FLS FINAL EXAM 2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST|LATEST UPDATE
|GUARANTEED PASS|
which of the following cardiac arrhythmia is most likely due to the pressure effects of
pneumoperitoneum?
bradycardia (vagally mediated) - is the most common dysrhytmia during pneumoperitoneum
when a patient is experiencing gas embolism, would is the appropriate emergency position?
left lateral decubitus, head lowered
development of hypercarbia is influenced by which of the following?
the body's buffer system, the patient's pulmonary system, and extraperitoneal insufflation
which of the following is NOT a sign of gas embolism?
bradycardia (correct signs are hypotension, tachycardia, mill wheel murmur, and JVD)
significant cardiovascular effects of pneumoperitoneum can be caused by?
pressure of the pneumoperitoenum, patient position, and acid-base disturbances from CO2
pneumoperitoneum affects ventilation in all of the following ways EXCEPT:
hypocapnea (correct ways include reduced pulmonary compliance, increased peak airway pressure, and
reduced functional residual capacity)
what variable will be decreased by pneumoperitoneum?
cardiac index
What are the most common sources of unrecognized bleeding?
1|Page
,Trocar injury of abdominal wall vessels
Injury to vessels or organs away from the operative field (eg liver, spleen)
Tamponade of venous bleeding (by pneumoperitoneum)
Why is recommended to actively evacuate as much of the pneumoperitoneum as possible at the
conclusion of the intraabdominal portion of the procedure?
Help reduce postoperative pain
In what age group port sites 5mm or smaller require closure of the fascia?
Pediatric
Abdominal wall closure of the port sites can be accomplished using...
Open techniques
Laparoscopic-assisted techniques
Entirely laparoscopic techniques
When should a check for venous bleeding be performed?
During final abdominal inspection, while releasing abdominal pressure, and during trocar removal
Once the operative procedure is finished, the surgeon should check which areas before exiting the
abdomen?
Operative field, dependent portions of the abdomen away from the field of view at the operative site,
abdominal wall at each port site onece the port has been removed
what is the correct patient position for diagnostic laparoscopy for pelvic procedure?
dorsal lithotomy
what is the correct patient position for diagnostic laparoscopy for appendectomy?
trendelenburg
which of the following pathology can be diagnosed laparoscopically?
Crohns, traumatic diaphragm injury, and ovarian cyst
what are of the abomden is best for placement of ports to view kidneys and adrenal glands?
Upper abdomen (epigastric, RUQ, LUQ)
retraction of the uterus can be accomplished by?
transvaginal manipulator, blunt grasper, laparoscopic retractor, and suture placed through abdominal
wall
In general, if an ovarian cyst is larger than 5cm or has complex internal US findings, biopsy should be
done by?
oophorectomy
2|Page
, general principles of successful laparoscopic tissue biopsy include all of the following EXCEPT:
remove biopsy specimen with an energy source to avoid bleeding
(correct answers include avoid contacting tissue of extraction site with specimen, excisions biopsy of
small lesions is appropriately, generally avoid biopsy of fluid filled liver lesions)
which of the following about intracorporeal suturing is not true?
grasping the needle is the ideal way to control it when transporting the suture in and out of the
abdomen
true statements include: the ideal suture length is about 6inches, the ideal orientation for suturing is
from 3 o'clock to 9 o'clock, pulling the needling along its arc through the tissue will minimize damage
general principles regarding hemostasis during laparoscopy include all of the following EXCEPT:
applying vascular clips to the general area is usually sufficient
correct statements include: it is best to specifically identify the bleeding point, avoiding injury to
adjacent structures is important, adding extra ports may be necessary, conversion to open may be
necessary
all of the following are generally true regarding port site bleeding EXCEPT
there is no need to remove ports under direct visualization
correct answers include: external hemorrhage may require extension of skin incision, internal
hemorrhage may not be present while port is in place, internal hemorrhage may not be visible from skin
incision, ports placed through the rectus muscle should be done under direct laparoscopic visualization
when compared to monopoly cautery, bipolar cautery affords all of the following advantages EXCEPT
more beneficial for capillary sized vessels
correct answers include: useful for larger vessels, functions better in "wet" operative field, has advanced
computer devices available,e has less lateral thermal spread
when dividing a large vascular structure, which of the following is true?
the surgeon must be prepared to immediately intervene in case vascular control is lost
for how many days postoperatively will shoulder pain secondary to diaphragmatic irritation typically
persist?
1-3 days
which of the following classes of medications should NOT be considered to treat a patient with
postoperative nausea and vomiting?
3|Page
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST|LATEST UPDATE
|GUARANTEED PASS|
which of the following cardiac arrhythmia is most likely due to the pressure effects of
pneumoperitoneum?
bradycardia (vagally mediated) - is the most common dysrhytmia during pneumoperitoneum
when a patient is experiencing gas embolism, would is the appropriate emergency position?
left lateral decubitus, head lowered
development of hypercarbia is influenced by which of the following?
the body's buffer system, the patient's pulmonary system, and extraperitoneal insufflation
which of the following is NOT a sign of gas embolism?
bradycardia (correct signs are hypotension, tachycardia, mill wheel murmur, and JVD)
significant cardiovascular effects of pneumoperitoneum can be caused by?
pressure of the pneumoperitoenum, patient position, and acid-base disturbances from CO2
pneumoperitoneum affects ventilation in all of the following ways EXCEPT:
hypocapnea (correct ways include reduced pulmonary compliance, increased peak airway pressure, and
reduced functional residual capacity)
what variable will be decreased by pneumoperitoneum?
cardiac index
What are the most common sources of unrecognized bleeding?
1|Page
,Trocar injury of abdominal wall vessels
Injury to vessels or organs away from the operative field (eg liver, spleen)
Tamponade of venous bleeding (by pneumoperitoneum)
Why is recommended to actively evacuate as much of the pneumoperitoneum as possible at the
conclusion of the intraabdominal portion of the procedure?
Help reduce postoperative pain
In what age group port sites 5mm or smaller require closure of the fascia?
Pediatric
Abdominal wall closure of the port sites can be accomplished using...
Open techniques
Laparoscopic-assisted techniques
Entirely laparoscopic techniques
When should a check for venous bleeding be performed?
During final abdominal inspection, while releasing abdominal pressure, and during trocar removal
Once the operative procedure is finished, the surgeon should check which areas before exiting the
abdomen?
Operative field, dependent portions of the abdomen away from the field of view at the operative site,
abdominal wall at each port site onece the port has been removed
what is the correct patient position for diagnostic laparoscopy for pelvic procedure?
dorsal lithotomy
what is the correct patient position for diagnostic laparoscopy for appendectomy?
trendelenburg
which of the following pathology can be diagnosed laparoscopically?
Crohns, traumatic diaphragm injury, and ovarian cyst
what are of the abomden is best for placement of ports to view kidneys and adrenal glands?
Upper abdomen (epigastric, RUQ, LUQ)
retraction of the uterus can be accomplished by?
transvaginal manipulator, blunt grasper, laparoscopic retractor, and suture placed through abdominal
wall
In general, if an ovarian cyst is larger than 5cm or has complex internal US findings, biopsy should be
done by?
oophorectomy
2|Page
, general principles of successful laparoscopic tissue biopsy include all of the following EXCEPT:
remove biopsy specimen with an energy source to avoid bleeding
(correct answers include avoid contacting tissue of extraction site with specimen, excisions biopsy of
small lesions is appropriately, generally avoid biopsy of fluid filled liver lesions)
which of the following about intracorporeal suturing is not true?
grasping the needle is the ideal way to control it when transporting the suture in and out of the
abdomen
true statements include: the ideal suture length is about 6inches, the ideal orientation for suturing is
from 3 o'clock to 9 o'clock, pulling the needling along its arc through the tissue will minimize damage
general principles regarding hemostasis during laparoscopy include all of the following EXCEPT:
applying vascular clips to the general area is usually sufficient
correct statements include: it is best to specifically identify the bleeding point, avoiding injury to
adjacent structures is important, adding extra ports may be necessary, conversion to open may be
necessary
all of the following are generally true regarding port site bleeding EXCEPT
there is no need to remove ports under direct visualization
correct answers include: external hemorrhage may require extension of skin incision, internal
hemorrhage may not be present while port is in place, internal hemorrhage may not be visible from skin
incision, ports placed through the rectus muscle should be done under direct laparoscopic visualization
when compared to monopoly cautery, bipolar cautery affords all of the following advantages EXCEPT
more beneficial for capillary sized vessels
correct answers include: useful for larger vessels, functions better in "wet" operative field, has advanced
computer devices available,e has less lateral thermal spread
when dividing a large vascular structure, which of the following is true?
the surgeon must be prepared to immediately intervene in case vascular control is lost
for how many days postoperatively will shoulder pain secondary to diaphragmatic irritation typically
persist?
1-3 days
which of the following classes of medications should NOT be considered to treat a patient with
postoperative nausea and vomiting?
3|Page
