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Monitoring Equipment & Technology Flashcards

7 cards from real BCA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. What does a train-of-four (TOF) ratio of less than 0.9 indicate?

    Answer: Residual neuromuscular blockade

    A TOF ratio below 0.9 indicates residual neuromuscular blockade and an increased risk of postoperative respiratory complications.

  2. Which agent in the anesthesia machine vaporizer is most likely to cause a hazardous concentration if accidentally placed in the wrong vaporizer?

    Answer: Desflurane in a sevoflurane vaporizer

    Desflurane has a very high vapor pressure and if placed in a conventional variable-bypass vaporizer, it could deliver a dangerously high concentration.

  3. Which intraoperative monitor is considered the gold standard for detecting venous air embolism?

    Answer: Transesophageal echocardiography (TEE)

    Transesophageal echocardiography (TEE) is the most sensitive monitor for detecting venous air embolism, capable of detecting very small volumes of air.

  4. A sudden increase in peak airway pressure during volume-controlled ventilation most likely indicates which condition?

    Answer: Bronchospasm or endotracheal tube obstruction

    A sudden rise in peak airway pressure during volume-controlled ventilation suggests increased airway resistance from bronchospasm, secretions, or tube kinking/obstruction.

  5. Which waveform feature of the arterial pressure tracing reflects systemic vascular resistance?

    Answer: Diastolic runoff slope

    The diastolic runoff slope (rate of pressure decline after the dicrotic notch) reflects systemic vascular resistance — a steeper runoff indicates lower resistance.

  6. The Clark electrode measures which blood gas component?

    Answer: PaO2

    The Clark electrode (polarographic electrode) measures PaO2 by detecting the current generated when oxygen is reduced at a platinum cathode.

  7. Which intervention would most reliably improve an unreliable pulse oximetry reading due to motion artifact?

    Answer: Apply the probe to the ear lobe or forehead

    Moving the probe to a site less subject to motion, such as the ear lobe or forehead, can reduce motion artifact and improve signal reliability.