Future Laparoscopic Surgeons (FLS) Test

if a blank screen, which is NOT the problem: -fred -cables -gas -light panel - ANS FRED if the view is reduced in size, what should be checked: -insufflator control panel -gas tank -veress needle -filter for gas line - ANS insufflator control panel all are preop checks except: -muscle relaxation -ancillary equipment there -spare CO2 tank -all power sources are on - ANS checking for muscle relaxation during monopolar cautery, the method of quickly turning cell water to steam, causing the cell to explode, is: -cutting -coag -blend - ANS cutting thermal burn to appendiceal stump should be at: -suture ligation of stump -very tip of stump (exposed mucosa) -base - ANS suture ligation of the stump the use of all-plastic or all-metal trocars can avoid which problem: -unintended direct coupling -insulation failure -capacitative coupling - ANS capacitative coupling what should you do with harmonic to avoid inadvertent injury -be aware of blade -grab and elevate your target -keep active blade upwards and in view -all of the above - ANS all of the above ASA class 3: - ANS severe systemic disease that limits the patient's activity and may or may not be related to reason for surgery ASA class 2: - ANS mild-to-moderate systemic disease due either to surgical condition or to a concomitant disease ASA class 1: - ANS no organic, physiological, biochemical, or psychiatric disturbance ASA class 4: - ANS Severe systemic disturbance that is life-threatening with or without surgery initial consultation should include: -types of trocars used -details of pneumoperitoneum -possibility of conversion to open surgery -type of insufflation gas to be used - ANS possibility of conversion to open surgery which is a relative contraindication: -hypovolemic shock, uncorrectable -previous abd surgery -inability to tolerate a laparotomy -lack of appropriate facilities - ANS previous abd surgery which is NOT an absolute contraindication: -uncorrectable hypovolemic shock -lack of proper surgical training -inability to tolerate laparotomy -bowel obstruction - ANS bowel obstruction which can be performed with local alone? -appy -ectopic -diagnostic laparoscopy -chole - ANS diagnostic laparoscopy patient positioning is important because: -avoids DVTs -location of target anatomy -avoidance of position-related complications -all of the above - ANS all of the above which is NOT true about general anesthesia -complete neuromuscular relaxation -good control of ventilation -fewer hemodynamic changes compared to local -allows for more flexibility during positioning - ANS fewer hemodynamic changes compared to local initial trocar location - ANS umbilicus when checking your veress, which is most accurate to ensure proper placement? -aspirating blood -aspiring enteric contents -flow of CO2 and low pressures -no flow of CO2 and high pressures - ANS flow of CO2 and low pressures umbilical veress is NOT contraindicated in: -previous midline laparotomy -previous R subcostal incision -previous midline laparotomy -previous umbilical hernia -previous crohn's disease with fistulas - ANS R subcostal incision best alternate site for veress besides umbilicus - ANS palmer's midline (umbilical) veress placement is worrisome for injuring what - ANS the aorta which is most likely d/t the effects of pneumoperitoneum: -tachy -V-fib -PVCs -brady - ANS bradycardia position for gas embolism - ANS trendelenberg, left side down decubitus hypercarbia is influenced by: -body's buffer system -patient's pulm system