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The quartz crystal microbalance (QCM) is widely used to study surface adsorbed molecules, often of biological significance. However, the relation between raw acoustic response (frequency shift $Δf$ and dissipation factor $ΔD$) and mechanical properties of the macromolecules still needs to be deciphered, particularly in the case of suspended discrete particles. We study the QCM response of suspended liposomes tethered to the resonator wall by double stranded DNA, with the other end attached to surface-adsorbed neutravidin through a biotin linker. Liposome radius and dsDNA contour length are comparable to the wave penetration depth ($δ\sim 100\ \mathrm{nm}$). Simulations, based on the immersed boundary method and an elastic network model for the liposome-DNA complex, are in good agreement with experimental results for POPC liposomes. We find that the added stress at the resonator surface, i.e. the impedance Z sensed by QCM, is dominated by the flow-induced liposome surface-stress, which propagates towards the resonator by viscous forces. QCM signals are extremely sensitive to the liposome's height distribution P(y) which depends on the actual number and mechanical properties of the tethers, in addition to the usual local attractive/repulsive chemical forces. Our approach helps in deciphering the role of hydrodynamics in acoustic sensing and revealing the role of parameters hitherto largely unexplored. A practical consequence would be the design of improved biosensors and detection schemes.