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Future |\Laparoscopic |\Surgeons |(FLS) |\Test |\
questions |\with |\answers
if |\a |\blank |\screen, |\which |\is |\NOT |\the |\problem: -fred -cables -gas -light |\panel |- |\CORRECT |\ANSWERS |\✔✔FRED if |\the |\view |\is |\reduced |\in |\size, |\what |\should |\be |\checked: -insufflator |\control |\panel -gas |\tank -veress |\needle -filter |\for |\gas |\line |- |\CORRECT |\ANSWERS |\✔✔insufflator |\control |\panel all |\are |\preop |\checks |\except: -muscle |\relaxation -ancillary |\equipment |\there -spare |\CO2 |\tank -all |\power |\sources |\are |\on |- |\CORRECT |\ANSWERS |\✔✔checking |\for |
muscle |\relaxation
during |\monopolar |\cautery, |\the |\method |\of |\quickly |\turning |\cell |\water |\to |\steam, |\causing |\the |\cell |\to |\explode, |\is: -cutting -coag -blend |- |\CORRECT |\ANSWERS |\✔✔cutting thermal |\burn |\to |\appendiceal |\stump |\should |\be |\at: -suture |\ligation |\of |\stump -very |\tip |\of |\stump |(exposed |\mucosa) -base |- |\CORRECT |\ANSWERS |\✔✔suture |\ligation |\of |\the |\stump the |\use |\of |\all-plastic |\or |\all-metal |\trocars |\can |\avoid |\which |\problem: -unintended |\direct |\coupling -insulation |\failure -capacitative |\coupling |- |\CORRECT |\ANSWERS |\✔✔capacitative |\coupling what |\should |\you |\do |\with |\harmonic |\to |\avoid |\inadvertent |\injury -be |\aware |\of |\blade -grab |\and |\elevate |\your |\target -keep |\active |\blade |\upwards |\and |\in |\view -all |\of |\the |\above |- |\CORRECT |\ANSWERS |\✔✔all |\of |\the |\above
-previous |\abd |\surgery -inability |\to |\tolerate |\a |\laparotomy -lack |\of |\appropriate |\facilities |- |\CORRECT |\ANSWERS |\✔✔previous |\abd |
surgery which |\is |\NOT |\an |\absolute |\contraindication: -uncorrectable |\hypovolemic |\shock -lack |\of |\proper |\surgical |\training -inability |\to |\tolerate |\laparotomy -bowel |\obstruction |- |\CORRECT |\ANSWERS |\✔✔bowel |\obstruction which |\can |\be |\performed |\with |\local |\alone? -appy -ectopic -diagnostic |\laparoscopy -chole |- |\CORRECT |\ANSWERS |\✔✔diagnostic |\laparoscopy patient |\positioning |\is |\important |\because: -avoids |\DVTs -location |\of |\target |\anatomy -avoidance |\of |\position-related |\complications -all |\of |\the |\above |- |\CORRECT |\ANSWERS |\✔✔all |\of |\the |\above
which |\is |\NOT |\true |\about |\general |\anesthesia -complete |\neuromuscular |\relaxation -good |\control |\of |\ventilation -fewer |\hemodynamic |\changes |\compared |\to |\local -allows |\for |\more |\flexibility |\during |\positioning |- |\CORRECT |\ANSWERS |
✔✔fewer |\hemodynamic |\changes |\compared |\to |\local initial |\trocar |\location |- |\CORRECT |\ANSWERS |\✔✔umbilicus when |\checking |\your |\veress, |\which |\is |\most |\accurate |\to |\ensure |
proper |\placement? -aspirating |\blood -aspiring |\enteric |\contents -flow |\of |\CO2 |\and |\low |\pressures -no |\flow |\of |\CO2 |\and |\high |\pressures |- |\CORRECT |\ANSWERS |\✔✔flow |
of |\CO2 |\and |\low |\pressures umbilical |\veress |\is |\NOT |\contraindicated |\in: -previous |\midline |\laparotomy -previous |\R |\subcostal |\incision -previous |\midline |\laparotomy
-A+B
-A+B+C, |\all |\of |\the |\above |- |\CORRECT |\ANSWERS |\✔✔A+B+C, |\all |\of |\the |
above which |\is |\NOT |\a |\sign |\of |\gas |\embolus: -hypotension -bradycardia -tachycardia -mill |\wheel |\murmur -JVD |- |\CORRECT |\ANSWERS |\✔✔bradycardia cardiovascular |\effects |\of |\pneumoperitoneum |\can |\be |\caused |\by: -pressure |\from |\the |\abdomen -patient |\positioning -acid-base |\disturbances -all |\of |\the |\above |- |\CORRECT |\ANSWERS |\✔✔all |\of |\the |\above pneumoperitoneum |\affects |\ventilation |\in |\all |\ways |\EXCEPT: -reduced |\compliance -increased |\peak |\pressures -hypocapnea -reduced |\FRC |- |\CORRECT |\ANSWERS |\✔✔hypocapnea
what |\will |\be |\decreased |\by |\pneumoperitoneum: -CI -renal |\vascular |\resistance -PCWP -PVR -SVR |- |\CORRECT |\ANSWERS |\✔✔cardiac |\index when |\should |\check |\for |\venous |\bleeding |\be |\performed -final |\inspection |\of |\abdomen -when |\releasing |\abdominal |\pressure -during |\trocar |\removal -all |\of |\the |\above |- |\CORRECT |\ANSWERS |\✔✔all |\of |\the |\above what |\should |\you |\check |\before |\exiting |\the |\abdomen:- -operative |\field -dependent |\portions |\of |\abdomen -abdominal |\wall |\at |\each |\previous |\trocar |\site -all |\of |\the |\above |- |\CORRECT |\ANSWERS |\✔✔all |\of |\the |\above close |\the |\fascia |\because: -prevent |\hernia
-laparoscopic |\retractor -suture |\through |\abd |\wall -all |\of |\the |\above |- |\CORRECT |\ANSWERS |\✔✔all |\of |\the |\above gauge |\needle |\for |\liver |\core |\biopsy |- |\CORRECT |\ANSWERS |\✔✔14-18 |
gauge if |\an |\ovary |\is |\larger |\than |\5cm |\or |\has |\complex |\internal |\US |
characteristics, |\biopsy |\should |\be: -core -wedge -excisional |(oopherectomy) -FNA |- |\CORRECT |\ANSWERS |\✔✔oopherectomy successful |\tissue |\biopsy |\laparoscopically |\includes |\everything |\BUT: -avoid |\contacting |\tissue |\with |\extraction |\site -use |\energy |\source |\to |\take |\your |\biopsies -excise |\small |\lesions -avoid |\biopsy |\of |\fluid-filled |\liver |\lesions |- |\CORRECT |\ANSWERS |\✔✔use |\energy |\source |\to |\take |\your |\biopsies |(this |\will |\ruin |\margins) what |\trocar |\size |\for |\SH |\type |\needle |- |\CORRECT |\ANSWERS |\✔✔10- 12mm
ideal |\suture |\length |\for |\intracorporeal |\tying |- |\CORRECT |\ANSWERS |
✔✔6inch, |\15cm ideal |\suture |\length |\for |\extracorporeal |\tying |- |\CORRECT |\ANSWERS |
✔✔30inches, |\75cm which |\is |\NOT |\true |\about |\intracorporeal |\tying -grasp |\needle |\through |\trocar -ideal |\length |\is |\6in, |\15cm -ideal |\orientation |\is |\3-to-9 |\o'clock -pulling |\needle |\along |\its |\arc |- |\CORRECT |\ANSWERS |\✔✔grasp |\needle |
through |\trocar hemostasis |\includes |\everything |\BUT: -identify |\specific |\point |\of |\bleeding -avoid |\injury |\to |\nearby |\structures -add |\extra |\ports |\PRN -convert |\to |\open |\PRN -apply |\vascular |\clips |\to |\general |\area |\is |\usually |\sufficient |- |\CORRECT |
ANSWERS |\✔✔applying |\general |\vascular |\clips |\to |\area
