Exam 2 Part 2 Flashcards
What is the probe tone of the loudspeaker in tympanometry?
220/226 Hz
Use of tympanogram
Tympanometry
What does the tympanometry test?
Physical volume test, physiological test
True or false: tympanometry is a behavioral test
False
Tests the stapedius muscle contraction when exposed to loud sound
Acoustic reflex
What 2 things can cause hearing loss?
Incident exposure, prolonged exposure to a sound
What happens to the acoustic reflex when there is hearing loss?
Acoustic reflex won’t be able to block quiet sounds from the exposure
Protects us from our own voice so cochlear hair damage won’t occur
Stapedial reflex
Measures the mobility and compliance of the tympanic membrane/conductive system
Tympanometry
What is the normal physical volume test for adults?
.6-1.5 cc or mL
What is the normal physical volume test for children?
.4-1.0 cc or mL
What does a small physical volume indicate?
Obstruction
What type of physical volume will someone have if they have middle ear fluid?
Normal
What does a large physical volume indicate?
Perforation/ tubes
Hard time popping eustachian tube open
poor eustachian tube function
What can cause poor eustachian tube function if the tympanogram has a positive peak?
Diving, altitude change
What happens to atmospheric pressure if you increase altitude?
Decreases
What is the most common immittance test?
Tympanometry
Involuntary motor response to a sensory stimulus; checks the neural integrity of the 7th and 8th cranial nerve
Acoustic reflex
What is the pathway of the acoustic reflex arc (6)?
Cochlea, 8th cranial nerve, cochlear nucleus, superior olivary complex, lateral lemniscus, upper brainstem and cortex
What is the pathway if a loud sound is detected in the acoustic reflex arc (4)?
Cochlear nucleus/superior olivary complex, facial nerve nucleus, 7th nerve, stapedius muscle contracts
When 1 ear is stimulated by sound, it causes both stapedius muscles in each ear to contract
Sympathetic response
What is the compliance like when a loud sound is given in the ear and the stapedius muscle works?
decreased