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Pin index — FRCA Primary MCQ

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ModeratePhysicsPin indexFRCA Primary

An oxygen cylinder cannot be fitted to a nitrous oxide yoke. What is the most important safety consideration?

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Correct answer: EPin index system

The pin index system prevents wrong cylinder attachment. Mapleson D is less appropriate because it would fit a different clinical clue or a separate anaesthetic problem. Desflurane heated pressurised vaporiser is less appropriate because it would fit a different clinical clue or a separate anaesthetic problem. Infrared gas analyser is less appropriate because it would fit a different clinical clue or a separate anaesthetic problem. Leakage current control and isolation is less appropriate because it would fit a different clinical clue or a separate anaesthetic problem. In Primary FRCA physics and measurement, the safest answer is the one that follows the underlying physical principle and the limitations of the device.

Reference: Davis and Kenny Basic Physics and Measurement in Anaesthesia; RCoA Primary FRCA syllabus