FLS MODULE 3 - BASIC LAPAROSCOPIC PROCEDURES
FINAL TEST 2026 QUESTIONS WITH CORRECT ANSWERS
GRADED A+
● What are some of the newest developments in laparoscopic surgery?. Answer: -
Robotic assistance.
● List 5 laparoscopic procedures being done on newborn infants.. Answer: -
Appendectomy
● During what procedures could you inadvertently enter the peritoneal cavity and
subsequently need to perform a diagnostic laparoscopy?. Answer: - Hysteroscopy
● Key elements of performing a lysis of adhesions.. Answer: - Use both blunt and sharp
dissection with gentle traction on tissue.
● What is the best position for patients getting surgery on the upper abdomen?.
Answer: - Arms on arm boards.
● Where would you place your initial port for a diagnostic lap where you need to view
the entire abdomen? Where would you place your additional trocars?. Answer: - Initial
access in LUQ and two additional ports placed in the left abdomen. This allows the entire
abdomen to be visualized except for immediately below the ports or lateral to the ports.
● General principles for diagnostic lap of the liver.. Answer: - Angled scope. - Use US to
visualize structures under the surface.
● What are indications for diagnostic lap of the anterior abdominal wall? Where should
you enter the abdomen? What degree scope should you use?. Answer: - To look for
evidence of post-op bleeding, adhesions, hernia or tumor.
● Best position and port placement for diagnostic pelvic laparoscopy.. Answer: -
Tucked arms so surgeon can be ergonomically favorable.
● Diagnostic lap for suspected appendicitis.. Answer: - Left arm tucked, allowing surgeon
and assistant to stand on the left side.
, ● Why would you want to have 2 monitors for a diagnostic laparoscopy of the small
bowel?. Answer: - Because the small bowel spans the entire abdomen both LUQ and RLQ so
surgeon and assistant need to stand on both sides of the table.
● In reference to the location next to the patient, what are the best positions for the
monitors in laparoscopy?. Answer: Best monitor positions are by the patient's left shoulder
and right hip.
● How do you "run the bowel" laparoscopically?. Answer: - Systematically.
● Tips to avoiding enterotomy when "running the bowel" in laparoscopy?. Answer: -
Use instruments with non-traumatic tips.
● Where should you start "running the bowel" if you have a small bowel obstruction?.
Answer: - Start at the ileocecal valve with collapsed bowel.
● How do you position the patient for visualizing retroperitoneal structures below the
aortic bifurcation?. Answer: - Steep trendelenburg.
● How do you position the patient for visualizing retroperitoneal structures above the
aortic bifurcation or to see the spleen?. Answer: - Lateral position, allowing intestinal
contents to fall away.
● Has diagnostic laparoscopy with a traumatic diaphragmatic injury caused tension
pneumothorax?. Answer: - No
● When should you not perform a diagnostic lap in a trauma patient?. Answer:
Hemodynamically unstable.
● Why should you avoid cautery when taking a biopsy?. Answer: Cautery can sterilize
the biopsy, distort architecture or destroy cells. If needed, you can use cautery after the
specimen is taken out.
● If the target tissue is visible with the camera in the abdomen, how many additional
ports should be placed to obtain a biopsy?. Answer: None! Use the camera port for your
camera and then watch as you place the percutaneous needle into the specimen.
● What do you need to do with the plunger of your needle for an FNA biopsy before
you remove the need from the abdominal cavity?. Answer: - Release the plunger to
release the suction before you remove it from the abdominal cavity. Then detach the needle
from the syringe and fill up the syringe with air to push out the contents of the needle into
specimen cup.
FINAL TEST 2026 QUESTIONS WITH CORRECT ANSWERS
GRADED A+
● What are some of the newest developments in laparoscopic surgery?. Answer: -
Robotic assistance.
● List 5 laparoscopic procedures being done on newborn infants.. Answer: -
Appendectomy
● During what procedures could you inadvertently enter the peritoneal cavity and
subsequently need to perform a diagnostic laparoscopy?. Answer: - Hysteroscopy
● Key elements of performing a lysis of adhesions.. Answer: - Use both blunt and sharp
dissection with gentle traction on tissue.
● What is the best position for patients getting surgery on the upper abdomen?.
Answer: - Arms on arm boards.
● Where would you place your initial port for a diagnostic lap where you need to view
the entire abdomen? Where would you place your additional trocars?. Answer: - Initial
access in LUQ and two additional ports placed in the left abdomen. This allows the entire
abdomen to be visualized except for immediately below the ports or lateral to the ports.
● General principles for diagnostic lap of the liver.. Answer: - Angled scope. - Use US to
visualize structures under the surface.
● What are indications for diagnostic lap of the anterior abdominal wall? Where should
you enter the abdomen? What degree scope should you use?. Answer: - To look for
evidence of post-op bleeding, adhesions, hernia or tumor.
● Best position and port placement for diagnostic pelvic laparoscopy.. Answer: -
Tucked arms so surgeon can be ergonomically favorable.
● Diagnostic lap for suspected appendicitis.. Answer: - Left arm tucked, allowing surgeon
and assistant to stand on the left side.
, ● Why would you want to have 2 monitors for a diagnostic laparoscopy of the small
bowel?. Answer: - Because the small bowel spans the entire abdomen both LUQ and RLQ so
surgeon and assistant need to stand on both sides of the table.
● In reference to the location next to the patient, what are the best positions for the
monitors in laparoscopy?. Answer: Best monitor positions are by the patient's left shoulder
and right hip.
● How do you "run the bowel" laparoscopically?. Answer: - Systematically.
● Tips to avoiding enterotomy when "running the bowel" in laparoscopy?. Answer: -
Use instruments with non-traumatic tips.
● Where should you start "running the bowel" if you have a small bowel obstruction?.
Answer: - Start at the ileocecal valve with collapsed bowel.
● How do you position the patient for visualizing retroperitoneal structures below the
aortic bifurcation?. Answer: - Steep trendelenburg.
● How do you position the patient for visualizing retroperitoneal structures above the
aortic bifurcation or to see the spleen?. Answer: - Lateral position, allowing intestinal
contents to fall away.
● Has diagnostic laparoscopy with a traumatic diaphragmatic injury caused tension
pneumothorax?. Answer: - No
● When should you not perform a diagnostic lap in a trauma patient?. Answer:
Hemodynamically unstable.
● Why should you avoid cautery when taking a biopsy?. Answer: Cautery can sterilize
the biopsy, distort architecture or destroy cells. If needed, you can use cautery after the
specimen is taken out.
● If the target tissue is visible with the camera in the abdomen, how many additional
ports should be placed to obtain a biopsy?. Answer: None! Use the camera port for your
camera and then watch as you place the percutaneous needle into the specimen.
● What do you need to do with the plunger of your needle for an FNA biopsy before
you remove the need from the abdominal cavity?. Answer: - Release the plunger to
release the suction before you remove it from the abdominal cavity. Then detach the needle
from the syringe and fill up the syringe with air to push out the contents of the needle into
specimen cup.
