FLS Modules UPDATED ACTUAL Exam
Questions and CORRECT Answers
Name of laparoscopic rod-lens system - CORRECT ANSWER - Hopkins rod-lens system
Type of light source typically used - CORRECT ANSWER - 300 Watt Xenon lamp
How to check for damage of the fiber optic light cable - CORRECT ANSWER - holding
one end up to light and other end up to eye and look to see black
dots
Troubleshooting: 2 causes of small operating field despite measured pressure same or higher than
set pressure (eg 15 mmHg) - CORRECT ANSWER - 1. pt may not be sufficiently relaxed
or 2.
there is mechanical obstruction of insufflation system
How electrical frequency changes from the wall to the monopolar/bipolar after it goes through
the ESU? - CORRECT ANSWER - low frequency current from wall to high frequency
As tissue temp raised past ***C protein denaturation occurs. - CORRECT ANSWER -
60C
Superficial eschar formation with minimal depth of necrosis = this term - CORRECT
ANSWER - fulguration
Which ESU mode is this: heat quickly so water converts to steam —> cell explodes ; heat is
dissipated in
steam with minimal lateral thermal damage but poor coagulation. - CORRECT
ANSWER - cut
, Which ESU mode is this: Rapid surface heating. Intermittent wave form present with high
voltage. - CORRECT ANSWER - coag
This occurs when current follows path of least resistance through unintentional pathways. -
CORRECT ANSWER - current diversion
Bipolar tissue sealing devices can seal up to ***mm diameter vessels - CORRECT
ANSWER - 7mm
Type of technology described: high frequency vibration using piezoelectric transducer -
CORRECT ANSWER - ultrasonic coagulation
How inadvertent tissue injury can occur with use of an ultrasonic coagulation instrument -
CORRECT ANSWER - outside of active (vibrating) blade is unprotected and can
inadvertently injure tissue that comes into contact with it during / immediately after use.
ASA Class *** can't tolerate pneumoperitoneum - CORRECT ANSWER - 4-5
Potentially hazardous effect in which current is passed from an active electrode to a metal object
(eg another lap instrument - called a passive electode or capacitor) not in contact with tissue.
Then, when the passive electrode/ capacitor touches tissue, it can discharge the stored current -
CORRECT ANSWER - capacitative coupling
What type of procedure can be performed without using GA? - CORRECT ANSWER - Dx
lap may be performed using local anesthesia alone or with mild sedation.
prophylactic agents (2) that may help prevent bradyarrhythmia a/w pneumoperitoneum - usualy
only used PRN intraoperatively - CORRECT ANSWER - atropine/Glycopyrrolate
pH/ etCO2 changes during laparoscopy from CO2 insufflation - CORRECT ANSWER -
As rate of CO2 absorption through peritoneal membrane overcomes elimination by lungs and
Questions and CORRECT Answers
Name of laparoscopic rod-lens system - CORRECT ANSWER - Hopkins rod-lens system
Type of light source typically used - CORRECT ANSWER - 300 Watt Xenon lamp
How to check for damage of the fiber optic light cable - CORRECT ANSWER - holding
one end up to light and other end up to eye and look to see black
dots
Troubleshooting: 2 causes of small operating field despite measured pressure same or higher than
set pressure (eg 15 mmHg) - CORRECT ANSWER - 1. pt may not be sufficiently relaxed
or 2.
there is mechanical obstruction of insufflation system
How electrical frequency changes from the wall to the monopolar/bipolar after it goes through
the ESU? - CORRECT ANSWER - low frequency current from wall to high frequency
As tissue temp raised past ***C protein denaturation occurs. - CORRECT ANSWER -
60C
Superficial eschar formation with minimal depth of necrosis = this term - CORRECT
ANSWER - fulguration
Which ESU mode is this: heat quickly so water converts to steam —> cell explodes ; heat is
dissipated in
steam with minimal lateral thermal damage but poor coagulation. - CORRECT
ANSWER - cut
, Which ESU mode is this: Rapid surface heating. Intermittent wave form present with high
voltage. - CORRECT ANSWER - coag
This occurs when current follows path of least resistance through unintentional pathways. -
CORRECT ANSWER - current diversion
Bipolar tissue sealing devices can seal up to ***mm diameter vessels - CORRECT
ANSWER - 7mm
Type of technology described: high frequency vibration using piezoelectric transducer -
CORRECT ANSWER - ultrasonic coagulation
How inadvertent tissue injury can occur with use of an ultrasonic coagulation instrument -
CORRECT ANSWER - outside of active (vibrating) blade is unprotected and can
inadvertently injure tissue that comes into contact with it during / immediately after use.
ASA Class *** can't tolerate pneumoperitoneum - CORRECT ANSWER - 4-5
Potentially hazardous effect in which current is passed from an active electrode to a metal object
(eg another lap instrument - called a passive electode or capacitor) not in contact with tissue.
Then, when the passive electrode/ capacitor touches tissue, it can discharge the stored current -
CORRECT ANSWER - capacitative coupling
What type of procedure can be performed without using GA? - CORRECT ANSWER - Dx
lap may be performed using local anesthesia alone or with mild sedation.
prophylactic agents (2) that may help prevent bradyarrhythmia a/w pneumoperitoneum - usualy
only used PRN intraoperatively - CORRECT ANSWER - atropine/Glycopyrrolate
pH/ etCO2 changes during laparoscopy from CO2 insufflation - CORRECT ANSWER -
As rate of CO2 absorption through peritoneal membrane overcomes elimination by lungs and
