Welcome to the procedure part of the Trocar Placement module. Here the learner will go through a pre-test and interactive case scenario to learn about laparoscopic management of Trocar Placement.

Pre-test[edit | edit source]

Learners will first take a pre-test to assess their baseline knowledge of the topic. This test is available on our interactive platform and gives real-time grading for learners to immediately assess their knowledge coming into the module. It is also copied in appropedia format below. On our platform, answer explanations are not displayed for the pre-test (but are displayed in the post-test).

Pre-test[edit | edit source]

Learners will first take a pre-test to assess their baseline knowledge of the topic. This test is available on our interactive platform and gives real-time grading for learners to immediately assess their knowledge coming into the module. It is also copied in appropedia format below. On our platform, answer explanations are not displayed for the pre-test (but are displayed in the post-test).

1 Which is an absolute contraindication for performing diagnostic laparoscopy?

Abdominal compartment syndrome
Uncorrected coagulopathy
Refractory hemodynamic instability
All of the above

2 What is the proper positioning of a patient undergoing diagnostic laparoscopy of the pelvis?

Supine position, Trendelenburg, both arms tucked
Supine position, reverse Trendelenburg, both arms abducted
Prone position, Trendelenburg, both arms tucked
Prone position, reverse Trendelenburg, both arms abducted

3 Which of the following statements is true regarding the Hasson (open) technique compared to the Veress (closed) technique for peritoneal access and trocar placement?

Hasson technique reduces the overall length of the procedure
Hasson technique results in a smaller fascial defect
Hasson technique allows direct visualization of the abdominal wall
Hasson technique is less useful in patients with abdominal wall adhesions

4 Of the imaging tests listed, which is associated with the highest accuracy in the diagnosis of Meckel’s diverticulum?

CT scan
Enteroclysis
MRI
Ultrasound

5 Why does ulceration occur with Meckel’s diverticulum?

The diverticulum may contain acid secretion from ectopic gastric tissue
Localized inflammation results from enteroliths in the diverticulum
Physical constriction of the bowel leads to ischemia and ulceration
Mucosa-associated lymphoid tissue causes local inflammation

6 Which of these are suggestive of an air embolism?

Drop in central venous pressure
Fever
Hypertension
"Mill wheel" murmur

7 The port configuration for a diagnostic laparoscopy to examine for small bowel pathology should allow for:

The triangulation of the stomach in the left upper quadrant
The triangulation of the distal small bowel in the right lower quadrant
The triangulation of the liver in the right upper quadrant
The triangulation of the rectum in the pelvis

8 Which anastomosis has the highest risk of anastomosis leak or stricture?

Colorectal
Ileocolonic
Duodenal
Transverse colonic

9 Which of these can contribute to increased risk of anastomotic leak?

Radiation of intestine
Pre-operative bowel prep
Intraoperative hypertension
Early advancement of diet

10 Which nerve could potentially be irritated during laparoscopic small bowel resection, leading to shoulder pain?

Splenic
Phrenic
Pelvic splanchnic
Vagus


Case scenario[edit | edit source]

The psychomotor learning is embedded in the sequence of a full clinical case, allowing the learner to digest pre-, intra-, and operative concepts of trocar placement.

Learners will go through an interactive case scenario with embedded course material. The case scenario is presented in a question / answer format. As learners progress through the case, they will digest information that is presented to them as they answer case questions. It is highly recommended that the learner be familiar with this content before proceeding to the skill pages.

PDF of Meckel's Case Scenario
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How the Trocar Placement pre-test and case scenario look on our site

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Part of ALL-SAFE
Keywords all-safe, box trainer, laparoscopy, trocar placement
Authors ALL-SAFE Team
License CC-BY-SA-4.0
Organizations Global Surgical Training Challenge
Language English (en)
Related 0 subpages, 1 pages link here
Impact 83 page views
Created July 24, 2023 by ALL-SAFE Team
Modified January 29, 2024 by Felipe Schenone
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