FLS Exam Questions and Answers Verified 100% Correct

FLS Exam Questions and Answers Verified 100% Correct 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 LSC examination of small bowel - ANSWER -place monitors- one near head (ligament treitz), one near feet (ileocecal valve place ports along left abd IN SBO pt, start at ILEOCECAL valve (most distal, should be most decompressed) FNA uses ______G needle - ANSWER -20-22 G Core biopsy uses a _____G needle - ANSWER -14-16 G LSC suturing technique - ANSWER -- ports at least 10 cm apart to allow intracorporeal knot tying - 10-12 mm trocar accommodates standard SH needle Length of suture for intracorporeal knot tying - ANSWER -6 inches (15 cm) Length of suture for extracorporeal knot tying - ANSWER -30 inches (76 cm) 2-2.5 mm staples used for - ANSWER -- white/grey in color - vascular, thinner tissue 3-3.5 mm staples - ANSWER -- blue - for majority GI tract 4-4.5 mm staples - ANSWER -- green - for distal stomach, thickened portions of GI tract Monopolar cautery - ANSWER -- smaller vessels, slow rate bleeding, need relatively dry operative field Days until full diet tolerated - ANSWER -1-2d for fundoplication 3-6d for colon resection Postop - vascular injury smaller vessels - ANSWER -- usu superior/inferior epigastric vessels, mesenteric arteries/veins --> abd wall or peritoneal hematomas. - Surgery if con't bleeding, infxn, HD instability In the event of a blank screen, which is NOT a likely problem site? - ANSWER FRED anti-fog solution 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 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 metal tracer with a plastic screw anchor, which prevents the tracer from draining its charge (instrument can store the charge and then transmit to tissue next time it touches something) when using the ultrasonic shears, the entire portion of the active blade is exposed. In order to avoid inadvertent delivery of energy to tissue in contact with the bottom portion of the active blade, one should do the following: - ANSWER -be aware of the contact points the blade is engaging, grab the target tissue and elevate it, and keep the active blade upwards in view of the surgeon ASA class 3 - ANSWER -severe systemic disease that limits the patient's activity and may or may not be related to the reason for surgery initial consultation should include which of the following? - ANSWER possibility of conversion to open surgery which of the following is a relative contraindication to laparoscopic surgery? - ANSWER -previous abdominal surgery which of these is NOT an absolute contraindication to laparoscopic surgery? - ANSWER -bowel obstruction (contraindications include uncorrectable hypovolemic shock, lack of proper surgical training, and inability to tolerate laparotomy) which procedure may be performed using local anesthesia alone or with mild sedation? - ANSWER -diagnostic laparoscopy important features in patient positioning for laparoscopic surgery include: - ANSWER -avoidance of position related complications, prevention of DVT, and location of target organ the most commonly used anesthetic for laparoscopic procedures is general anesthesia. all of the following are true EXCEPT - ANSWER -there are fewer hemodynamic changes compared to a local anesthetic (true ANSWERs are it allows for complete neuromuscular relaxation, it provides good control of ventilation, an tit allows for more flexibility of patient positioning) 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