**Core Concept**
The principle of using dye dilution techniques to measure cardiac output and blood volume is based on the Fick principle, which states that the rate of diffusion of a substance from blood to tissue is proportional to the difference in concentration between the two. In cardiac output measurements, the dye is injected into the bloodstream, and its concentration is measured at a downstream location. By knowing the rate of dye injection and the area under the concentration-time curve, cardiac output can be calculated.
**Why the Correct Answer is Right**
When dye XYZ diffuses more rapidly out of the capillaries, it will result in a lower concentration of dye in the bloodstream at the downstream location. This will lead to an underestimation of the cardiac output, as the calculated rate of dye injection will be higher than the actual rate. However, the blood volume measurement will not be affected by the rate of dye diffusion, as it is calculated based on the total amount of dye injected and the concentration of dye in the blood at the end of the injection period. Therefore, the blood volume will be overestimated, as less dye will be present in the bloodstream.
**Why Each Wrong Option is Incorrect**
**Option B:** Altered cardiac output, normal blood volume estimation. This is incorrect because the rate of dye diffusion will affect both cardiac output and blood volume measurements.
**Option C:** Both altered. This is incorrect because cardiac output will be underestimated, but blood volume will be overestimated.
**Option D:** Both normal. This is incorrect because the rate of dye diffusion will affect both measurements, leading to inaccuracies.
**Clinical Pearl / High-Yield Fact**
When using dye dilution techniques to measure cardiac output and blood volume, it is essential to consider the properties of the dye used, including its rate of diffusion out of the capillaries. This can affect the accuracy of the measurements, and the clinician should be aware of these potential limitations when interpreting results.
β Correct Answer: A. Normal cardiac output, altered blood volume.
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.