6. Hearing Flashcards

1
Q

What are the two properties of sound and their units for measurement?

A

Frequency in Hertz, volume in decibels.

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2
Q

Which two sound parameters does the cochlea detect?

A

Frequency and volume.

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3
Q

What is sound defined relative to?

A

A threshold.

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4
Q

What is a decibel?

A

Ratio of sound to the threshold sound.

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5
Q

What is tonotopy?

A

Place = frequency along the length of the linear cochlear.

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6
Q

What is the travelling wave theory?

A

Basilar membrane resonates and so mechanically amplifies sound with progressively lower frequencies along the length of the cochlea.

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7
Q

How many rows are there of inner and outer hair cells?

A

Inner - 1 row, outer - 3 rows.

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8
Q

What are the roles of the inner and outer hair cell rows?

A

Inner - sense sound, outer - serve as amplifiers.

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9
Q

How are the hair cells mechanically tuned?

A

By their location along the cochlea.

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10
Q

How are the hair cells electrically tuned?

A

Expression of particular ion channels.

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11
Q

How is sound energy translated to electrical energy? (Think channels opening/closing)

A

Bending of stereocillia (on top of hair cells) opens K+ channels. So displacement causes membrane potential. Depolarisation opens voltage gated Ca2+ channels and raised Ca2+ levels trigger transmitter release onto spiral ganglion.

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12
Q

What are the two types of spiral ganglion neurones?

A

Type 1 (95%) inner hair cell, type 2 (5%) outer hair cell - unmyelinated, efferent pathway.

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13
Q

What regulates amplification of sound by the outer hair cells?

A

Olivocochlear system - olivocochlear bundle provides efferent feedback to hair cells.

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14
Q

What sound produces more APs in a larger number of axons?

A

Louder sounds.

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15
Q

How is sound information transmitted to the brain?

A

IHC are sense organ, transmitter release triggers action potentials, these propagate into the brain along the 8th nerve, cochlear nucleus and auditory brainstem is innervated.

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16
Q

How is localisation of sound possible anatomically?

A

We have two ears.

17
Q

How is localisation of sound achieved?

A

Interaural timing and level. The difference in arrival times between the two ears and relative amplitude of high-frequency sounds.

18
Q

What is the auditory pathway from the cochlea to the auditory cortex?

A

Cochlear, spiral ganglion cells, cochlear nucleus, superior olivary complex, inferior colliculus, medial geniculate nucleus, auditory cortex.

19
Q

What are some of the causes of hearing impairment?

A

Loud noises, congenital defects, infection, ototoxic compounds, trauma, age.

20
Q

How can the ears and hearing be assessed?

A

Visual inspection with otoscope, audiograms (plot sensitivity vs frequency), otoacoustic emission (checks amplifier function of OHC), auditory brainstem response (assess generally in babies).

21
Q

What can conductive hearing loss be due to?

A

Blockage, ruptureseardrum, fluid accumulation, otosclerosis.

22
Q

What can sensory hearing loss be due to?

A

Hair cell destruction (physical, noise related), hair cell death (ototoxic).

23
Q

What can neural hearing loss be due to?

A

Spiral ganglion damage (acoustic neuroma), age related hearing loss, tinnitus association, auditory neuropathy, monaural deafness.

24
Q

What is tinnitus?

A

Phantom sound.

25
Q

What are the treatments for hearing loss?

A

Hearing aids, cochlear implants, hair cell regeneration, cochlear nucleus implants.

26
Q

How do cochlea implants function?

A

Direct electrical stimulation of spiral ganglion.

27
Q

What do cochlear nucleus implants function?

A

Direct stimulation of neurones in first nucleus of auditory pathway.

28
Q

What are the three broad groups of congenital deafness?

A

DFN - X linked inherited, DFNA - autosomal dominant inherited, DFNB - autosomal recessive inherited.

29
Q

What can mutations causing deafness affect?

A

Hair cells, tectorial membrane proteins, non-sensory cells, mitochondrial proteins.