OF LAPAROSCOPIC SURGERY EXAM | ALL
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If the laparoscopic view of the operative field is reduced in size, thus
compromising proper exposure of the operative field, which of the following
should be immediately checked? ---------CORRECT ANSWER-----------------
check the insufflator control panel to determine the cause of the loss of
working space in the operative field
All of the following are pre-operative checks except? ---------CORRECT
ANSWER-----------------check for adequate muscle relaxation. Correct
answers include checking that a spare CO2 tank is in the OR, availability of
ancillary equipment, and all power sources are connected and appropriate
units are switched on.
During monopolar electrosurgery, the method of heating tissue quickly,
converting all water to steam and causing the cell to explode is descriptive
of which of the following: ---------CORRECT ANSWER-----------------cutting
mode
Click on the point that is in danger of thermal burn if a monopolar electrode
is applied to the end of the appendiceal stump? ---------CORRECT
ANSWER-----------------the diameter at the ligature is half that at the stump,
so the current density will be 16X greater
,The use of all plastic or all metal trocars can avoid which problem during
electrosurgery? ---------CORRECT ANSWER-----------------capacitative
coupling is a result of using a metal tracer with a plastic screw anchor,
which prevents the tracer from draining its charge (instrument can store the
charge and then transmit to tissue next time it touches something)
When using the ultrasonic shears, the entire portion of the active blade is
exposed. In order to avoid inadvertent delivery of energy to tissue in
contact with the bottom portion of the active blade, one should do the
following: ---------CORRECT ANSWER-----------------be aware of the contact
points the blade is engaging, grab the target tissue and elevate it, and keep
the active blade upwards in view of the surgeon
ASA class 3 ---------CORRECT ANSWER-----------------severe systemic
disease that limits the patient's activity and may or may not be related to
the reason for surgery
Initial consultation should include which of the following? ---------CORRECT
ANSWER-----------------possibility of conversion to open surgery
Which of the following is a relative contraindication to laparoscopic
surgery? ---------CORRECT ANSWER-----------------previous abdominal
surgery
Which of these is NOT an absolute contraindication to laparoscopic
surgery? ---------CORRECT ANSWER-----------------bowel obstruction
(contraindications include uncorrectable hypovolemic shock, lack of proper
surgical training, and inability to tolerate laparotomy)
, Which procedure may be performed using local anesthesia alone or with
mild sedation? ---------CORRECT ANSWER-----------------diagnostic
laparoscopy
Important features in patient positioning for laparoscopic surgery include: --
-------CORRECT ANSWER-----------------avoidance of position related
complications, prevention of DVT, and location of target organ
The most commonly used anesthetic for laparoscopic procedures is
general anesthesia. all of the following are true EXCEPT ---------CORRECT
ANSWER-----------------there are fewer hemodynamic changes compared to
a local anesthetic (true answers are it allows for complete neuromuscular
relaxation, it provides good control of ventilation, an tit allows for more
flexibility of patient positioning)
What is the most common site for initial trocar insertion? ---------CORRECT
ANSWER-----------------umbilicus
When checking placement of Veress needle, which of the following is the
most accurate method to detect proper intraperitoneal placement? ---------
CORRECT ANSWER-----------------insufflator display revealing flow of CO2
and low initial pressure
Umbilical Veress needle insertion and blind tracer insertion is
contraindicated in all of the following EXCEPT? ---------CORRECT
ANSWER-----------------previous open cholecystectomy via right subcostal
incision (correct answers include previous left hemicolectomy through
midline incision, previous hysterectomy through midline incision, previous