Auditory 1 Flashcards
Sound comes in the form of ___ created by
pressure waves
increases and decreases in air pressure (compression and rarefaraction of sound wave)
Sound has 2 distinct qualities that contribute to audition
1) intensity (loudness)
2) frequency (pitch)
Intensity coresponds to __, measured in
pressure compressing air of sound wave
measured in dB SPL
normal = 7-8 orders of magnitude
Equation for intensity of sound
Standard reference Pressure =
Normal auditory threshold =
dB SPL = 20 log(P1/P2)
Standard reference pressure (P^2) = 20X10^-6 N/m2
Normal auditory threshold = 1000 Hz
Frequency define
measured in ___
normal range for human =
freq = # of times per second sound wave reaches peak compression (max intensity) or rarefraction (min intensity)
measured in Hz
range = 20 Hz - 14 kHz
Define auditory threshold
lowest intensity of sound heard by human ear at given freq
Describe audiogram axes
how do you perform audiogram
X-axis = freq Y-axis = intensity
play series of tones for patient of progressively lower intensity at each freq
patient says when they hear tone and lowest intensity tone (and correspond freq) plotted
what is normal hearing in relation to auditory threshold
dramatic decline in auditory threshold (another way of saying it?)
normal hearing = relatively constant auditory threshold ~0 at all freq
incr in minimum intensity of sound detected
Acoustic impedance mismatch describe
differences in impedance btwn middle ear and inner ear
= resistance to flow
fluids > impedance than air
what is importance of differences in impedance
how does ear compensate
sound wave moves from air to fluid, significant portion of wave deflected at interface (approx 30 dB intensity lost)
ear compenste for loss of impedance with ossicles
three ossicles (med to lateral) connecting what to what
what is function?
stapes, incus, malleus
connecting TM of middle ear and oval window (connection btwn inner and middle ear)
bones amplify intensity by ~28 dB to compensate for intensity loss
amplification by ossicles is result of ?
1) pressure sound wave from TM concentrated on to much smaller surface of stapes
P = F/A so decr A, incr P or intensity
2) middle bones like lever to incr force transmit to inner ear
Sensorineural vs conductive hearing loss
conductive hearing loss = damage to elements of mechnaical transmission of sound waves thru ear (canal, TM, ossicles)
Sensorineural hearing loss = damage to hair cells or nerve fibers
causes of sensorineural hearing loss
XS loud noises
ototoxic drugs
age = presbycusis
causes of conductive hearing loss
otitis media= fluid disrupt conduct otosclerosis = ossicles not move well atresia = ear canal misshape perforation/rupture TM incr pressure in mid ear with altitude