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FLS Exam Newest 2025 Actual Exam/ Fundamentals Of Laparoscopic Surgery Exam Actual 200 Questions And Correct Detailed Answers (verified Answers)||Already Graded A+||Brand New Version!!
Which of the following physiologic effects can occur as a result of increased intra-abdominal pressure? - ANSWER-Decreased venous return and reduced cardiac output
Explanation: High intra-abdominal pressure can compress the
inferior vena cava, reducing venous return to the heart and, consequently, cardiac output.
Which complication is most commonly associated with high insufflation pressures (>20 mmHg) in laparoscopic surgery? - ANSWER-Abdominal compartment syndrome
Explanation: Elevated insufflation pressures can cause
compartment syndrome, which leads to increased intra- abdominal pressure and impairment of organ function.
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When performing a laparoscopic inguinal hernia repair, which structure(s) must be carefully identified and avoided to prevent injury? - ANSWER-The inferior epigastric vessels
Explanation: The inferior epigastric vessels lie in the
preperitoneal space near the inguinal canal, making them at risk during laparoscopic hernia repairs.
What is the primary risk of using a Veress needle for initial pneumoperitoneum creation in a morbidly obese patient? - ANSWER-Failure to access the peritoneal cavity due to thick abdominal fat
Explanation: In morbidly obese patients, the Veress needle may
have difficulty reaching the peritoneal cavity due to thick subcutaneous fat layers, which can increase the risk of injury.
In laparoscopic bowel resection, what is the key reason for performing mesenteric division through a surgical stapler instead of traditional manual suturing? - ANSWER-It ensures quicker hemostasis and reduces operating time
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Explanation: Surgical staplers are faster and more reliable than
manual suturing when performing mesenteric division, ensuring good hemostasis and reducing operating time.
In a laparoscopic Nissen fundoplication, what is the most common complication that requires conversion to open surgery?
- ANSWER-Splenic injury
Explanation: During laparoscopic Nissen fundoplication, the left
diaphragm and spleen are close to the surgical field, increasing the risk of splenic injury, which may require conversion to open surgery.
In the case of a liver laceration during a laparoscopic procedure, what is the best immediate approach to control bleeding? - ANSWER-Apply direct pressure and use bipolar cautery
Explanation: For liver lacerations, applying direct pressure to
control bleeding followed by hemostasis with bipolar cautery is the best approach. Open surgery is generally not required unless bleeding cannot be controlled laparoscopically.
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When performing a laparoscopic appendectomy, which of the following would most likely lead to a misdiagnosis of a normal appendix as inflamed? - ANSWER-Over-insufflation of the abdomen
Explanation: Over-insufflation can distort the anatomy, making
it difficult to visualize the appendix properly, leading to potential misdiagnosis.
During laparoscopic cholecystectomy, a surgeon encounters difficulty dissecting the cystic artery due to a dense fibrotic tissue in the Calot's triangle. Which of the following steps is the most appropriate next action? - ANSWER-Convert to an open procedure for better access
Explanation: Dense fibrotic tissue can make dissection difficult.
Converting to open surgery allows better visualization and control in such cases.
Abdominal wall hernia during laparoscopic surgery can occur during trocar insertion. What is the most effective way to prevent this? - ANSWER-Use blunt dissection to insert trocars
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