FLS Clip Application

Question 1

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

Accepted Answer

To occlude the cystic duct and cystic artery before transection

Answer

To mark the surgical site for postoperative imaging

Answer

To retract the gallbladder fundus away from the liver

Answer

To anchor the specimen bag during extraction

Question 2

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

Accepted Answer

Two clips

Answer

One clip

Answer

Three clips

Answer

Four clips

Question 3

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

Accepted Answer

Achieving the critical view of safety

Answer

Confirming adequate pneumoperitoneum pressure

Answer

Selecting the correct clip size

Answer

Irrigating the operative field

Question 4

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

Accepted Answer

3 mm

Answer

1 mm

Answer

2 mm

Answer

5 mm

Question 5

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

Accepted Answer

Perpendicular (90°)

Answer

Parallel (0°)

Answer

45° angle

Answer

120° angle

Question 6

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

Accepted Answer

Withdraw the instrument and reload before reapplying

Answer

Continue firing to fully close the clip

Answer

Apply a second clip directly over the malformed one

Answer

Proceed with transection as partial occlusion is sufficient

Question 7

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

Accepted Answer

Titanium

Answer

Stainless steel

Answer

Absorbable polymer

Answer

Cobalt-chromium alloy