FLS 2025/2026 – Module 1 | 120 Verified Exam Questions with Answers | Electrosurgery, Pneumoperitoneum, Knot Tying, Biopsy Techniques | Clinical Skills & OSCE

This document contains 120 expertly verified and up-to-date exam questions with correct answers for Module 1 of the Fundamentals of Laparoscopic Surgery (FLS), tailored to the 2025/2026 academic year. It is designed for students and professionals preparing for high-stakes surgical skill assessments, written exams, and OSCE-style evaluations in minimally invasive procedures. The material is structured in a concise question-and-answer format to optimize retention and exam readiness. Covered topics include: Laparoscopic equipment and troubleshooting, including rod-lens systems, light sources, insufflation devices, and optical alignment Electrosurgery principles, differentiating monopolar and bipolar systems, coagulation vs cut modes, and safety hazards like current diversion and capacitative coupling Ultrasonic energy use, piezoelectric technology, and risk prevention strategies during dissection Hemodynamic and respiratory effects of pneumoperitoneum, including management of bradyarrhythmias, CO₂ acid-base changes, and reduced venous return Port placement strategies, trocar insertion, contraindications (absolute and relative), and patient positioning Laparoscopic biopsy techniques (FNA, core, wedge, peritoneal washings) with guidance on avoiding complications Intra- and extracorporeal suturing, knot tying methods (Roeder’s knot, sliding square knot), needle handling, and instrument ergonomics Postoperative complications, including PONV, bleeding, retroperitoneal hemorrhage, and electrosurgical injuries This resource is highly relevant for: General Surgery, OB-GYN, and Urology Residents Emergency Medicine Trainees Clinical Clerkship Students Final-Year Medical Students Candidates preparing for FLS certification, laparoscopic OSCEs, or simulation-based assessments Well-organized, clinically precise, and fully aligned with modern surgical curricula, this document is a trusted tool for mastering the technical and theoretical components of laparoscopic surgery. Keywords: laparoscopic surgery, FLS exam, electrosurgery, monopolar, bipolar, ultrasonic coagulation, pneumoperitoneum, trocar placement, Veress needle, knot tying, intracorporeal suture, biopsy techniques, clinical skills, OSCE prep, CO2 insufflation, anesthesia, laparoscopic complications, diagnostic laparoscopy, post-op bleeding, surgical ergonomics