FLS EXAM LATEST
which of the following cardiac arrhythmia is most likely due to the
pressure effects of pneumoperitoneum? - ANSWERS-bradycardia
(vagally mediated) - is the most common dysrhytmia during
pneumoperitoneum
when a patient is experiencing gas embolism, would is the appropriate
emergency position? - ANSWERS-left lateral decubitus, head lowered
development of hypercarbia is influenced by which of the following? -
ANSWERS-the body's buffer system, the patient's pulmonary system,
and extraperitoneal insufflation
which of the following is NOT a sign of gas embolism? - ANSWERS-
bradycardia (correct signs are hypotension, tachycardia, mill wheel
murmur, and JVD)
significant cardiovascular effects of pneumoperitoneum can be caused
by? - ANSWERS-pressure of the pneumoperitoenum, patient position,
and acid-base disturbances from CO2
pneumoperitoneum affects ventilation in all of the following ways
EXCEPT: - ANSWERS-hypocapnea (correct ways include reduced
END OF
PAGE
1
, FLS EXAM LATEST
pulmonary compliance, increased peak airway pressure, and reduced
functional residual capacity)
what variable will be decreased by pneumoperitoneum? - ANSWERS-
cardiac index
What are the most common sources of unrecognized bleeding? -
ANSWERS-Trocar injury of abdominal wall vessels
Injury to vessels or organs away from the operative field (eg liver,
spleen)
Tamponade of venous bleeding (by pneumoperitoneum)
Why is recommended to actively evacuate as much of the
pneumoperitoneum as possible at the conclusion of the intraabdominal
portion of the procedure? - ANSWERS-Help reduce postoperative pain
In what age group port sites 5mm or smaller require closure of the
fascia? - ANSWERS-Pediatric
Abdominal wall closure of the port sites can be accomplished using... -
ANSWERS-Open techniques
END OF
PAGE
2
, FLS EXAM LATEST
Laparoscopic-assisted techniques
Entirely laparoscopic techniques
When should a check for venous bleeding be performed? - ANSWERS-
During final abdominal inspection, while releasing abdominal pressure,
and during trocar removal
Once the operative procedure is finished, the surgeon should check
which areas before exiting the abdomen? - ANSWERS-Operative field,
dependent portions of the abdomen away from the field of view at the
operative site, abdominal wall at each port site onece the port has been
removed
what is the correct patient position for diagnostic laparoscopy for pelvic
procedure? - ANSWERS-dorsal lithotomy
what is the correct patient position for diagnostic laparoscopy for
appendectomy? - ANSWERS-trendelenburg
which of the following pathology can be diagnosed laparoscopically? -
ANSWERS-Crohns, traumatic diaphragm injury, and ovarian cyst
END OF
PAGE
3
, FLS EXAM LATEST
what are of the abomden is best for placement of ports to view kidneys
and adrenal glands? - ANSWERS-Upper abdomen (epigastric, RUQ,
LUQ)
retraction of the uterus can be accomplished by? - ANSWERS-
transvaginal manipulator, blunt grasper, laparoscopic retractor, and
suture placed through abdominal wall
In general, if an ovarian cyst is larger than 5cm or has complex internal
US findings, biopsy should be done by? - ANSWERS-oophorectomy
general principles of successful laparoscopic tissue biopsy include all of
the following EXCEPT: - ANSWERS-remove biopsy specimen with an
energy source to avoid bleeding
(correct answers include avoid contacting tissue of extraction site with
specimen, excisions biopsy of small lesions is appropriately, generally
avoid biopsy of fluid filled liver lesions)
which of the following about intracorporeal suturing is not true? -
ANSWERS-grasping the needle is the ideal way to control it when
transporting the suture in and out of the abdomen
END OF
PAGE
4
which of the following cardiac arrhythmia is most likely due to the
pressure effects of pneumoperitoneum? - ANSWERS-bradycardia
(vagally mediated) - is the most common dysrhytmia during
pneumoperitoneum
when a patient is experiencing gas embolism, would is the appropriate
emergency position? - ANSWERS-left lateral decubitus, head lowered
development of hypercarbia is influenced by which of the following? -
ANSWERS-the body's buffer system, the patient's pulmonary system,
and extraperitoneal insufflation
which of the following is NOT a sign of gas embolism? - ANSWERS-
bradycardia (correct signs are hypotension, tachycardia, mill wheel
murmur, and JVD)
significant cardiovascular effects of pneumoperitoneum can be caused
by? - ANSWERS-pressure of the pneumoperitoenum, patient position,
and acid-base disturbances from CO2
pneumoperitoneum affects ventilation in all of the following ways
EXCEPT: - ANSWERS-hypocapnea (correct ways include reduced
END OF
PAGE
1
, FLS EXAM LATEST
pulmonary compliance, increased peak airway pressure, and reduced
functional residual capacity)
what variable will be decreased by pneumoperitoneum? - ANSWERS-
cardiac index
What are the most common sources of unrecognized bleeding? -
ANSWERS-Trocar injury of abdominal wall vessels
Injury to vessels or organs away from the operative field (eg liver,
spleen)
Tamponade of venous bleeding (by pneumoperitoneum)
Why is recommended to actively evacuate as much of the
pneumoperitoneum as possible at the conclusion of the intraabdominal
portion of the procedure? - ANSWERS-Help reduce postoperative pain
In what age group port sites 5mm or smaller require closure of the
fascia? - ANSWERS-Pediatric
Abdominal wall closure of the port sites can be accomplished using... -
ANSWERS-Open techniques
END OF
PAGE
2
, FLS EXAM LATEST
Laparoscopic-assisted techniques
Entirely laparoscopic techniques
When should a check for venous bleeding be performed? - ANSWERS-
During final abdominal inspection, while releasing abdominal pressure,
and during trocar removal
Once the operative procedure is finished, the surgeon should check
which areas before exiting the abdomen? - ANSWERS-Operative field,
dependent portions of the abdomen away from the field of view at the
operative site, abdominal wall at each port site onece the port has been
removed
what is the correct patient position for diagnostic laparoscopy for pelvic
procedure? - ANSWERS-dorsal lithotomy
what is the correct patient position for diagnostic laparoscopy for
appendectomy? - ANSWERS-trendelenburg
which of the following pathology can be diagnosed laparoscopically? -
ANSWERS-Crohns, traumatic diaphragm injury, and ovarian cyst
END OF
PAGE
3
, FLS EXAM LATEST
what are of the abomden is best for placement of ports to view kidneys
and adrenal glands? - ANSWERS-Upper abdomen (epigastric, RUQ,
LUQ)
retraction of the uterus can be accomplished by? - ANSWERS-
transvaginal manipulator, blunt grasper, laparoscopic retractor, and
suture placed through abdominal wall
In general, if an ovarian cyst is larger than 5cm or has complex internal
US findings, biopsy should be done by? - ANSWERS-oophorectomy
general principles of successful laparoscopic tissue biopsy include all of
the following EXCEPT: - ANSWERS-remove biopsy specimen with an
energy source to avoid bleeding
(correct answers include avoid contacting tissue of extraction site with
specimen, excisions biopsy of small lesions is appropriately, generally
avoid biopsy of fluid filled liver lesions)
which of the following about intracorporeal suturing is not true? -
ANSWERS-grasping the needle is the ideal way to control it when
transporting the suture in and out of the abdomen
END OF
PAGE
4
