FLS Module 2 Questions with Detailed
Verified Answers
Question: Indications for using local anesthesia in laparoscopy
Answer: no conclusive evidence that it will prevent visceral pain but can be
helpful for tubal ligations, diagnostic laparoscopies or hernia repairs
Question:
Types of local anesthesia
Answer: Bupivacaine, Ropivacaine, Lidocaine
Question:
Advantages of epidural anesthesia
Answer: Decreased post-operative anesthesia and decreased length of post-
op ileus as well as improved muscle relaxation.
Question:
What medication can you give to prevent bradyarrhythmias in lap surgery?
Answer: Prophylactic atropine prevents bradyarrhythmias caused by
pneumoperitoneum but causes excessive dry mouth so better to give intra-op
rather than pre-op. Can give glycopyrrolate
Question:
What class of meds are used pre-op for relaxation of patients
Answer: Benzos. For relaxation and also to give amnesia.
Question:
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What meds should patient take prior to surgery?
Answer: H2 blocker or non-particulate antacid sodium citrate to minimize
effects of aspiration should it occur. Also any chronic cardiovascular or
pulmonary medications
Question:
What components are important for anesthetizing a patient for laparoscopy
Answer: IV induction + GETA and neuromuscular blockade
Question:
Can you use an LMA for laparoscopy?
Answer: controversial
Question:
Does the use of nitrous oxide as an insufflating gas cause bowel distension
Answer: usually not seen (rare) unless patient has a bowel obstruction
Question:
Common patient positions in surgery
Answer: Supine, Trendelenburg, Reverse T-burg, Lithotomy, lateral
decubitus
Question:
How should you position the arms in a pelvic laparoscopic surgery
Answer: Arm tucked to the sides. Ensure hands are not near a break in the
table to avoid a hand injury if table is flexed during surgery