FLS FINAL EXAM 2025/ 2026 CURRENTLY TESTING
EXAM COMPLETE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS WITH RATIONALES
(100% CORRECT ANSWERS) /ALREADY GRADED
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What are available laparoscope diameters? - Answer-2-
10mm
What degree scope is best for a field of view in-line with a
port? - Answer-Zero degree
What is the most commonly used light source? - Answer-
300 W Xenon lamp
What if there is initial low pressure and high flow rate at
entry? - Answer-There may be a leak in the insufflator
circuit. Check all connections.
Benefits of Monopolar energy. - Answer-Tissue heated
quickly. Less thermal spread/coagulation.
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Monopolar voltage/frequency - Answer-Low voltage, High
frequency
What does coagulation mode do? - Answer-Rapid surface
heating with shallow depth of necrosis. intermittent wave
form with higher voltage.
What are some risks of monopolar energy? - Answer-
Current can be diverted through unintentional pathways
leading to inadvertent tissue injury. To avoid this, do not
use "hybrid" ports that mix plastic with metal.
How does a grounding pad avoid injury with monopolar
energy? - Answer-Grounding pads help avoid capacitative
coupling. This happens when two conductors are
separated by an insulator and the passive electrode stores
energy that can be released with tissue injury. The
grounding pad inhibits the passive electrode from storing
energy.
Benefits of bipolar energy. - Answer-- Lower risk of
inadvertent injury.
- Produces less thermal spread and necrosis.
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- No grounding pad necessary.
- Works in a "wet" operative field.
Risks of bipolar energy. - Answer-May cut patent blood
vessels before adequate sealing. Device will not work if
there is metal between the jaws.
Risk of ultrasonic dissection (harmonic). - Answer-The
active blade can inadvertently injure something due to
high frequency (50mHz).
Does aspirin need to be discontinued day of surgery. -
Answer-No
How to best enter a patient with bowel obstruction. -
Answer-Direct visualization.
Cut vs Coag - Answer-Cut: Heats tissue quickly to convert
cell water to steam, lysing the cell.
Coag - Heat more widely dispersed, less cutting.
Benefits of "Cut mode" - Answer-- Low voltage