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Exam (elaborations)

FLS 2025/2026 – Modules 1–4 | 176 Verified Exam Questions with Answers | Electrosurgery, Pneumoperitoneum, Biopsy Techniques | Clinical Skills & OSCE

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This document provides a comprehensive collection of 176 verified exam questions and answers for Modules 1–4 of the Fundamentals of Laparoscopic Surgery (FLS) for the academic year 2025/2026. Structured in an efficient Q&A format, it delivers high-yield, exam-aligned content for students and healthcare professionals pursuing excellence in minimally invasive surgical training and assessment. The material extensively covers core topics such as: Monopolar and bipolar electrosurgical energy systems, coagulation, current pathways, and hazard prevention CO₂ insufflation physiology, including its chemical, pulmonary, cardiovascular, and renal effects Veress needle and trocar placement, access techniques (Hasson, Palmer's point), and troubleshooting entry complications Laparoscopic ergonomics, positioning, video tower setup, and equipment troubleshooting Relative and absolute contraindications for laparoscopic surgery in various patient profiles Intraoperative techniques for diagnostic laparoscopy, bowel evaluation, and retroperitoneal access Biopsy methods (FNA, core, wedge, excisional) with surgical considerations and hemostasis Prevention and management of post-operative complications such as gas embolism, unrecognized bleeding, PONV, and nerve injury This resource is suitable for learners in: General Surgery Gynecology and Obstetrics Urology Emergency Medicine Anesthesiology Minimally Invasive and Robotic Surgery Programs Final-Year Medical Students and Surgical Clerkships OSCE and FLS Certification Exam Preparation With clinical precision and curriculum alignment, this document is a go-to tool for mastering laparoscopic surgical knowledge and preparing confidently for both written and practical exams. Keywords: laparoscopic surgery, FLS exam, monopolar electrosurgery, bipolar energy, ultrasonic dissection, pneumoperitoneum, trocar placement, Veress needle, ASA classification, anesthesia, surgical contraindications, laparoscopic biopsy, CO2 insufflation, clinical skills exam, OSCE prep, post-op complications, surgical ergonomics, diagnostic laparoscopy, intraoperative techniques

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Uploaded on
January 8, 2026
Number of pages
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Written in
2025/2026
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FLS Modules 2025/2026 Exam Questions
and Answers | A+ Score Assured



warfarin discontinue time - 🧠 ANSWER ✔✔3 days


Laproscopic instruments diameter and length ranges - 🧠 ANSWER ✔✔2-

10mm, 30-45cm


hopkins rod lens - 🧠 ANSWER ✔✔light has to travel back through the rod to

capture the image.


decreasing light in the camera for... - 🧠 ANSWER ✔✔decreasing diameter,

increasing scope angle (ie 5mm and 30 degree has less light than 10mm 0

degree)

,When is zero degree scope most useful - 🧠 ANSWER ✔✔when working in

a small area directly in line with the scope and ports, like the pelvis


how to check fiber optics light connection - 🧠 ANSWER ✔✔black dots=

broken fibers


why does it fog up? - 🧠 ANSWER ✔✔temperature and humidity

discrepancy between the OR and body


tools for defogging - 🧠 ANSWER ✔✔- FRED antifog (must dry before

putting back in)

- put laparoscope in hot water


methods to clean a smudged lens - 🧠 ANSWER ✔✔- gently wipe on clean

tissue (liver, uterus, bowel)

- remove scope and clean with hot water and gauze


Insufflation gas type and reasoning - 🧠 ANSWER ✔✔CO2- readily

available, inexpensive, non combustable, warmed and humidified better


other gasses used in laparoscopy - 🧠 ANSWER ✔✔-nitrous oxide


-helium (inert substance)

,why is the CO2 warmed and humidified for laparoscopy? - 🧠 ANSWER

✔✔statistically significant decreases in body temp and post-op pain




(not significant with surgery lasting <90 mins)


high flow insufflation - 🧠 ANSWER ✔✔10 or more L per minute


preventing loss of pneumo with suctioning - 🧠 ANSWER ✔✔keep suction

tip below the fluid level


components of the video tower - 🧠 ANSWER ✔✔-light source


-camera control unit

-video monitor

-insufflator


most common light source - 🧠 ANSWER ✔✔300W xenon lamp


troubleshooting steps: gas preOP - 🧠 ANSWER ✔✔1. check that co2 tank

is full (gauge may read 'empty' if connected to central CO2 supply)

2. check co2 tank gasket is secured (need a wrench, spare gasket)

3. check that spare co2 tank is available in the OR


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, troubleshooting steps: image - 🧠 ANSWER ✔✔1. check that the monitor is

plugged in and turned on

2. check that all cables are connected correctly and securely

troubleshooting steps: view of operative field is reduced in size - 🧠

ANSWER ✔✔immediately check the insufflator control panel to determine

cause

troubleshooting steps: loss of working space: insufflator settings:

-measured pressure is the same or higher than the preset pressure




flow rate = 0 - 🧠 ANSWER ✔✔1. the patient may not be adequately relaxed

or there is a mechanical block of gas flow

2. inspect abdomen for rhythmic muscle contraction and palpate the

abdomen for firmness

3. check port valves to make sure they are open

4. check for kinks in tubing and make sure no one is standing on them

troubleshooting steps: loss of working space: insufflator settings:

-low pressure and high flow rate

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