electricity Flashcards

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1
Q

what is charge?

A

the property of a molecule/ substance that causes it to experience a force when near another charged particle.

can be positive or negative
due to imbalance of electrons and protons.

in electricity it is measured in coloumbs.

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2
Q

define a coloumb

A

SI derived unit for charge
the amount of charge that passes a point when 1 current flows for 1 second.
6.24 x 10^18 electrons

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3
Q

what is current

A

the amount of charge passing a point over time.
measured in amperes - SI base unit
where 1 amp = 1 coloumb/ second

can be direct or alternating

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4
Q

what is electrical voltage?

A

the energy required to move one coloumb of charge between 2 points. also known as potential difference.

1 volt = electromotive force that can give 1 joule of work for each coloumb of charge passing a point
VOLT = joules / coloumb
(W=AV - can convert coloumb to amps x s)

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5
Q

draw a graph for AC and DC current

A

DC - always in same direction. doesnt have to be of constant magnitude e.g. can get a wave within positive volts but not below 0
AC - oscilates back and forth in both directions.

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6
Q

what is the frequency and voltage of UK mains?

A

50Hz
240 V - root mean square
(+340V to -340V)

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7
Q

define resistance…

A

the opposition to flow in a circuit
usually a property of direct current
measured in ohms

where 1 ohm is the resistance when 1 amp flows when 1 volt is applied

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8
Q

what is reactance?

A

reactance is the opposition of AC current - it is a sum of inductive and capacitive reactance

also measured in ohms and is dependant on frequency of AC current

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9
Q

what is impedence

A

the total of reactance and resistance in AC cirucuit
measured in ohms.

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10
Q

how does capacitance and inductance alter with frequency?

A

increased inductance with increased frequency
reduced capacitance with increased frequency

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11
Q

what are resistors made of?

A

thin wire often coiled to make them more compact
the thinner and longer the wire, the more resistance.

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12
Q

what is the difference between a conductor, semi conductor and a insulator?

A

conductor - allows flow of electrons and hence conducts electricity. measured in siemen

insulator - do not allow flow of electrons.

semi-conductor - low conductance e.g. metal oxide

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13
Q

what is power?

A

power is measured in watts
it is the amount of joules used per second
i.e. rate of energy usage

W = J/s

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14
Q

what is a transducer?

A

device that converts one form of energy into another e.g. microphone - sound to electric

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15
Q

draw a circuit in series and in parallel

A

in series - resistance is addititive and current is the same the whole way round

in parallel - current is additive and resistance is a sum of recipricols

resistance in series = voltage divider
in parallel = current divider

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16
Q

explain what 240V main current means?

A

this is the root mean squared
and gives an equivalent of the DC current that AC current is producing

actually +340V to -340V = average of this would be 0
instead
take square of voltage and then the mean and then square root it.

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17
Q

what are the advantages of AC current?

A
  • easier to generate and therefore cheaper
  • easier to switch off compared to DC
  • easier to transform - i.e. change current and volts i.e. easier to convert AC to DC but not back
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18
Q

what is magnetism

A

a physical property associated with motion of charge within a substance.
results in attractive and repulsive forces between objects

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19
Q

what is a magnetic field

A

the region around a magnetic object that can produce force that acts on other magnets.

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20
Q

what is a ferromagnetic material?

A

a material exhibiting a strong magnetism due to allignment of its magnetic moments with a magnetic field. e.g. iron, nickle

may produce permanet or temporary magnets

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21
Q

where does magnetism originate from within a material?

A

all materials have electrons that spin. this creates a magnet. however these spins can cancel one another.
in ferromagnetic materials these spins allign with magnetic field.

initial magnetism relies on external magnetic field for this allignment.

the material may remain magnetised forever or it could be temporary

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22
Q

what is an electromagnet?

A

when charge flows through a conductive wire a magnetic field is created around this.

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23
Q

how does earth have a magnetic field?

A

molton core with current flowing

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24
Q

how is strength of a magnetic field defined?

A

magnetic flux = Φ = weber
amount of magnetic field passing through a given surface

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25
Q

define weber

A

the magnetic flux that would generate a potential difference of 1 volts in a coil of 1 turn if it were allowed to decay over 1 second

Wb = V.s

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26
Q

what is magnetic flux density?

A

the amount of weber (magnetic flux) per m2
e..g. Tesla = Wb/ m2 = SI unit

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27
Q

what is earths magnetic field?

A

0.5G

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28
Q

draw a magnet and magnetic field around it

A

the denser the lines, the higher the magnetic flux.

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29
Q

how is the strength of an electromagnet altered?

A

number of coils i.e. 2 coils, doubles it
wrapping around an iron core - this is because iron has high magnetic permeability compared to air.

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30
Q

what are the uses of electromagnets

A

can be used to induce currents in other circuits e.g. transformers

magnetism of materials - with a simple switch on and off

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31
Q

what happens if a wire is placed in a magentic field?

A

induces current in that wire.
proportional to the flux densitiy

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32
Q

what is faradays law

A

V = N. (dΦ/dt)

voltage created in a wire that is placed in a magnetic field is proportional to the number of turns in the coil and the rate of change in magnetic flux.

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33
Q

what is the difference between a magnet and charge?

A

magnets are dipolar - one north, one south. can be induced.
charge - either positive or negative

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34
Q

what is meant by dimagnetic and paramagnetic

A

ferromagnetic - attracted to magnet
paramagnetic - weak attraction
diamagnetic - repulsion

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35
Q

what is meant by magnetic hysteresis. draw a graph

A

hysteresis describes the phenomena whereby a state of a material/ system and hence its response depends on its history

magnets show this

initially magnetised to B
when 0 magnetic field, will still remain magnetised C
reversing magnetic field can bring its its magnetism back down to 0 but will never reach a state where it remains unmagnetised without field e.g. 0 , 0

H = magnetic field applied
B = magnetic flux of the object

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36
Q

what is a capacitor?

A

A device that stores electrical charge

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37
Q

what is capacitance

A

the ability of a material to store electrical charge
measured in farads.

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38
Q

define a Farad

A

1 farad = ability to store 1 coloumb of charge when 1 volt applied

F = C/V

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39
Q

describe how a capacitor works

A

2 conductive plates, separated by dielectric material (insulation - air, glass, ceramic).
electrons flow on one, repelled by another, charge flows until fully saturated.

AC current - charges and discharges - favours this and the higher the frewuency.

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40
Q

Describe the current flow in DC circuit with a capacitor..

A

initially high flow of current as capacitor is charging up.
then dissipitates - exponential decay

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41
Q

describe the current flow in an AC circuti with a capacitor..

A

current flows in both directions and can continue
the faster the charge in current - i.e. higher frequency, the higher the root mean square current.

42
Q

what effects the ability for a capacitor to store charge?

A

size of conducting plates - S.A
type of insulating material
distance betwen plates

43
Q

how is energy stored by a capacitor calculated?

A

E = 1/2 Q x V

or
E = 1/2 C x V^2

C = capacitance
V = voltage

44
Q

what is an inductor?

A

a piece of electrical equiptment which creates a magnetic field around it which opposes the flow of current by creating a backward motive force

all wires can do this
however typically inductor is coiled to increase effect.

45
Q

what is inductance?

A

the measure of ability to produce backwards electromotive force to resist current

measured in Henrys

46
Q

define a henry

A

one henry is the inductance when 1 ampere flowing in a coil generate a magnetic field of 1 weber

H = Wb/A

47
Q

how does an inductor work

A

consists of coil of wire +/- ferromagetic core to strengthen it

the EMF created to change in current
so initially very high and then dissipitates exponentially

therefore the current flow is slowed as iniitally EMF is high and as it reduces the current builds up.

48
Q

what is the application of inductance and capacitors in practice?

A

capacitor - high pass filter
inductor - low pass filter

defibrilators

inductors - transformers

(source of interference)

49
Q

what is a defibrillator

A

medical device delivering electrical current in form of a shock to myocardium to stimulate sinus rhythm

it may be used in cardiac arrest or synchronised shocks in life threatening arrhythmias.

may be internal or external e.g. ICD or use of cardiac paddles after sternotomy

50
Q

explain how a defibrilator works

A

2 adhesive pads placed on patients chest with good contact

5000V batery - transformer and AC –DC conversion
parrallel circuit
capacitor
inductor
switch

51
Q

why is DC current delivered in defibrilation ?

A

AC more damaging and risk of arrhythmias

52
Q

what is thoracic impedance and what is its relevance in defibrilation?

A

The thorax contains material - skin, subcut, tissues, blood, lungs
which all will resist flow of current.

by the time the current reaches myocardium it is a lot less than that delivered by the shock.

modern defibs, constantly measure impedence and alter the output to supply the same energy in joules.

53
Q

what factors alter thoracic impedence?

A

patient
* blood volume
* size - e.g. obesity
* ventilation
* wetness of lungs - pulmonary oedema - lowers impedence

equiptment
* good placement of pads with good contract
* position of pads - anterolateral/ anteroposterior
* prepare skin before - shave, wipe
* pad has gel.

54
Q

how does cardioversion and defibrilation differ?

A

cardioversion synchronised the shock with peak of R wave to prevent VF in repolarisation phase

lower energies in cardioversion e.g. 50 joules

55
Q

what is the difference between monophasic and biphasic defibrilation?

A

monophasic - used originally. current in one direction. needed higher peak current and higher energy for same outcome (360 joules , 45amps)

biphasic - current goes into myocardium and back out. lower enerfy and lower current needed (150joules and 20amps ). less burns and damage to myocardium

56
Q

what are the safety considerations when using a defibrillator?

A

patient - burns, fires, interference with pacemakers/ ICDs, risk of VF in cardioversion.

staff - electrocution.

57
Q

how can safety when using defibrilators be improved?

A

trained staff
ensuring all clear before delivering shock
patient is dry
no flammable materials
alarms for when shock being delivered and charging
good contact with pads.

58
Q

what are the components of an ICD?

A

sensing leads - pick up rhythm
processing unit - algorithms that will trigger discharge with certain rhythms
defib circuit and electrodes to deliver charge
battery

59
Q

what are fuses and circuit breakers?

A

fuse - piece of electrical equiptment that breaks the circuit when current gets to certain amplitude. usually a wire that heats up and melts with current.

circuit breaker - use an electomagnet that will pull on a switch when the magnetic force reaches a certain point.

advantage of a circuit breaker is the switch can easily be put back.

60
Q

what is a transformer?

A

piece of electrical equiptment that uses electromagnetic induction to transfer electrical energy from one circuit to another.

allows stepping up and down voltages

made from 2 coils of wire - one from each circuit
sometimes wrapped around iron/steel core to improve strength.

the magnetic field created in one induces current in the next circuit.

the voltage is proportional to the number of coils and thus can be worked out via the ratio of number of coils in each circuit. - faradays law

this only works with AC current as inductance relies on changing current

61
Q

how is AC converted to DC?

A

rectifier involving diodes

62
Q

what are the uses of transformer?

A

step up/down voltage e..g mains to house supply, in defib

can have taps - e.g. mains

isolating circuits - eleectrical safety

63
Q

what is a diode?

A

piece of electrical equiptment that only allows current flow in one direction?

64
Q

what is a transistor?

A

piece of electrical equiptment that will allow flow of current depending on flow in another limb of the circuit.

when there is current through the base it will allow flow via the other limbs

65
Q

what is a battery?

A

collection of galvanic cells that convert stored chemical energy into electrical energy

  • 2 electrodes anode and cathod in solution and salt bridge
  • e.g. can use fuel cell as example.
66
Q

what is interference?

A

disruption of meaningful signals by external source of current.

can be due to stray currents, capacitance or inductance coupling.

67
Q

what is the difference between electrostatic and electromagnetic interference?

A

electrostatic - occurs due to a buildup of charges on surfaces, which create electric fields that can induce voltages in nearby conductors. e.g. capacitive couple. needs to be nearby objects. can protect using screened leads.

electromagnetic interference - induction of currents from magnetic fields e..g inductive coupling. can occur over a distance

68
Q

how does distance between objects effect electromagnetic vs electrostatic interference?

A

can be further away with electromagnetic
proportional to 1/root distance

for electrostatic: proportional to 1/distance

69
Q

what is a faradays cage

A

a box made of copper that protects things from magnetism as doesnt have magnetic permeability

70
Q

why do mains use AC and homes DC?

A

AC more efficient way of carrying electricity - can be carried over large distance with minimal loss of power
but more harmful

71
Q

what are the different types of electrical injury

A
  1. Burns
    * depends on current density, not frequency.
  2. arrythmias
    * depends on density and frequency e.g. 50Hz is most risk.
  3. tetany
    * can occur at 15mA and above - can lead to cant let go
72
Q

what determines if damage is caused by current?

A

type and frequency of current - e.g. AC worse than DC and 50Hz is most damaging.

magnitude of current

duration of current

current density

resistance/ conductive surface

73
Q

effects of different current magnitudes..

A

1mA= tingling
5mA = pain
15mA - 30mA = tetany
50mA = respiratory tetany
100mA - VF
more than this - extensive burns.

74
Q

what is meant by current density?

A

the amount of current per unit S.A

75
Q

what is meant by micro and macroshock?

A

macroshock - large current on surface e.g. skin that spreads and can shock myocardium. e.g. 100mA for VF

microshock - smaller current that can cause VF because of high current density since it is in direct contact with myocardium so not reduced by impedence. e.g. 100uA can cause VF

76
Q

give examples of equiptment that can deliver microshock?

A

guidewires
central lines - flushed with conducting fluid
pacing lines
oesophageal doppler probes.

77
Q

what resistance is offered by different parts of the body?

A

mucus membranes = 0.1 ohm/cm2
wet skin = 1 ohm /cm2
dry skin 10ohms
foot = 100
thick skin e.g. callus = 1000

depending on where shock is applied will have different amounts of current reaching myocardium.

i.e. the skin provides natural protection against shock

78
Q

what is a leakage current?

A

current that can flow through equiptment - may either come from capacitive/ inductance coupling or from mains.

could cause microshocks

79
Q

how is electrical equiptment classified

A

classed by method of protection from mains = class I , II and III

further classed by how much leakage current is permitted = type B, BF and CF

80
Q

what is meant by earthing

A

Refers to the process of connecting electrical equipment or a circuit to the ground (earth) to provide a safe path for excess or fault current to dissipate safely into the Earth rather than through a patient.

equipotential earthing - ensures no potential difference between different components so current doesnt travel. earth is at 0V

81
Q

What is potential across earth wire if fault in ECG line (prev exam q)

A

ideally 0 V if working correctly
low resistance path

82
Q

what is class I, II and III electrical equiptment ?

A

class 1 - earth casing - all conducting surfaces are earthed so that they have 0V.

class II - double insulated casing - may be earth free but outer casing is not exposed to conducting surface.

Class III - battery operated with safety extra low voltage (SELV) e..g 24V of power - not enough to cause damage.

83
Q

what is the difference between type B, BF and CF electrical equiptment ?

A

classed based on leakage current
usually for equiptment inserted into the body and risk of microshocks

B = max AC 500uA , DC 50uA
multiple circuits AC 100uA, DC 10uA

BF = same as above but floating circuit i.e. isolated

CF = cardiac floating
max AC / DC 50uA, multiple 10uA

84
Q

give an example of a CF piece of equiptment

A

central line

85
Q

how can a pair of non-conductive shoes keep you safe ?

A

high impedence to current
so resists current flow through person to earth

86
Q

how can electrical safety be improved?

A

Equiptment:
* maintainance of equiptment
* careful set up
* earth free isolation circuits
* earthin equiptment
* double insulation
* circuit breakers

personelle
* trained staff
* correct shoes

surroundings
* not wet
* antistatic floor
* >50% Relative humidity

87
Q

what 3 things are needed for a fire?

A

fuel - anaesthetic agent, alcohol
oxidising agent - oxygen
, activation energy - electric spark, diathermy, laser

88
Q

what is the difference between a fire and an explosion?

A

fire - low temp , atmospheric pressure
explosion - high temp high pressure

89
Q

how is fire risk in theatre minimised?

A

avoid / careful use of flammables - volatiles antispil mechanism, kept away

careful use of diathermy and laser - ensure all surfaces are dry of flammables before using

laser - safety features used

reducing static charged - anti-static floor.

90
Q

what are mechanisms of patient injury with regards to electricity?

A

electrocution - micro and macro
burns - direct, fires and explosions
interference - monitoring

91
Q

how is AC current produced?

A

wire placed into a magnet and magnet or wire rotated
alternating magnetic field induces current e.g. as wire approaches N pole - e in one direction and then south pole - e in other direction. AC current produced.

at power station a 3 phase AC current produced
out of phase because exposed to magnetic field at different times as the magnet spins.

92
Q

describe how mains electricity is generated and travels to a house..

A

275KV at power station
step down transformers and again at local substation.

240V provided to each house

93
Q

what occurs at the local electrical substation

A

step down transformer to give 240V
one of the limbs is earthed and other provide Line wire to supply house - 3 of each.

the substation earthing is to protect houses from lightening - the current from lightening will go down earth rather than house.

94
Q

what is the role of earthing an appliance draw a diagram.

A

the substation needs to be earthed to protect from lightening.
however now if patient touches circuit, current can flow through earth and down patient.

by adding a local earth, the circuit can be completed with a path of lower resistance than person to protect person

some current will flow through patient however depends on ratio of resistance e.g. if patient has resistance 10x more than earthing then 10x less current through patient.

95
Q

how are anti-static shocks minimised?

A

high humidity - water can absorb some
conductive footwear and clothing (cotton)
conductive floors

96
Q

draw class 2 equiptment and explain mechanism

A

insulated to prevent leakage currents getting to person
however if they do , also earthed casing

97
Q

what are the requirements of local earth?

A

less than 0.1ohm

can carry leakage currents of less than 0.5uA

pass the earth surge test - 25A for 5 secs (fuse/circuit breaker should break before this point)

98
Q

what is meant by earth free supply

A

isolating transformers are used to isolate electrical equiptment from mains.

ideally all equiptment would be like this but expensive

only safe if there is no accidental earth connection

99
Q

how does frequency of current effect likelihood of shock?

A

current amplitude needed to give muscle spasm / VF
because biological cells have natural freq of 50Hz so will resonate at this freq - most damaging

100
Q

what is meant by equipotential bonding?

A

different pieces of equiptment may be at different potentials and current can flow between them if connected. patient may be a conduct for this current.

terminals of each piece of equiptment are connected together to bring them to the same potential - earthed

101
Q

what is a galvanometer and symbol

A

measures small currents.