FLS (Fundamentals of Laparoscopic
Surgery) Written Exam includes accurate
and verified questions covering
laparoscopic techniques, patient safety,
surgical anatomy, instrumentation,
procedural knowledge, and clinical
decision-making. Designed for med
What is the most commonly used gas for laparoscopy? - ANSWER>>Carbon
dioxide (it's cheap and non-combustible)
Describe the cutting mode of monopolar energy. - ANSWER>>Tissue is
heated quickly, converting cell water to steam and causing the cell to
explode. This uses constant, low voltage.
What is the appropriate height for the video monitors in laparoscopy? -
ANSWER>>At or slightly below eye level to avoid neck strain/extension.
What is generally the best ergonomic working position for the primary
surgeon? What are the optimal arm angles? - ANSWER>>On the
contralateral side of the operative site. The arm should not be more than
30 degrees abducted from the thorax, and the elbow should bend between
60 and 120 degrees from the side
Which ASA categories may not be appropriate for laparoscopy since their
cardiopulmonary status may not accommodate the required
pneumoperitoneum? - ANSWER>>ASA 4 (severe systemic disturbances that
markedly limit the patient, and are life-threatening with or without
surgery) and ASA 5 (moribund patient who has little chance for survival but
is submitted to surgery as a last resort).
, Name a strategy that can be used for obese patients to help in correct
placement of secondary trocars. - ANSWER>>Use of a spinal needle first to
identify the intraperitoneal penetration point.
How long are trocars typically for obese patients? - ANSWER>>Greater than
100 mm
Name the relative contraindications to laparoscopy. - ANSWER>>Inability
to tolerate general anesthesia, long-standing peritonitis, large abdominal or
pelvic mass, massive incarcerated ventral and inguinal hernias, severe
cardiopulmonary disease.
In bowel obstruction, how do you identify the transition point during
laparoscopy? - ANSWER>>Start with the distal, decompressed bowel when
running it to avoid grasping distended bowel.
Name the absolute contradindications to laparoscopy. - ANSWER>>Lack of
proper surgical training, lack of appropriate facilities, inability of patient to
tolerate laparotomy, uncorrectable hypovolemic shock
What type of antacid is appropriate pre-operatively? - ANSWER>>A non-
particulate one, such as sodium citrate.
To avoid brachial plexus injury, what is the maximum angle of abduction
between the arms and the body? - ANSWER>>90 degrees
What two structural supports can be helpful if steep reverse Trendelenburg
position is needed? - ANSWER>>A foot board and a belt across the thighs to
prevent the knees from buckling
Where is the abdominal wall thinnest? - ANSWER>>At the umbilicus
How is the Veress needle held? - ANSWER>>Like a pencil
List the common methods of establishing that pneumoperitoneum has
been achieved. - ANSWER>>Loss of resistance with insertion of Veress
Surgery) Written Exam includes accurate
and verified questions covering
laparoscopic techniques, patient safety,
surgical anatomy, instrumentation,
procedural knowledge, and clinical
decision-making. Designed for med
What is the most commonly used gas for laparoscopy? - ANSWER>>Carbon
dioxide (it's cheap and non-combustible)
Describe the cutting mode of monopolar energy. - ANSWER>>Tissue is
heated quickly, converting cell water to steam and causing the cell to
explode. This uses constant, low voltage.
What is the appropriate height for the video monitors in laparoscopy? -
ANSWER>>At or slightly below eye level to avoid neck strain/extension.
What is generally the best ergonomic working position for the primary
surgeon? What are the optimal arm angles? - ANSWER>>On the
contralateral side of the operative site. The arm should not be more than
30 degrees abducted from the thorax, and the elbow should bend between
60 and 120 degrees from the side
Which ASA categories may not be appropriate for laparoscopy since their
cardiopulmonary status may not accommodate the required
pneumoperitoneum? - ANSWER>>ASA 4 (severe systemic disturbances that
markedly limit the patient, and are life-threatening with or without
surgery) and ASA 5 (moribund patient who has little chance for survival but
is submitted to surgery as a last resort).
, Name a strategy that can be used for obese patients to help in correct
placement of secondary trocars. - ANSWER>>Use of a spinal needle first to
identify the intraperitoneal penetration point.
How long are trocars typically for obese patients? - ANSWER>>Greater than
100 mm
Name the relative contraindications to laparoscopy. - ANSWER>>Inability
to tolerate general anesthesia, long-standing peritonitis, large abdominal or
pelvic mass, massive incarcerated ventral and inguinal hernias, severe
cardiopulmonary disease.
In bowel obstruction, how do you identify the transition point during
laparoscopy? - ANSWER>>Start with the distal, decompressed bowel when
running it to avoid grasping distended bowel.
Name the absolute contradindications to laparoscopy. - ANSWER>>Lack of
proper surgical training, lack of appropriate facilities, inability of patient to
tolerate laparotomy, uncorrectable hypovolemic shock
What type of antacid is appropriate pre-operatively? - ANSWER>>A non-
particulate one, such as sodium citrate.
To avoid brachial plexus injury, what is the maximum angle of abduction
between the arms and the body? - ANSWER>>90 degrees
What two structural supports can be helpful if steep reverse Trendelenburg
position is needed? - ANSWER>>A foot board and a belt across the thighs to
prevent the knees from buckling
Where is the abdominal wall thinnest? - ANSWER>>At the umbilicus
How is the Veress needle held? - ANSWER>>Like a pencil
List the common methods of establishing that pneumoperitoneum has
been achieved. - ANSWER>>Loss of resistance with insertion of Veress
