FLS Written Exam (2025) Exam Questions &
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The Hasson trocar is commonly used to establish the
Which is the most
first port in laparoscopic surgery, particularly in
commonly used trocar in
patients with obesity or those who may be at risk for
laparoscopic surgery?
gas embolism.
Bowel perforation
What is the most common
Explanation: Bowel perforation is one of the most
complication of
common complications during laparoscopic surgery,
laparoscopic surgery?
often occurring during the insertion of the Veress
needle or trocars.
Why is CO2 used for it is non-flammable (?) and can be safely absorbed by
insufflation? the body
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CO2 (Carbon Dioxide) is not flammable. It is actually
used in laparoscopic surgery precisely because it is
non-flammable and can safely create the
pneumoperitoneum (inflated abdominal cavity)
without posing a fire hazard. In fact, CO2 is used to
displace oxygen in the abdominal cavity, which helps
Is CO2 flammable?
prevent fires from occurring.
The issue I was referencing with laser energy in the
answer about fire hazards is related to the fact that
lasers can ignite fires when used near flammable
gases or materials, but CO2 itself is not flammable.
Complication of veress bowel injury
needle gas embolism
What is the most common Bowel perforation
complication associated
with trocar insertion?
In laparoscopic The "critical view of safety" technique
cholecystectomy, which of
the following is a reliable Explanation: This technique involves identifying the
method to identify the cystic duct and cystic artery separately and fully
cystic duct during dissecting around them to minimize the risk of bile
dissection? duct injury.
During laparoscopic Decreased venous return and reduced cardiac output
surgery, CO2 insufflation
can lead to increased Explanation: High intra-abdominal pressure can
intra-abdominal pressure. compress the inferior vena cava, reducing venous
return to the heart and, consequently, cardiac output.
Which of the following
physiologic effects can
occur as a result of
increased intra-abdominal
pressure?
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