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Flow and Hemodynamics Concepts Edelman ch 18

Total questions: 125

Worksheet time: 2hrs 51mins

Name
Class
Date
1.

Also called volume flow rate, indicates the volume of blood moving during a particular time

(a)  

2.

Units of (a)   are volume divided by time such as liters/min

3.

  • Volume flow rate

  • Volume of blood moving per unit of time

  • Units of volume over time



(a)  

4.

(a)   is the study of blood moving through the circulatory system

5.

(a)   indicates speed or swiftness of a fluid moving from one location to another

6.

The units for (a)   are distance divided by time, such as cm/s

7.

  • Speed of blood from one point to another.

  • Units of velocity. Distance over time



(a)  

8.

(a)   occurs when blood moves with variable velocity. Commonly appears in the arterial circulation

9.

  • Variable velocity along with  HEART CONTRACTION.

  • Arterial



(a)  

10.

(a)   also occurs when blood moves in variable velocity. Blood accelarates and decelerates as a result of respiration. Appears in the venous circulation

11.

  • Variable velocity along with RESPIRATION

  • Venous



(a)  

12.

Occurs when a fluid moves at a constant speed or velocity. Steady flow is present in the venous circulation

(a)  

13.

  • Constant speed

  • Venous

  • During brief absence of respiration



(a)  

14.

Is when flow streamlines are aligned and parallel.

(a)  

15.

Is characterized by layers of blood that travel at individual speeds.

(a)  

16.

Laminar flow patterns are commonly found in (a)   physiologic states

17.

Which of the following are the two types of flows related to laminar flow?

a)

Plug

b)

Parabolic

c)

Stenosis

d)

Diastole

18.

(a)   flow occurs when all the layers and wood cells travel at the SAME velocity

19.

(a)   flow as a bullet shaped profile. Velocity is highest in the center of the lumen and gradually decreases to its minimum at the vessel wall

20.

Which image shows a parabolic flow profile?

a)

Top

b)

Bottom

21.

Which image shows a plug flow profile?

a)

Top

b)

Bottom

22.

The (a)   predicts whether the flow is laminar or turbulent

23.

  • Reynolds number < 1500



(a)  

24.

(a)   flow is characterized by chaotic flow patters in many directions at at many speeds

25.

  • Swirling, eddy currents



(a)  

26.

  • Seen with cardiovascular pathology



(a)  

27.

  • Associated to stenosis (narrowing) of a vessel.



(a)  

28.

  • Produces sound (murmur or bruit), vibration (thrill)



(a)  

29.

  • Reynolds number > 2000



(a)  

30.

Re = Inertia / viscosity = (r V dV/dx) / (mu * d^2V/dx^2)

(a)  

31.

Energy produced by the contraction of the heart during systole moves blood from one location to another.

(a)  

32.

Blood moves from regions of higher energy to lower energy

(a)  

33.

What event provides energy to the circulating blood?

a)

Diastole

b)

Systole

34.

Heart, capillaries, arteries, venues, arterioles, veins

(a)  

35.

  • Object’s mass

  • Moving speed



(a)  

36.

Heavy, swiftly moving objects have lots of kinetic energy. While light, slowly moving objects have little kinetic energy

a)

True

b)

False

37.

  • Potential

  • Stored

  • Ability to do work



(a)  

38.

  • MAJOR FORM for circulating blood



(a)  

39.

  • Potential

  • Stored

  • Elevational



(a)  

40.

Is a form of stored or potential energy associated with any elevated object

(a)  

41.

is the tendency to remain in the same state.

(a)  

42.

Applied to the moving blood, is the tendency of the blood to resist changes in its velocity

(a)  

43.

(a)   describes the thickness of a fluid

44.

Measured in units of poise

(a)  

45.

(a)   is determined by the hematocrit (% of RBCS)

46.

More viscous fluid moving = (a)   energy loss.

47.

(a)   occurs when flow energy is converted to heat as one object rubs against another

48.

(a)   in the circulatory system occurs in: arterial system (pulsatile), venous system (Phasic), and stenotic areas

49.

Velocity (a)   as the vessel narrows

50.

Velocity (a)   as blood flows out of the stenosis and into a vessel segment of normal diameter

51.

A (a)   is the narrowing in the lumen of a vessel

52.

  • Change of direction of flow



(a)  

53.

  • Increased velocity at the narrowest section



(a)  

54.

  • Post-stenotic turbulence



(a)  

55.

  • Pressure gradient across stenosis



(a)  

56.

  • Pulsatile flow converts to steady flow



(a)  

57.

  • Relationship between velocity and pressure of a moving fluid.



(a)  

58.

  • Principle of conservation of energy.



(a)  

59.

  • The sum of kinetic energy and pressure energy remains constant.



(a)  

60.

  • Kinetic energy of blood increases as it speeds up though the stenosis from A to B



(a)  

61.

  • If kinetic energy increases, then pressure energy (a)   , so the sum of energy remains constant.

62.

(a)   is about the behavior of a fluid – a gas or a liquid – as it flows through a pipe or tube. It states that when the pipe narrows or widens, the fluid pressure and speed vary.

63.

High pressure areas = (a)   speeds

64.

Lower pressure = (a)   speeds

65.

(a)   = flow x resistance

66.

Pressure gradient increases when:

a)

Flow increases

b)

Flow decreases

c)

Resistance decreases

d)

Resistance increases

67.

Flow increases when:

a)

Pressure gradient decreases

b)

Pressure gradient increases

c)

Resistance increases

d)

Resistance decreases

68.

f = pressure gradient / resistance

(a)  

69.

(a)   flow is multifactorial and complex:

Heart contraction, elastic wall, blood composition, pulsatility, blood pressure

70.

Describes the relationship between the current, voltage, and resistance in a circuit.

(a)  

71.

Voltage = current x resistance

(a)  

72.

Pressure gradient = flow x resistance

(a)  

73.

If resistance is increased and voltage remains the same, the current will (a)  

74.

If voltage is increased and resistance remains the same, the current will (a)  

75.

Pressure (fluids) = (a)   (electricity)

76.

Flow (fluids) = (a)   (electricity)

77.

Resistance (arterioles) = (a)   (ohms)

78.

These relationships represent:

(a)  

79.

  • (a)   are collapsible, contain low pressure, are partially filled and have low resistance.

80.

  • (a)   accommodate large volume of blood with small increase in pressure

81.

Body Position

Respiratory Changes

Cardiac Contraction

Arterial Pressure

Blood Viscosity

(a)  

82.

This image shows:

a)

High resistance

b)

Low resistance

83.

This image shows:

a)

High resistance

b)

Low resistance

84.

1

a)

Pulsatile

b)

Phasic

c)

Nonphasic

d)

Aphasic

85.

2

a)

Pulsatile

b)

Phasic

c)

Nonphasic

d)

Aphasic

86.

4

a)

Pulsatile

b)

Phasic

c)

Nonphasic

d)

Aphasic

87.

3

a)

Pulsatile

b)

Phasic

c)

Nonphasic

d)

Aphasic

88.

This image shows features of the (a)  

89.

One phase

(a)  

90.

Two phases

(a)  

91.

3 phases

(a)  

92.

4 phases

(a)  

93.

External carotid arteires

Extremity arteries

Fasting mesenteric arteries

(a)  

94.

Internal carotid arteries, hepatic arteries, renal arteries, testicular arteries

(a)  

95.

Which image shows high resistance artery?

a)

Left

b)

Right

96.

Which image shows a low resistance artery

a)

Left

b)

Right

97.

Pressure related to the weight of blood pressing on a vessel measured at the height above or below the heart

(a)  

98.

(a)   reported in units of mmHg, same as blood pressure

99.

When a person is (a)   , all parts of the body are at the same level as the heart and the hydrostatic pressure is zero everywhere

100.

Knee, ankle, mid chest, top of heart blood pressure

a)

140 mmHg

b)

heart

c)

0mmHg

101.

What is the hydrostatic pressure at all locations within the arterial circulation?

a)

0mmHg

b)

140mmHg

c)

7mmHg

102.

What is the arterial pressure at the knee of the supine patient

a)

140mmHg

b)

0mmHg

103.

Ankle hydrostatic pressure far below the level of the heart

a)

140mmHg

b)

100mmHg

c)

75mmHg

d)

50mmHg

104.

Knee hydrostatic pressure somewhat below the heart

a)

100mmHg

b)

140mmHg

c)

75mmHg

d)

50mmHg

105.

Waist hydrostatic pressure slightly below the heart

a)

75mmHg

b)

50mmHg

c)

100mmHg

d)

140mmHg

106.

Midchest hydrostatic pressure at the heart level

a)

0mmHg

b)

100mmHg

c)

140mmHG

d)

30mmHg

107.

Top of the head hydrostatic pressure above the heart (BP = 140mmHg)

a)

100mmHg

b)

75mmHg

c)

50mmHg

d)

-30mmHg

108.

In normal individuals, respiration affects venous flow for two reasons:

a)

Muscles responsible for respiration alter pressures in the legs

b)

The venous system is high pressure

c)

The venous system is low pressure

d)

Muscles responsible for respiration alter pressures in the thorax

109.

Breathing affects two venous flows:

a)

Venous flow in the legs

b)

Venous flow in the arms

c)

Venous return to the heart, which comprises venous flow from the IVC

d)

Venous return to the heart aorta

110.

During (a)   the chest cavity expands creating negative thoracic pressure that increases venous return to the heart

111.

During (a)   the diaphragm also presses the abdomen which increases abdominal pressure and decreases venous flow in the legs

112.

During expiration, the diaphragm moves upward. This increased thoracic pressure (a)   venous return to the heart

113.

Venous flow from the head, arms, and vena cava all (a)   during expiration

114.

During expiration, decreased abdominal pressure (a)   venous blood flow in the legs

115.

Thoracic pressure decreases

Abdominal pressure increases

Venous return to the heart increases

Venous flow in legs decreases

(a)  

116.

Thoracic pressure increases

Abdominal pressure decreases

Venous return to the heart decreases

Venous flow in legs increases

(a)  

117.

Normally, what happens to venous flow in the legs during inspiration?

a)

Increases

b)

Decreases

c)

No change

118.

All of the following occur during expiration except:

a)

Venous return to the heart decreases

b)

Venous flow in the legs increases

c)

Abdominal pressure increases

d)

The diaphragm rises into the thoracic cavity

119.

Volume of blood ejected each minute during ventricular contractions

(a)  

120.

Amount of blood ejected during ventricular systole

(a)  

121.

Percentage of blood pumped out of the LV during systole

(a)  

122.

The cardiac output is corrected for differences in body size

(a)  

123.

What is the AVERAGE value for cardiac output?

a)

4-8 liters/min

b)

5-10 liters/min

c)

6-8 liters/min

d)

3-5 liters/min

124.

A and C represent:

a)

High pressure, low speeds

b)

Low pressure, high speeds

125.

B represents

a)

Low speed, high pressure

b)

High speed, low pressure