Exam #6: Auditory System Flashcards

1
Q

What is sound i.e. what is the physical stimulus for audition?

A

Periodic condensation and rarefaction of air molecules

*****Note you need a higher frequency tuning fork compared to vibratory sense

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2
Q

What is a dB?

A

0.0002 dyne/cm2

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3
Q

What is the frequency range of human hearing? What is the normal human hearing range? How does the normal hearing range change with age?

A

Absolute Range= 20 Hz - 20 kHz (cycles per second)
Normal= 20Hz to 16kHz

**There is a decline in ability to hear higher frequencies with age, called presbycusis

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4
Q

What is the pressure range of human hearing?

A

0 dB- ~130 dB

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5
Q

What is a notch in an audiogram? What causes this notch?

A

Frequency at which the a sound need to be much more powerful to be heard compared to adjacent frequencies in that range

**Caused by a v. loud sound that kills hair cells e.g. explosion, gunshot….etc.

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6
Q

Describe the transduction of sound from outer ear to inner ear.

A
  • External ear directs sound waves into the auditory canal
  • Auditory canal transmits sound waves to the TM
  • Sound waves move TM, which moves the chain of ossicles
  • Footplate of the stapes is pushed into the oval window, which displaces fluid in the inner ear
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7
Q

What part of the auditory system facilitates the equalization of pressure?

A

Eustachian tube

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8
Q

What nerves innervate the inner ear muscles?

A

CN V & VII

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9
Q

What is the function of contracting the inner ear muscles?

A

Protection from loud sound i.e. attenuation reflex

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10
Q

What is the afferent limb of the middle ear attenuation reflex?

A

CN VIII

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11
Q

What is the efferent limb of the middle attenuation reflex?

A

CN VII to stapedius m.

CN V to tensor tympani

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12
Q

Lesion of what nerve/ accompanying muscle are responsible for the hyperacusis seen in Bell’s Palsy?

A

CN VII & stapedius m.

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13
Q

What is the Organ of Corti? What are the different parts of the Organ of Corti? What membranes separate these three different regions

A
The Organ of Corti is the sensory transduction apparatus for audition in the cochlea of the inner ear. It contains: 
Scala vestibuli 
--Reissner's membrane 
Scala media 
--Basilar membrane 
Scala Tympani
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14
Q

What fluid-type is in each region of the inner ear?

A

Scala vestibuli= Perilymph
Scala media= Endolymph
Scala Tympani= Perilymph

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15
Q

What produces endolymph?

A

Stria vascularis

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16
Q

Where is the base of the auditory hair cells (stereocilia)? What membrane are the tips of the auditory hair cells embedded in?

A
Base= Basilar membrane of the Scala Media 
Tip= Tectorial membrane of the Scala Media
17
Q

Outline the steps of auditory transduction.

A

1) Sound waves
2) Vibration of organ of Corti
3) Bending of cilia in Scala Media
4) Change in K+ conductance to cause depolarization & hyperpolarization
5) Oscillating receptor potential i.e. cochlear microphonic
6) Glutamate release
7) Action potential

18
Q

What is the difference between inner & outer hair cells

?

A

Inner= actual sensory receptors

  • Fewer
  • Single row

Outer=

  • More
  • Parallel rows
19
Q

What frequency of sound is heard at the base of the cochlea?

A

High 1,600 Hz

20
Q

What frequency of sound is heart at the apex of the cochlea near the helicotrema?

21
Q

Outline the pathway of auditory input.

A

1) Cochlea
2) CN VIII
3) Dorsal & ventral cochlear nuclei (medulla)
4) Lateral lemniscus
5) Inferior colliculus
6) Medial geniculate nucleus of thalamus
7) Auditory cortex

22
Q

What is efferent control?

A

Olivocochlear bundle in the superior olivary complex sharpens frequency

23
Q

How do we know if the sound comes from the right or left?

A

LSO neurons encode sound location based off sound intensity

**Lateral superior olive

24
Q

For low frequency sounds, how do you determine location?

A

Time of arrival

25
What are the different types of deafness?
Conductive Sensorineural Central
26
What is conductive deafness?
Deafness caused by impaired transmission in the external or middle ear
27
What is sensorineural hearing loss?
Deafness caused by the loss of hair cells
28
What are the typical causes of conductive deafness?
``` Cerumen impaction Otosclerosis Fibrosis from OM OM w/ effusion Damage to DM ```
29
What are the typical causes of sensorineural deafness?
Ototoxic drugs Excessive noise Vestibular Schwannoma Meniere's Syndrome
30
What is is BAER?
Brainstem evoked response
31
What is a response or tone-click hearing test?
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32
What is audiometry?
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33
Where is the primary auditory cortex?
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