FLS Written Exam Latest Update -

FLS Written Exam Latest Update - Actual Exam from Credible Source with 140 Questions and 100% Verified Detailed Correct Answers Guaranteed A+ Approved by Professor absolute contraindications to laparoscopy - CORRECT ANSWER: - unable to tolerate laparotomy

• hypovolemic shock
• lack of surgeon training
• no support @ hospital

benefits of bipolar energy - CORRECT ANSWER: lower energy, producing less lateral tissue damage and necrosis

• DONT need a grounding pad

CO2 - CORRECT ANSWER: readily absorbed, easily eliminated

increase end tidal CO2, increase arterial CO2 concentration, decrease serum pH, greatest change is seen in the first 20 minutes

do you discontinue aspirin the day of surgery? - CORRECT ANSWER: no

gas embolus - CORRECT ANSWER: rare but can occur

seen less than 1 percent of the time diagnose with severe hypotension, JVD, tachycardia, mill wheel murmur

• need to rule out other sources of hypotension

how to enter in patient with bowel obsturction - CORRECT ANSWER: direct

visualization

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most common sources of unrecognized bleeding - CORRECT ANSWER: trocar injury of

abdominal vessels,

nitric oxide - CORRECT ANSWER: less acid base issues, can be tolerated in

cardiopulmonary patients, slightly less postoperative pain

postoperative nausea/vomiting risk factors - CORRECT ANSWER: female, young,

previous issues, morning sickness, nonsmoker, procedural length, lower ASA classification, preoperative anxiety, prevention involves using anti emetics, limiting opioids if possible

relative contraindications to laparoscopy - CORRECT ANSWER: - can't tolerate general anesthesia

• long standing peritonitis
• large abdominal/pelvic mass
• massive hernia
• severe cardiopulmonary disease

risks of bipolar energy - CORRECT ANSWER: risk of cutting patient vessels before adequate sealing, device doesn't work if metal between the jars

risks of monopolar - CORRECT ANSWER: current can be diverted through unintentional pathways, leading to inadvertent tissue injury

• don't use hybrid ports that mix metal with plastic

risks of ultrasonic dissection (harmonic) - CORRECT ANSWER: active blade can injure something due to high frequency (50 MHz)

visceral artery aneurysm - CORRECT ANSWER: risk of injury w/ trocar insertion

previous abdominal surgery scars can be an issue, may have intraperitoneal adhesions

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what does coagulation mode do? - CORRECT ANSWER: rapid surface heating with

shallow depth of necrosis, intermittent wave form with higher voltage

what if there is initial low pressure and high flow rate at entry? - CORRECT ANSWER: leak in insufflator circuit, make sure everything is plugged in correctly

what is bipolar rused for? - CORRECT ANSWER: larger vessels

need a wet operative field less lateral thermal spread

• not good for capillary vessels

what is monopolar used for? - CORRECT ANSWER: small vessels

slow rate of bleeding need a dry operative field

what is the most commonly used light source? - CORRECT ANSWER: 300 W xenon

lamp

when does dissection occur? temp above 600 degrees - CORRECT ANSWER:

which has less light - 5 mm 30 degree lens or 10 mm 0 degree? - CORRECT ANSWER:

• mm 30 degree

why do you need a grounding pad for monopolar? - CORRECT ANSWER: capacitative

coupling - transfer of energy between two conductors separated by insulator, transfer to passive electrode. can release with tissue injury but no issue if ground plate working as capacitor - can't store the charge · Diet is procedural dependent: days until full diet tolerated? - CORRECT ANSWER: o

Appendectomy: 0-1

o Cholecystectomy: 0-1

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