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FLS 2025/2026 – All Modules | 180 Verified Exam Questions with Answers | Electrosurgery, Pneumoperitoneum, Biopsy, OSCE Techniques | Clinical Skills

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This document presents a complete and thoroughly updated set of 180 verified exam questions and answers covering all modules of the Fundamentals of Laparoscopic Surgery (FLS) curriculum, specifically aligned with the 2025/2026 academic year. Designed as a premium resource for high-stakes exam prep, it targets medical students, surgical trainees, and clinical professionals aiming to master the theoretical and practical elements of minimally invasive surgery. Spanning the entire FLS scope, this Q&A guide addresses core surgical skills, decision-making under laparoscopic conditions, and troubleshooting intraoperative complications. Key topics include: Laparoscopic instruments (diameters, lengths, fogging, lens systems) Electrosurgery mechanics: monopolar and bipolar systems, current flow, cutting and coagulation modes, and thermal injury prevention Ultrasonic dissection and energy delivery systems Pneumoperitoneum physiology: cardiovascular, pulmonary, renal effects, CO₂ vs alternative gases, and insufflation safety Patient preparation and access techniques: Veress needle, Hasson method, trocar placement, and entry contraindications Biopsy methods: FNA, core, wedge, excisional, peritoneal washings, hemostasis techniques Intra- and extracorporeal suturing, stapling devices, knot-tying ergonomics, and port management Complication recognition and prevention: PONV, bleeding, gas embolism, nerve injury, post-op hypotension It also explores nuanced considerations for specific patient populations including obese patients, pregnant patients, and those with prior abdominal surgery or peritonitis. This document is an essential resource for: General Surgery, OB-GYN, and Urology Residents Emergency Medicine and Anesthesiology Trainees Final-Year Medical Students Candidates preparing for OSCEs and FLS certification exams Participants in simulation labs, laparoscopic skills assessments, and robotic surgery training Meticulously organized for deep conceptual understanding and rapid revision, it supports learners at every stage of their laparoscopic training journey. Keywords: laparoscopic surgery, FLS exam, monopolar electrosurgery, bipolar energy, ultrasonic dissection, CO2 insufflation, pneumoperitoneum effects, trocar insertion, Veress needle, biopsy techniques, diagnostic laparoscopy, clinical skills, OSCE preparation, knot tying, stapler ports, anesthesia management, post-op complications, surgical ergonomics, contraindications, vascular injury

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Uploaded on
January 8, 2026
Number of pages
34
Written in
2025/2026
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Exam (elaborations)
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FLS Modules - CH Version 2025/2026
Exam Questions and Correct Answers |
New Update



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


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

available, inexpensive, non combustable, warmed and humidified better


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


How can you prevent loss of pneumo while suctioning? - 🧠 ANSWER

✔✔keep suction tip below the fluid level


What is the 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

2. check that the tubing has not become disconnected from insufflator or

port



COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3

, 3. check that all valves are closed

4. check all port sites for leaking co2

5. check for foley catheter bag distention or bowel distention

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

pressure and no flow - 🧠 ANSWER ✔✔1. make sure that the insufflator

power is on

2. check gas level in the tank

troubleshooting steps: loss of working space: complete loss of operative

image - 🧠 ANSWER ✔✔1. check for disconnected power cords, video

cables

2. check for blown light source bulb

3. check for disconnected light cable


Monopolar electrosurgery circuit - 🧠 ANSWER ✔✔electrical surgical unit--

>active electrode-->patient tissue-->dispersive electrode (grounding pad)




low frequency from wall source to high frequency at active electrode

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