Chp 4 - Hemodynamics and Doppler Flashcards

1
Q

What does Bernouillis Principle describe?

A

the inverse relationship between velocity and pressure

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2
Q

What is the continuity equation

A

Q = VA - change in velocity must occur in a change of area to maintain the volume of blood flow

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3
Q

What is directional PD

A

uses CD and PD - sensitivity of PD but direction of flow from CD

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4
Q

What is duplex imaging

A

real time 2D imaging with SD

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5
Q

What is the ensemble length?

A

the number of pulses per SL in CD (aka packet size)

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6
Q

What is FFT?

A

Fast Fourier transform - process for processing doppler signal to produce SD

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7
Q

What is the flow equation?

A

Q = volume of blood/time

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8
Q

What is the frequency shift?

A

the difference between the transmitted and received frequencies

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9
Q

What is Ohm’s law?

A

A law used in electronics where flow = pressure differential / resistence
V=IR

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10
Q

What does the phase quadrature do?

A

determines positive and negative frequency shifts in doppler therefore direction of flow

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11
Q

What is the vasa vasorum?

A

a network of small BV that supply blood to the walls of arteries and veins

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12
Q

When do we have energy loss related to inertia?

A

every time blood changes direction

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13
Q

Where is plug flow found?

A

in large BV and at the entrance of vessels

it is a result of systole

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14
Q

What Reynolds number represents true turbulence

A

greater than 2000

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15
Q

Reynolds number equation

A

Re = v X 2r X p / viscosity

v = velocity of blood

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16
Q

What AR and DR = hemodynamically significant

A

75% decrease in area and 50% decrease in diameter

17
Q

Where is the highest hydrostatic pressures typically located

A

at more distal parts of the body like feet and ankles

18
Q

What is transmural pressure

A

the difference between the pressure inside the vein and surrounding tissue

19
Q

What happens with an increased transmural pressure?

A

flow inside the vein is higher than the surrounding tissue - the vein get sthe circular shape (it will collapse when lower)

20
Q

What does it mean if there is pulsatility in the peripheral veins?

A

may indicate problems with the right side of the heart

21
Q

When is tardus parvus seen?

A

when there is a proximal obstruction

22
Q

What is the doppler effect?

A

When frequencies of sound hit a moving object the frequencies come back higher

23
Q

What is the relationship between frequency and scatter?

A

as frequency increases, scatter increases to the fourth power

24
Q

What is the RI formula?

A

RI = PSV - EDV / PSV

25
PI formula?
PI = PSV-EDV / mean velocities
26
Nyquist limit formual:
1/2 of the PRF
27
In CD what does increasing the persistence setting do?
it reduces the effect of noise and makes it easier to follow small vessels but decreases FR
28
What is tissue doppler used for?
cardiac imaging | high amplitude, low velocity
29
What provides the potential energy in the cardiovascular system?
The beating heart
30
When is the Doppler shift highest?
When the beam is parallel to the direction of flow
31
When a reflector moves toward the transducer, what will happen to the reflected frequency?
It will be increased
32
In the exercising patient, what is the response to peripheral resistance with arteriolar dilatation?
the peripheral resistence decreases
33
What will happen with under sampling of the blood flow?
aliasing
34
What is the spectral amplitude/brightness that make up SD represent?
the amount of RBC
35
The doppler shift is lowest at what angle?
90 deg
36
What is the fewest number of crystals a PW Doppler device may have?
one
37
Which type of Doppler does not rely on the frequency shift but instead relies on the strength of the shift?
Power Doppler
38
What is the duty factor of CW Doppler?
1
39
What is seen proximal to a low resistence bed?
monophasic flow