress
and/or blind - correct answer- - prior
hemicolectomy through midline
- previous hysterectomy through midline
- previous Crohn's disease w/ enterocutaneous fistula
- previous umbilical hernia repair
4 ways to avoid hypothermia - correct answer-
- warm IVF
- body warmer
- OR warm
- irrigation fluid warmer
Absolute contraindications for LPS (4) - correct
answer- - hypovolemic shock
- cannot convert to laparotomy
,- lacking equipment
- lacking experience
Alternative insufflation gases (4) - correct answer-
Nitrous oxide
Air
Helium
Argon
Anatomic landmarks of start and end of small intestine -
correct answer- Ligament of Treitz to Ileocecal
valve
ASA 2 - correct answer- Mild to moderate
systemic disease
ASA 3 - correct answer- Severe systemic
disease, may or may not be related to surgery, pt has
impaired activity
, ASA 4 - correct answer- Severe systemic
disease that is life-threatening with or without surgery
ASA 5 - correct answer- Little chance for
survival but surgery is last resort
ASA class that is not a LPS surgical candidate - correct
answer- ASA 4 and 5. Likely the body cannot handle
decreased venous return or hypoventilation.
Benefits of bipolar (4) - correct answer- - lower
energy required
- less lateral damage and necrosis
- can work in "wet" field
- no 'grounding pad' technically necessary because the
current is contained in the point tissue and the
instrument.
Benefits of general anesthesia/intubation during LPS (3) -
correct answer- - Neuromuscular relaxation
- Control of ventilation
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS); ALREADY GRADED A+
4 scenarios when you should avoid entering with Veress
and/or blind - correct answer- - prior
hemicolectomy through midline
- previous hysterectomy through midline
- previous Crohn's disease w/ enterocutaneous fistula
- previous umbilical hernia repair
4 ways to avoid hypothermia - correct answer-
- warm IVF
- body warmer
- OR warm
- irrigation fluid warmer
Absolute contraindications for LPS (4) - correct
answer- - hypovolemic shock
- cannot convert to laparotomy
,- lacking equipment
- lacking experience
Alternative insufflation gases (4) - correct answer-
Nitrous oxide
Air
Helium
Argon
Anatomic landmarks of start and end of small intestine -
correct answer- Ligament of Treitz to Ileocecal
valve
ASA 2 - correct answer- Mild to moderate
systemic disease
ASA 3 - correct answer- Severe systemic
disease, may or may not be related to surgery, pt has
impaired activity
, ASA 4 - correct answer- Severe systemic
disease that is life-threatening with or without surgery
ASA 5 - correct answer- Little chance for
survival but surgery is last resort
ASA class that is not a LPS surgical candidate - correct
answer- ASA 4 and 5. Likely the body cannot handle
decreased venous return or hypoventilation.
Benefits of bipolar (4) - correct answer- - lower
energy required
- less lateral damage and necrosis
- can work in "wet" field
- no 'grounding pad' technically necessary because the
current is contained in the point tissue and the
instrument.
Benefits of general anesthesia/intubation during LPS (3) -
correct answer- - Neuromuscular relaxation
- Control of ventilation
