6: Physiology of hearing and balance Flashcards

1
Q

Audiogram used to determine hearing loss:

20dB - 40dB mild

41 - 70 moderate

71 - 95 severe

95+ profound

A
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2
Q

The outer ear is a ___ for sound.

The middle ear is an ___ for sound.

The inner ear is a ___ for sound.

A

receiver

amplifier

converter

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3
Q

Which tube connects the middle ear and the nasopharynx and equalises the pressure of the ears?

A

Eustachian tube

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4
Q

What are the two openings found in the cochlea?

A

Oval window

Round window

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5
Q

A pressure wave transmitted through the ___ window by the stapes causes ___ cells to depolarise.

A

oval window

hair cells

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6
Q

If vibrations were to be passed straight from the air to the cochlea, 99% of it would be reflected due to the impedance of the liquid.

What structures overcome this?

What is this process called?

A

Auditory ossicles (malleus, incus, stapes)

Impedance matching

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7
Q

Which fluid does pressure waves travel through?

A

Perilymph

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8
Q

What frequency of sound is hear at the cupula of the cochlea?

What frequency is heard in the modiolus (spirals)?

A

Low

High

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9
Q

Which spaces are found above and below the scala media?

What fluid do they both contain?

A

Scala vestibuli above

Scala tympani below

Both contain perilymph

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10
Q

___ of the cilia by pressure waves causes ___ channels to open and the hair cells to depolarise.

A

Bending

Na+

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11
Q

What space sits between the scala vestibuli and the scala tympani?

What organ does it contain?

What fluid does it contain?

A

Scala media

Organ of Corti

Endolymph

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12
Q

Which organ contains hair cells and is found in the scala media?

A

Organ of Corti

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13
Q

Is the endolymph high or low in sodium?

Why?

A

Low

to allow action potentials to travel through it

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14
Q

The inner hair cells are involved in (hearing / balance).

A

hearing

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15
Q

(Repolarisation / depolarisation) occurs when stereocilia are deflected towards the longest fibres.

A

Depolarisation

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16
Q

(Repolarisation / depolarisation) occurs when the stereocilia are deflected away from the longest fibres.

A

Repolarisation

17
Q

Which part of the brain processes sound?

A

Temporal lobe

(primary auditory cortex)

18
Q

What are the vestibular end organs of the inner ear?

A

Anterior, lateral and posterior semicircular canals

Urticle

Saccule

19
Q

What hair cells do the urticle and saccule contain?

When are they depolarised?

A

Stereocilia

On movement

20
Q

What is otoconia?

A

Calcium carbonate crystals found in the urticle and saccule

Help stimulate stereocilia supposedly

21
Q

The otolith organs allow the brain to detect linear motion.

What directions do the

a) urticle
b) saccule

help with?

A

a) Horizontal motion

b) Vertical motion

22
Q

At what angle are the semicircular canals oriented away from one another?

A

90 degrees

23
Q

Cilia ___ or ___ depending on which way they are deflected.

A

depolarise

hyperpolarise

24
Q

The organs of balance on one side of the head are (stimulated / inhibited) when you turn towards that side.

A

stimulated

25
Q

The organs of balance on one side of the head are (stimulated / inhibited) when you turn away from that side.

A

inhibited

26
Q

What symptom does pathology of the organs of balance cause?

A

Vertigo

sensation of spinning

27
Q

What is nystagmus?

A

Abnormal movement of eyes in people with vertigo - damage to balance centres, sensation of turning, vestibulo-ocular reflex

28
Q

What is the vestibulo-ocular reflex?

A

Eyes remain fixed on object while you turn your head

29
Q

With NO vestibular input, what symptom do you get?

A

Oscillopsia

feels like your eyes are jumping around in your head

30
Q

Which antibiotic can cause total vestibular input loss causing oscillopsia?

A

Gentamicin