1.

The most common arrhythmia seen during laparoscopy is

a. Atrial brilation
b. Sinus tachycardia
c. Premature ventricular contractions
d. Sinus bradycardia
answer:d

2. Capacitive coupling
a. Results when energy bleeds from a port sleeve or laparoscope into adjacent (but
not touching) bowel
b. Is always recognized at the time of surgery
c. Can result in malfunction of the electrocardiogram monitor
d. Can result in inaccurate image transmission to the digital monitor

answer:a

3. Which of the following are true regarding safety of laparoscopic surgery in pregnancy?
a. The patient should be position in the left lateral position.
b. Open abdominal access (Hasson) is recommended versus direct puncture
laparoscopy (Veress neelde).
c. The surgery should be performed during the second trimester if possible.
d. All of the above.
answer:d

4. Systemic effects of CO2 from pneumoperitoneum can cause all of the ollowing EXCEPT
a. Hypercarbia
b. Increased myocardial oxygen demand
c. Alterations in preload
d. Increased after load
answer b

5. While performing a laparoscopic Nissen fundoplication during the transhiatal dissection

the mediastinal pleura is compromised and a CO2 pneumothorax develops. What is the
initial preferred management of the pneumothorax?
a. Needle thoracostomy over the second intercostal space, mid-clavicular line.
b. Enlargement of the defect and placement of an 18-French red rubber catheter
across the defect.
c. Abort the procedure and emergent tube thoracostomy with a 28-French chest tube.
d. No intervention is needed. Continue with the planned procedure.
answer:b

6. When compared to traditional laparoscopic surgery, the advantages of computer-

enhanced surgery are
 a. Natural wrist movements and improved manual dexterity
b. Ergonomically comfortable workstation with 3-D imaging
c. Tremor elimination
d. All of the above
answer:d

7. A patient undergoing laparoscopic colon resection is noted to have decreased urine output
during the last hour of the case. A bolus is given at the end of the case. One hour later,
there is still very poor urine output. The appropriate treatment is
a. Repeat bolus
b. Intravenous (IV) urosemide
c. Check urine electrolytes
d. None of the above
answer:d
8. The benefits of laparoscopic surgery are except
a. Cosmetic
b. Speedier recovery/shorter hospital stay
c. Fewer preoperative complications
d. Fewer postoperative complications
e. none of the above
answer:c
9. The advantages of single port access surgery are except
a. Cosmetic
b. Less pain
c. Quicker recovery
d. Lower Cost
e. none of the above
answer:d
10. The symptoms of minimally invasive hemorrhoids are
a. Pain
b. Itching
c. Bleeding
d. Protrusion
e. All of the above
Answer:e
11. Non-surgical treatment of hemorrhoids include except
a) Avoid constipation
b) Use creams/ointments
c) Prepare suppositories
d) Use sitz baths
e) Strictly do no modify diet.
 answer:e
12. Surgical treatment of hemorrhoids include except
a. Rubber band ligation
b. Stapled hemorrhoidectomy
c. Hemorrhoidectomy
d. Unstapled hemorrhoidectomy
answer:d
13. True or false
a) The use of laparoscopy for malignant disease of the colon is being evaluated under a
prospective, randomized protocol to assess the true incidence of trocar site malignant
implantation.
FALSE
b) The most important operative point in Laparoscopic Cholecystectomy is lateral retraction
of the infundibulum and cephalic retraction of the fundus to “open up” the triangle of
Calot to provide optimal visualization and minimize bile duct injury.
TRUE
c) Endoluminal balloons are used during endoscopic procedures to dilate strictures.
TRUE
d) Single-Site Robotic Surgery has added benefit of being virtually scarless but has low
patient satisfaction.
FALSE
e) Greater than 90% of cholecystectomies are done laparoscopically.
TRUE

14. Match the following

a) Laparoscopic Appendectomy
b) Inguinal Hernia Repair
c) Splenectomy
d) Fundoplication
e) Diagnostic laparoscopy
f) Lap inguinal hernia repair
g) Lap Nissen fundoplication
h) Lap emergency surgery

i. Right-sided pelvic pain of uncertain etiology

ii. Transabdominal preperitoneal approach
iii. Idiopathic thrombocytopenic purpura
iv. Gastroesophageal reflux disease
v. Chronic pain
vi. Groin hernia
vii. Anti-reflux
viii. Ulcer
ix.