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Exam (elaborations)

FLS 2025/2026 – Modules 1–4 | 150 Verified Exam Questions with Answers | Electrosurgery, Pneumoperitoneum, Biopsy Techniques | Clinical Skills & OSCE

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This document features a complete and verified set of 150 graded A+ exam questions and answers from Modules 1 through 4 of the Fundamentals of Laparoscopic Surgery (FLS) curriculum for the academic year 2025/2026. It is structured in a high-yield Q&A format and thoroughly addresses the theoretical and technical foundations required for success in clinical assessments and surgical training. Topics include: Laparoscopic instrumentation (diameter, lens types, optics, fogging issues) Electrosurgical systems (monopolar, bipolar, ultrasonic dissection), including energy settings, mechanism of action, and associated hazards (current diversion, capacitive coupling) CO₂ insufflation effects on the cardiovascular, pulmonary, and renal systems Patient positioning, contraindications, and precautions for high-risk cases (pregnancy, SBO, ASA IV-V) Veress needle, trocar insertion, and open access techniques (e.g., Hasson method), including troubleshooting and complications Biopsy procedures: FNA, core, wedge, excisional, and peritoneal washings with attention to proper tools, techniques, and specimen handling Hemostasis strategies, stapling systems, and laparoscopic suturing ergonomics Recognition and management of post-operative complications such as gas embolism, hemorrhage, nerve injury, and PONV This study guide is particularly useful for: General Surgery and Surgical Subspecialty Students OB-GYN and Urology Trainees Emergency Medicine Residents Clinical Clerks and OSCE Candidates Anesthesiology and Perioperative Care Practitioners Residents and Fellows preparing for FLS certification or laparoscopic skills validation exams Clear, concise, and fully aligned with current FLS objectives, this resource is ideal for both exam preparation and real-world procedural understanding. Keywords: laparoscopic surgery, FLS exam, electrosurgery, monopolar energy, bipolar energy, ultrasonic dissection, trocar insertion, Veress needle, pneumoperitoneum, CO2 effects, biopsy techniques, laparoscopic instruments, contraindications, OSCE prep, surgical positioning, clinical skills exam, intraoperative complications, anesthesia, post-op complications

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Uploaded on
January 8, 2026
Number of pages
28
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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FLS Modules 2025/2026 Exam Questions
and Verified Answers | Already Graded
A+



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


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


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

tip below the fluid level


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

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

is full

2. check co2 tank gasket is secured

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


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

plugged in and turned on 2. check that all cables are connected securely

troubleshooting steps: loss of working space: insufflator settings: measured

pressure is the same or higher than the preset pressure - 🧠 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 - 🧠 ANSWER ✔✔1. there is a leak in the

insufflation circuit



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