FLS Exam Newest 2025 Actual Exam/
Fundamentals Of Laparoscopic Surgery
Exam Actual 200 Questions And Correct
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Describe a monopolar energy route? - . . ANSWER ✔ ✔-
electrode > tissue > patient > return pad
Describe a bipolar energy route? - . . ANSWER ✔ ✔-
electrode > tissue > electrode
--> electrodes shaped like forceps
Three modes of monopolar devices? - . . ANSWER ✔ ✔-
cut
-coagulation
-blending
Describe the mechanism of monopolar cutting? - . .
ANSWER ✔ ✔-heats tissue quickly > converts water to
steam > causes cells to explode
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Describe the mechanism of monopolar coagulation? - . .
ANSWER ✔ ✔-rapid surface heating
What is current diversion and when does it occur? - . .
ANSWER ✔ ✔-when current passes through
unintentional tissue following the path of least resistance
What precautions should surgeons take when utilizing
laparoscopy? - . . ANSWER ✔ ✔-inspect insulation
carefully
-use lowest possible power setting
-use lowest voltage waveform possible
-use brief intermittent activation vs. prolonged activation
-do not active unless in close proximity to target tissue
-do not activate in close proximity to another instrument
-use bipolar instrumentation when possible
What is capacitative coupling? - . . ANSWER ✔ ✔-the
transfer of energy within an electrical network or between
distant networks by means of displacement current
between circuit nodes, induced by the electric field
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What is direct coupling? - . . ANSWER ✔ ✔-the the
transfer of electrical energy by means of physical contact
via a conductive medium (such as between two
instruments)
When is a narrow return circuit formed? - . . ANSWER ✔
✔-when a monopolar instrument comes into contact with
a ligated tissue
Bipolar instruments can seal vessels up to what diameter?
- . . ANSWER ✔ ✔-7 mm
Hazards of using bipolar instruments? - . . ANSWER ✔ ✔-
inadvertent thermal injury
-inadvertent cutting of patent before adequate sealing
-improper device function if metal is contained within the
jaws
The harmonic is an example of what type of device? - . .
ANSWER ✔ ✔-piezoelectric transducer
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The use of all plastic or all metal trocars can avoid which
problem during electrosurgery? - . . ANSWER ✔ ✔-
capacitative coupling
Surgeons should have their arms how many degrees away
from their body? - . . ANSWER ✔ ✔-30 degrees
Elbows should be flexed between...? - . . ANSWER ✔ ✔-60
to 120 degrees
Consideration for patients on steroids or
immunosuppressive drugs? - . . ANSWER ✔ ✔-may need
stress dosing
When should warfarin be discontinued before surgery? - . .
ANSWER ✔ ✔-three days
Any proof that NSAIDs need to be discontinued before
surgery? - . . ANSWER ✔ ✔-no
ASA class one? - . . ANSWER ✔ ✔-no disturbance