Free FLS Care and Patient Safety Questions and Answers — Questions and Answers
Question 1: During a laparoscopic procedure, the screen suddenly goes blank. Which of the following is NOT a potential cause of this problem?
- Faulty cables
- Insufficient gas supply
- Malfunctioning light panel
- Incorrect settings on the FRED (Fluorescence-Enhanced Real-time Imaging Device) (Correct answer)
Correct answer: Incorrect settings on the FRED (Fluorescence-Enhanced Real-time Imaging Device)
Explanation: <br> A blank screen during a laparoscopic procedure could be caused by several issues such as faulty cables, insufficient gas supply, or a malfunctioning light panel. However, the settings on the FRED device are not typically associated with causing a blank screen.
Question 2: Before exiting the abdomen at the end of a laparoscopic procedure, which of the following should be checked?
- The operative field
- The dependent portions of the abdomen
- The abdominal wall at each previous trocar site
- All of the above (Correct answer)
Correct answer: All of the above
Explanation: <br> Ensuring all these areas are checked helps prevent complications and ensures patient safety.
Question 3: All of the following are preoperative checks except:
- Muscle relaxation (Correct answer)
- Ancillary equipment availability
- Spare CO2 tank
- All power sources are on
Correct answer: Muscle relaxation
Explanation: <br> Muscle relaxation is monitored and maintained during the procedure, not as a preoperative check. Preoperative checks include ensuring ancillary equipment is available, having a spare CO2 tank, and making sure all power sources are on.
Question 4: What should be included in the initial consultation for laparoscopic surgery?
- Types of trocars used
- Details of pneumoperitoneum
- Possibility of conversion to open surgery (Correct answer)
- Type of insufflation gas to be used
Correct answer: Possibility of conversion to open surgery
Explanation: <br> The initial consultation for laparoscopic surgery should include discussing the possibility of conversion to open surgery with the patient. This ensures informed consent and preparedness for potential complications or challenges during the procedure.
Question 5: Which of the following is a relative contraindication for laparoscopic surgery?
- Hypovolemic shock, uncorrectable
- Previous abdominal surgery (Correct answer)
- Inability to tolerate a laparotomy
- Lack of appropriate facilities
Correct answer: Previous abdominal surgery
Explanation: <br> Previous abdominal surgery is a relative contraindication for laparoscopic surgery due to potential adhesions and altered anatomy, which may increase the complexity and risk of complications during the procedure. However, it does not necessarily preclude laparoscopic surgery and may require careful consideration and planning by the surgical team.
Question 6: Which of the following is NOT an absolute contraindication for laparoscopic surgery?
- Uncorrectable hypovolemic shock
- Lack of proper surgical training
- Inability to tolerate laparotomy
- Bowel obstruction (Correct answer)
Correct answer: Bowel obstruction
Explanation: <br> While bowel obstruction presents challenges for laparoscopic surgery, it is not an absolute contraindication. Laparoscopic techniques can often be used to diagnose and treat bowel obstructions, although careful patient selection and surgical expertise are required to minimize risks.
Question 7: Which laparoscopic procedure can be performed with local anesthesia alone?
- Appendectomy (Appy)
- Ectopic pregnancy (Ectopic)
- Diagnostic laparoscopy (Correct answer)
- Cholecystectomy (Chole)
Correct answer: Diagnostic laparoscopy
Explanation: <br> A diagnostic laparoscopy, which involves a visual examination of the abdominal cavity, can be performed with local anesthesia alone. It is often used to diagnose various abdominal conditions and does not typically require general anesthesia.
Question 8: Why is patient positioning important in laparoscopic surgery?
- To avoid deep vein thrombosis (DVTs)
- To identify the location of the target anatomy
- To avoid position-related complications
- All of the above (Correct answer)
Correct answer: All of the above
Explanation: <br> Patient positioning is crucial in laparoscopic surgery to achieve multiple goals, including preventing deep vein thrombosis (DVTs), facilitating visualization of target anatomy, and minimizing position-related complications such as nerve injuries or pressure ulcers. All of these factors contribute to the safety and success of the surgical procedure.
Question 9: When should checking for venous bleeding be performed during laparoscopic surgery?
- Final inspection of the abdomen
- When releasing abdominal pressure
- During trocar removal
- All of the above (Correct answer)
Correct answer: All of the above
Explanation: <br> Checking for venous bleeding should be performed at multiple points during laparoscopic surgery to ensure early detection and prompt management. This includes the final inspection of the abdomen, when releasing abdominal pressure, and during trocar removal. By conducting checks at these stages, surgeons can identify and address any venous bleeding to prevent complications and ensure patient safety.
Question 10: What should you check before exiting the abdomen at the end of a laparoscopic procedure?
- Operative field
- Dependent portions of the abdomen
- Abdominal wall at each previous trocar site
- All of the above (Correct answer)
Correct answer: All of the above
Explanation: <br> Before exiting the abdomen, it's important to check the operative field for any missed instruments or sponges, inspect dependent portions of the abdomen for any pooled blood or fluids, and examine the abdominal wall at each previous trocar site for any signs of bleeding or herniation. By conducting thorough checks of all these areas, surgeons can ensure that the procedure is completed safely and without complications.
Question 11: Which of the following will be decreased by pneumoperitoneum during laparoscopic surgery?
- Cardiac index (CI) (Correct answer)
- Renal vascular resistance
- Pulmonary capillary wedge pressure (PCWP)
- Pulmonary vascular resistance (PVR)
- Systemic vascular resistance (SVR)
Correct answer: Cardiac index (CI)
Explanation: <br> Pneumoperitoneum during laparoscopic surgery can decrease cardiac index (CI) due to factors such as increased intra-abdominal pressure, reduced venous return, and altered cardiovascular dynamics. This reduction in CI can impact overall cardiac function during the procedure.
Free FLS Care and Patient Safety Questions and Answers
During a laparoscopic procedure, the screen suddenly goes blank.
Which of the following is NOT a potential cause of this problem?