Practice Test GeeksFLS - Fundamentals of Laparoscopic Surgery Practice Test
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Clip Application Flashcards

7 cards from real FLS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Clip Application flashcards as text

  1. What is the primary purpose of applying a clip during laparoscopic cholecystectomy?

    Answer: To occlude the cystic duct and cystic artery before transection

    Clips are applied to the cystic duct and cystic artery to occlude them before transection, preventing bile leakage and hemorrhage.

  2. How many clips should be placed on the patient's side of the cystic duct before transection?

    Answer: Two clips

    At least two clips should be placed on the patient's (proximal) side of the cystic duct to ensure secure occlusion before transection.

  3. Which of the following is the most important step before applying a clip to the cystic duct?

    Answer: Achieving the critical view of safety

    The critical view of safety must be established to clearly identify the cystic duct and artery before clip application, preventing inadvertent bile duct injury.

  4. What is the recommended minimum distance from the common bile duct when placing the proximal clip on the cystic duct?

    Answer: 3 mm

    A minimum of 3 mm from the common bile duct is recommended to avoid incorporating the bile duct in the clip and risking a bile duct injury.

  5. When applying a clip applier laparoscopically, what angle relative to the target structure provides the most secure clip placement?

    Answer: Perpendicular (90°)

    Applying the clip perpendicular (90°) to the target structure ensures the clip fully spans the duct or vessel, providing the most secure occlusion.

  6. What should be done if a clip applier misfires or partially deploys a clip during laparoscopic surgery?

    Answer: Withdraw the instrument and reload before reapplying

    If a clip misfires, the instrument should be withdrawn from the patient and reloaded or replaced before reapplying to avoid leaving a malformed clip on a critical structure.

  7. Which clip material is most commonly used in modern laparoscopic clip appliers?

    Answer: Titanium

    Titanium clips are most commonly used because they are lightweight, MRI-compatible, and provide strong occlusion without significant artifact on postoperative imaging.

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