LAPAROSCOPIC SURGERY QUESTIONS
BANK; COMPLETE ACCURATE QUIZZES
WITH VERIFIED ANSWERS
Absolute contraindications to blind initial trocar insertion?
- correct answer- -abdominal scar from prior
operation close to vicinity
-through previously placed intraperitoneal mesh
Absolute contraindications to laparoscopy? - correct
answer- -hypovolemic shock
-lack of training
-lack of institutional support
-can't tolerate laparotomy
After inserting the veress and insufflating, what should
the peritoneum be at before placing the initial trocar? -
correct answer- -10 to 15 mm Hg (1-3 L CO2)
,ancillary equipment should be placed - correct
answer- in position for access to sterile field and in
a way that surgeon can easily change positions
Any proof that NSAIDs need to be discontinued before
surgery? - correct answer- -no
Approaches to minimizing complications during entry in
thin patients? - correct answer- -elevating
abdominal wall
-place veress near costal margin
-use hassan open approach or direct entry
ASA class one? - correct answer- -no
disturbance
ASA class three? - correct answer- -severe
systemic disease
ASA class two? - correct answer- -mild to
moderate systemic disease
,benefit of warm and humidified Co2 - correct
answer- decrease post op pain
increased body temp
not clinically significant for cases <90 min
Benefits of nitrous oxide vs. CO2? - correct answer-
-less acid-base disturbances
-tolerated better with severe cardio-pulmonary disease
-slightly less postoperative pain
biopsy of visceral lesions may require - correct
answer- serosal stitch for partial thickness defect
Bipolar instruments can seal vessels up to what diameter?
- correct answer- -7 mm
cartridges of staples available in - correct answer-
30-60mm in length
, Chemical effects of CO2? - correct answer- -
increases arterial CO2 concentration
-increased end-tidal CO2
-decrease serum pH
clips are not suitable for - correct answer-
anastomoses
sealing GI tract
closing openings in hollow organs
Clips are used for what type of structures? - correct
answer- -smaller tubular structures
Commonly mistaken as contraindications to LSC? -
correct answer- -diaphragm injury
-GI bleed
-perforated viscus
-bowel obstruction
-abdominal trauma