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Exam (elaborations)

FLS 2025/2026 – Module 1 | 124 Verified Exam Questions with Answers | Surgical Energy, Anesthesia, Trocar Placement | Clinical Skills & OSCE

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This document contains a complete and verified set of 124 exam questions and answers for Fundamentals of Laparoscopic Surgery (FLS) Module 1, tailored for the 2025/2026 academic year. Developed for high-impact review, it serves as an essential tool for mastering key laparoscopic surgery concepts and successfully preparing for clinical exams and OSCEs. The material is organized in a clear Q&A format and covers a wide range of essential topics, including: Monopolar, bipolar, and ultrasonic energy sources and safety General anesthesia protocols and intraoperative physiological responses Trocar and Veress needle placement, port site selection, and complications CO₂ insufflation effects and alternatives (nitrous oxide, inert gases) ASA classifications and contraindications for laparoscopic procedures Diagnostic and therapeutic laparoscopic techniques Biopsy methods: FNA, core, wedge, excisional, and peritoneal washings Emergency responses to gas embolism, hemorrhage, and equipment failure This document is ideal for students and professionals in: General Surgery Gynecology and Obstetrics Urology Minimally Invasive Surgery Anesthesiology Emergency Medicine Clinical Clerkships OSCE and FLS Certification Preparation Perfect for medical students, surgical residents, and healthcare trainees, this resource ensures focused, exam-aligned revision and a strong grasp of practical laparoscopic knowledge. Keywords: laparoscopic surgery, FLS exam, surgical energy, monopolar, bipolar, ultrasonic dissection, trocar insertion, Veress needle, ASA classification, anesthesia, pneumoperitoneum, insufflation gases, surgical contraindications, biopsy techniques, laparoscopic instruments, surgical residents, clinical skills exam, minimally invasive surgery, CO2 effects, post-op complications

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Uploaded on
January 8, 2026
Number of pages
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2025/2026
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FLS Module 1 2025/2026 Exam
Questions and Verified Answers |
Already Graded A+



What are available laparoscope diameters? - 🧠 ANSWER ✔✔2-10mm


What degree scope is best for a field of view in-line with a port? - 🧠

ANSWER ✔✔Zero degree


What is the most commonly used light source? - 🧠 ANSWER ✔✔300 W

Xenon lamp

What if there is initial low pressure and high flow rate at entry? - 🧠

ANSWER ✔✔There may be a leak in the insufflator circuit. Check all

connections.

,Benefits of Monopolar energy. - 🧠 ANSWER ✔✔Tissue heated quickly.

Less thermal spread/coagulation.


Monopolar voltage/frequency - 🧠 ANSWER ✔✔Low voltage, High

frequency


What does coagulation mode do? - 🧠 ANSWER ✔✔Rapid surface heating

with shallow depth of necrosis. intermittent wave form with higher voltage.


What are some risks of monopolar energy? - 🧠 ANSWER ✔✔Current can

be diverted through unintentional pathways leading to inadvertent tissue

injury. To avoid this, do not use "hybrid" ports that mix plastic with metal.

How does a grounding pad avoid injury with monopolar energy? - 🧠

ANSWER ✔✔Grounding pads help avoid capacitative coupling. This

happens when two conductors are separated by an insulator and the

passive electrode stores energy that can be released with tissue injury. The

grounding pad inhibits the passive electrode from storing energy.


Benefits of bipolar energy. - 🧠 ANSWER ✔✔- Lower risk of inadvertent

injury.

- Produces less thermal spread and necrosis.

, - No grounding pad necessary.

- Works in a "wet" operative field.


Risks of bipolar energy. - 🧠 ANSWER ✔✔May cut patent blood vessels

before adequate sealing. Device will not work if there is metal between the

jaws.


Risk of ultrasonic dissection (harmonic). - 🧠 ANSWER ✔✔The active blade

can inadvertently injure something due to high frequency (50mHz).


Does aspirin need to be discontinued day of surgery. - 🧠 ANSWER ✔✔No


How to best enter a patient with bowel obstruction. - 🧠 ANSWER ✔✔Direct

visualization.


Cut vs Coag - 🧠 ANSWER ✔✔Cut: Heats tissue quickly to convert cell

water to steam, lysing the cell.

Coag - Heat more widely dispersed, less cutting.


Benefits of "Cut mode" - 🧠 ANSWER ✔✔- Low voltage


- High frequency

- Continuous waveform



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