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Exam (elaborations)

FLS WRITTEN EXAM 2025 QUESTIONS AND ANSWERS

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Absolute contraindications to laparoscopy - ANS - unable to tolerate laparotomy - hypovolemic shock - lack of surgeon training - no support @ hospital relative contraindications to laparoscopy - ANS - can't tolerate general anesthesia - long standing peritonitis - large abdominal/pelvic mass - massive hernia - severe cardiopulmonary disease visceral artery aneurysm - ANS risk of injury w/ trocar insertion previous abdominal surgery scars can be an issue, may have intraperitoneal adhesions CO2 - ANS readily absorbed, easily eliminated increase end tidal CO2, increase arterial CO2 concentration, decrease serum pH, greatest change is seen in the first 20 minutes nitric oxide - ANS less acid base issues, can be tolerated in cardiopulmonary patients, slightly less postoperative pain which has less light - 5 mm 30 degree lens or 10 mm 0 degree? - ANS 4 mm 30 degree

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FLS WRITTEN

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FLS WRITTEN EXAM 2025 QUESTIONS
AND ANSWERS


Absolute contraindications to laparoscopy - ANS - unable to tolerate laparotomy
- hypovolemic shock
- lack of surgeon training
- no support @ hospital


relative contraindications to laparoscopy - ANS - can't tolerate general anesthesia
- long standing peritonitis
- large abdominal/pelvic mass
- massive hernia
- severe cardiopulmonary disease


visceral artery aneurysm - ANS risk of injury w/ trocar insertion
previous abdominal surgery scars can be an issue, may have intraperitoneal adhesions


CO2 - ANS readily absorbed, easily eliminated
increase end tidal CO2, increase arterial CO2 concentration, decrease serum pH, greatest
change is seen in the first 20 minutes


nitric oxide - ANS less acid base issues, can be tolerated in cardiopulmonary patients, slightly
less postoperative pain


which has less light - 5 mm 30 degree lens or 10 mm 0 degree? - ANS 4 mm 30 degree

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FLS WRITTEN

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June 6, 2025
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