FUNDAMENTALS OF LAPAROSCOPIC
SURGERY (FLS) FINAL EXAM 2025/2026
BANK QUESTIONS AND ACCURATE
ACTUAL EXAM WITH FREQUENTLY
TESTED QUESTIONS AND STUDY GUIDE /
EXPERTLY VERIFIED FOR
GUARANTEED PASS/ALREADY GRADED
A+
what is the most common site for initial trocar insertion? -
....ANSWER...umbilicus
When checking placement of Veress needle, which of the
following is the most accurate method to detect proper
intraperitoneal placement? -
....ANSWER...insufflator display revealing flow
of CO2 and low initial pressure
umbilical Veress needle insertion and blind tracer insertion
is contraindicated in all of the following EXCEPT? -
....ANSWER...previous open cholecystectomy via
right subcostal incision (correct answers include
previous left hemicolectomy through midline
1
,incision, previous hysterectomy through midline
incision, previous Crohn's disease with
enterocutaneous fistula, and previous umbilical
hernia repair
what is the best area for alternate Veress needle insertion
relative to a midline vertical scar? -
....ANSWER...Palmer's point (LUQ)
Extra caution must be taken when placing the Veress
needle and primary trocar in the midline such as at the
umbilicus due to concerns with injury to what organ? -
....ANSWER...Aorta (and IVC)
When should a check for venous bleeding be performed? -
....ANSWER...during final abdominal inspection,
while releasing abdominal pressure, and during
trocar removal
once the operative procedure is finished, the surgeon
should check which of the following areas before exiting
the abdomen? - ....ANSWER...the operative field, the
dependent portions of the abdomen away from
the field of view at the operative site, and the
abdominal wall a each port site once the port has
2
,been removed
What is the reason fascia at trocar sites is sutured (closed)?
- ....ANSWER...prevention of hernia
During the case pt suddenly becomes hypotensive,
tachycardic. You note JV distention and audible mill
wheel murmur on cardiac auscultation. What to do? -
....ANSWER...CV collapse from gas embolism!
- place pt in trendelenberg position, left-side down
- rapid IVF
- central line placement to back up embolus in right heart
chambers
If the laparoscopic view of the operative field is reduced in
size, thus compromising proper exposure of the operative
field, which of the following should be immediately
checked? - ....ANSWER...check the insufflator control
3
, panel to determine the cause of the loss of working space in
the operative field
all of the following are pre-operative checks except? -
....ANSWER...check for adequate muscle relaxation.
Correct answers include checking that a spare CO2 tank is
in the OR, availability of ancillary equipment, and all power
sources are connected and appropriate units are switched on
During monopolar electrosurgery, the method of heating
tissue quickly, converting all water to steam and causing
the cell to explode is descriptive of which of the following:
- ....ANSWER...cutting mode
click on the point that is in danger of thermal burn if a
monopolar electrode is applied to the end of the
appendiceal stump? - ....ANSWER...the diameter at the
ligature is half that at the stump, so the current density will
be 16X greater
the use of all plastic or all metal trocars can avoid which
problem during electrosurgery? -
....ANSWER...capacitative coupling is a result of using a
4
SURGERY (FLS) FINAL EXAM 2025/2026
BANK QUESTIONS AND ACCURATE
ACTUAL EXAM WITH FREQUENTLY
TESTED QUESTIONS AND STUDY GUIDE /
EXPERTLY VERIFIED FOR
GUARANTEED PASS/ALREADY GRADED
A+
what is the most common site for initial trocar insertion? -
....ANSWER...umbilicus
When checking placement of Veress needle, which of the
following is the most accurate method to detect proper
intraperitoneal placement? -
....ANSWER...insufflator display revealing flow
of CO2 and low initial pressure
umbilical Veress needle insertion and blind tracer insertion
is contraindicated in all of the following EXCEPT? -
....ANSWER...previous open cholecystectomy via
right subcostal incision (correct answers include
previous left hemicolectomy through midline
1
,incision, previous hysterectomy through midline
incision, previous Crohn's disease with
enterocutaneous fistula, and previous umbilical
hernia repair
what is the best area for alternate Veress needle insertion
relative to a midline vertical scar? -
....ANSWER...Palmer's point (LUQ)
Extra caution must be taken when placing the Veress
needle and primary trocar in the midline such as at the
umbilicus due to concerns with injury to what organ? -
....ANSWER...Aorta (and IVC)
When should a check for venous bleeding be performed? -
....ANSWER...during final abdominal inspection,
while releasing abdominal pressure, and during
trocar removal
once the operative procedure is finished, the surgeon
should check which of the following areas before exiting
the abdomen? - ....ANSWER...the operative field, the
dependent portions of the abdomen away from
the field of view at the operative site, and the
abdominal wall a each port site once the port has
2
,been removed
What is the reason fascia at trocar sites is sutured (closed)?
- ....ANSWER...prevention of hernia
During the case pt suddenly becomes hypotensive,
tachycardic. You note JV distention and audible mill
wheel murmur on cardiac auscultation. What to do? -
....ANSWER...CV collapse from gas embolism!
- place pt in trendelenberg position, left-side down
- rapid IVF
- central line placement to back up embolus in right heart
chambers
If the laparoscopic view of the operative field is reduced in
size, thus compromising proper exposure of the operative
field, which of the following should be immediately
checked? - ....ANSWER...check the insufflator control
3
, panel to determine the cause of the loss of working space in
the operative field
all of the following are pre-operative checks except? -
....ANSWER...check for adequate muscle relaxation.
Correct answers include checking that a spare CO2 tank is
in the OR, availability of ancillary equipment, and all power
sources are connected and appropriate units are switched on
During monopolar electrosurgery, the method of heating
tissue quickly, converting all water to steam and causing
the cell to explode is descriptive of which of the following:
- ....ANSWER...cutting mode
click on the point that is in danger of thermal burn if a
monopolar electrode is applied to the end of the
appendiceal stump? - ....ANSWER...the diameter at the
ligature is half that at the stump, so the current density will
be 16X greater
the use of all plastic or all metal trocars can avoid which
problem during electrosurgery? -
....ANSWER...capacitative coupling is a result of using a
4
