CAA CAA Equipment & Technology in Anesthesia 1 — Questions and Answers
Question 1: Which component of the anesthesia machine is responsible for reducing high-pressure gas from the cylinder to a lower, usable working pressure?
- Flowmeter
- Pressure regulator (reducing valve) (Correct answer)
- Vaporizer
- Common gas outlet
Correct answer: Pressure regulator (reducing valve)
The pressure regulator reduces high-pressure cylinder gas to a safe working pressure of approximately 45–55 psi for use in the machine.
Question 2: The oxygen flush valve on an anesthesia machine delivers oxygen at approximately what flow rate?
- 2–4 L/min
- 5–8 L/min
- 35–75 L/min (Correct answer)
- 100–150 L/min
Correct answer: 35–75 L/min
The oxygen flush valve bypasses the flowmeters and vaporizer, delivering oxygen at 35–75 L/min directly to the common gas outlet.
Question 3: Which safety feature prevents the administration of a hypoxic gas mixture on a modern anesthesia machine?
- Pin Index Safety System (PISS)
- Oxygen ratio monitor/controller (ORMC) (Correct answer)
- Diameter Index Safety System (DISS)
- Fail-safe valve
Correct answer: Oxygen ratio monitor/controller (ORMC)
The oxygen ratio monitor/controller (ORMC) mechanically links nitrous oxide and oxygen flowmeters to ensure a minimum of 21–25% oxygen in the delivered mixture.
Question 4: In a circle breathing system, the PRIMARY function of the CO2 absorbent is to:
- Remove volatile anesthetic agents
- Absorb exhaled carbon dioxide to allow rebreathing (Correct answer)
- Add humidity to inspired gases
- Filter bacterial contaminants
Correct answer: Absorb exhaled carbon dioxide to allow rebreathing
CO2 absorbent (e.g., soda lime or Amsorb) chemically absorbs exhaled CO2, allowing safe rebreathing and reducing fresh gas requirements.
Question 5: Which anesthesia machine alarm should prompt immediate verification that the oxygen supply has not been interrupted?
- Inspiratory pressure limit alarm
- Oxygen supply low-pressure alarm (Correct answer)
- Tidal volume alarm
- Agent concentration alarm
Correct answer: Oxygen supply low-pressure alarm
The oxygen supply low-pressure alarm activates when pipeline oxygen pressure falls below approximately 30 psi, indicating potential supply failure.
Question 6: The Pin Index Safety System (PISS) is designed to prevent:
- Vaporizer interlock bypass
- Wrong gas cylinder attachment to the yoke (Correct answer)
- Incorrect flowmeter settings
- Soda lime exhaustion
Correct answer: Wrong gas cylinder attachment to the yoke
PISS uses unique pin-hole patterns on cylinder valve stems and yokes to ensure only the correct gas cylinder can be connected to each yoke.
Which component of the anesthesia machine is responsible for reducing high-pressure gas from the cylinder to a lower, usable working pressure?