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FLS FINAL EXAM NEWEST 2025 ACTUAL EXAM
COMPLETE 150 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
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 1 / 4
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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 2 / 4
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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
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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)
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