Fluids and Gases - MCAT Chemical and Physical Foundations of Biological Systems

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Use the following information to answer questions 1-6:

The circulatory system of humans is a closed system consisting of a pump that moves blood throughout the body through arteries, capillaries, and veins. The capillaries are small and thin, allowing blood to easily perfuse the organ systems. Being a closed system, we can model the human circulatory system like an electrical circuit, making modifications for the use of a fluid rather than electrons. The heart acts as the primary force for movement of the fluid, the fluid moves through arteries and veins, and resistance to blood flow occurs depending on perfusion rates.

To model the behavior of fluids in the circulatory system, we can modify Ohm’s law of V = IR to ∆P = FR where ∆P is the change in pressure (mmHg), F is the rate of flow (ml/min), and R is resistance to flow (mm Hg/ml/min). Resistance to fluid flow in a tube is described by Poiseuille’s law: R = 8hl/πr4 where l is the length of the tube, h is the viscosity of the fluid, and r is the radius of the tube. Viscosity of blood is higher than water due to the presence of blood cells such as erythrocytes, leukocytes, and thrombocytes.

The above equations hold true for smooth, laminar flow. Deviations occur, however, when turbulent flow is present. Turbulent flow can be described as nonlinear or tumultuous, with whirling, glugging or otherwise unpredictable flow rates. Turbulence can occur when the anatomy of the tube deviates, for example during sharp bends or compressions. We can also get turbulent flow when the velocity exceeds critical velocity vc, defined below.

vc = NRh/ρD

NR is Reynold’s constant, h is the viscosity of the fluid, ρ is the density of the fluid, and D is the diameter of the tube. The density of blood is measured to be 1060 kg/m3.

Another key feature of the circulatory system is that it is set up such that the organ systems act in parallel rather than in series. This allows the body to modify how much blood is flowing to each organ system, which would not be possible under a serial construction. This setup is represented in Figure 1.

Circulatory_system_circuit

Which of the following disorders would most likely cause an increase in turbulent flow?

I. Increased cardiac output

II. Anemia

III. Lung cancer

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Answer

We can see from the equation that critical velocity depends on Reynolds number, viscosity, diameter of the tube, and density of the fluid. If we assume the heart is pumping normally and that the velocity of blood is constant, a decrease in the critical velocity would increase the chance that the normal velocity would exceed this critical velocity. This would result in turbulent flow.

Looking at the choices, anemia would cause a decrease in blood viscosity, resulting in a lower critical velocity, increasing the chance for turbulent flow. Increased cardiac output would increase the average velocity of the blood such that it may overcome the critical velocity, resulting in more turbulence. Lung cancer should not have a measurable effect on blood turbulence.

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