FLS Module 2 Questions and Answers
100% Pass
Indications for using local anesthesia in laparoscopy - ✔✔no conclusive evidence that it
will prevent visceral pain but can be helpful for tubal ligations, diagnostic laparoscopies
or hernia repairs
Types of local anesthesia - ✔✔Bupivacaine, Ropivacaine, Lidocaine
Advantages of epidural anesthesia - ✔✔Decreased post-operative anesthesia and
decreased length of post-op ileus as well as improved muscle relaxation.
What medication can you give to prevent bradyarrhythmias in lap surgery? -
✔✔Prophylactic atropine prevents bradyarrhythmias caused by pneumoperitoneum
but causes excessive dry mouth so better to give intra-op rather than pre-op. Can give
glycopyrrolate
What class of meds are used pre-op for relaxation of patients - ✔✔Benzos. For
relaxation and also to give amnesia.
Katelyn Whitman, All Rights Reserved © 2025 1
, What meds should patient take prior to surgery? - ✔✔H2 blocker or non-particulate
antacid sodium citrate to minimize effects of aspiration should it occur. Also any
chronic cardiovascular or pulmonary medications
What components are important for anesthetizing a patient for laparoscopy - ✔✔IV
induction + GETA and neuromuscular blockade
Can you use an LMA for laparoscopy? - ✔✔controversial
Does the use of nitrous oxide as an insufflating gas cause bowel distension - ✔✔usually
not seen (rare) unless patient has a bowel obstruction
Common patient positions in surgery - ✔✔Supine, Trendelenburg, Reverse T-burg,
Lithotomy, lateral decubitus
How should you position the arms in a pelvic laparoscopic surgery - ✔✔Arm tucked to
the sides. Ensure hands are not near a break in the table to avoid a hand injury if table is
flexed during surgery
How should you position the arms in an upper abdominal surgery - ✔✔Arms abducted
to 90 degree angle but not greater than 90 to avoid brachial plexus stretch injury
What are some key elements to keeping patient safe in a steep reverse Trendelenburg
position - ✔✔Foot board to keep patient from sliding, safety belt to keep patients knees
from buckling
Katelyn Whitman, All Rights Reserved © 2025 2
100% Pass
Indications for using local anesthesia in laparoscopy - ✔✔no conclusive evidence that it
will prevent visceral pain but can be helpful for tubal ligations, diagnostic laparoscopies
or hernia repairs
Types of local anesthesia - ✔✔Bupivacaine, Ropivacaine, Lidocaine
Advantages of epidural anesthesia - ✔✔Decreased post-operative anesthesia and
decreased length of post-op ileus as well as improved muscle relaxation.
What medication can you give to prevent bradyarrhythmias in lap surgery? -
✔✔Prophylactic atropine prevents bradyarrhythmias caused by pneumoperitoneum
but causes excessive dry mouth so better to give intra-op rather than pre-op. Can give
glycopyrrolate
What class of meds are used pre-op for relaxation of patients - ✔✔Benzos. For
relaxation and also to give amnesia.
Katelyn Whitman, All Rights Reserved © 2025 1
, What meds should patient take prior to surgery? - ✔✔H2 blocker or non-particulate
antacid sodium citrate to minimize effects of aspiration should it occur. Also any
chronic cardiovascular or pulmonary medications
What components are important for anesthetizing a patient for laparoscopy - ✔✔IV
induction + GETA and neuromuscular blockade
Can you use an LMA for laparoscopy? - ✔✔controversial
Does the use of nitrous oxide as an insufflating gas cause bowel distension - ✔✔usually
not seen (rare) unless patient has a bowel obstruction
Common patient positions in surgery - ✔✔Supine, Trendelenburg, Reverse T-burg,
Lithotomy, lateral decubitus
How should you position the arms in a pelvic laparoscopic surgery - ✔✔Arm tucked to
the sides. Ensure hands are not near a break in the table to avoid a hand injury if table is
flexed during surgery
How should you position the arms in an upper abdominal surgery - ✔✔Arms abducted
to 90 degree angle but not greater than 90 to avoid brachial plexus stretch injury
What are some key elements to keeping patient safe in a steep reverse Trendelenburg
position - ✔✔Foot board to keep patient from sliding, safety belt to keep patients knees
from buckling
Katelyn Whitman, All Rights Reserved © 2025 2
