Hearing Flashcards

1
Q

what is rarefaction

A

low amplitude sounds

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2
Q

what muscle is attached to the malleus

A

tensor tympani

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3
Q

what bone is in the oval window

A

stapes

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4
Q

where is endolymph found

A

scala media

semicircular canals vestibule

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5
Q

where is perilymph found

A

scala vestibuli, scala tympani

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6
Q

describe the pathway from vibrations to sound signals to the brain

A
  1. tympanic membrane
  2. 3 ear bones vibrate
  3. the stapes send vibration to the oval window which goes to the cochlear
  4. the fluid wave push onto the membranes of the cochlear duct
    hair cells bend and release neurotransmitter
  5. neurotransmitter release onto sensory neurones creates action potentials that travel thorugh the cochelar nerve
  6. energy from waves transfers across the coclear duct into the tympanic duct and is dissapated into the middle ear through the round window
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7
Q

describe the process of frequency detection in the cochlear

A

basilar fibres structure changes from short and stiff to long and floppy along the length of the cochlear

this means they have resonant frequencies that are graded along the cochlear with high frequency at the base and low at the apex

when the resonant frequency is activated it absorbs all the kinetic energy of the wave and effectively stops it

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8
Q

what is the organ of corti

A

the receptor organ for hearing

epithelial cells allows for transduction of auditory signals into nerve impulses due to movement of hair cells

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9
Q

describe the structure of the organ of corti

A

contains inner and outer hair cells
stereocillia project from the tops of hair cells

shortest hair cells in the outer rows and longest in the center

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10
Q

what does tonotopically mean

A

different frequencies of sound wave interact with different locations in the cochlea

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11
Q

name the structures found in the scala media

A

tectorial membrane
organ of corti
reissner’s membrane

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12
Q

describe the function of the organ of corti

A

upward deflection of the basilar membrane moves the inner and outer hairs laterally

most cochlear nerve endings terminate on the inner hair cells even though there are many less of them

mechanical activation as well as neuronal signals from the brainstem shorten and stiffen the outer hair cells
this tunes the cochlear by amplifying select frequencies

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13
Q

what is cochlear tuning

A

outer hair cells are stimulated by the basilar membrane to depolarise and contract.

this enhances the auditory signal at the centre of the standing wave and inhibits on either side like lateral inhibition

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14
Q

what structure in the brainstem is responsible for cochlear tuning

A

olive

this releases aCh onto the inner hair cells causing them to depolarise

this dampens down hearing for background noise

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15
Q

describe what happens when stereocillia are displaced

A

opens potassium channels in the cillia

this causes voltage gated calcium channels to open
calcium floods in which causes release of neurotransmitter

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16
Q

what happens when sensory hairs are displaced towards the tallest stereocillia

A

depolarisation causing an increase in action potential

17
Q

what happens when sterecillia are displaced towards the shorter hairs

A

inhibition causing hyperpolarisation and fewer action potentials

however there is baseline activity alwars

18
Q

describe the pathway of sound information from cn 8 to the brain

A
upper medulla (dorsal and ventral cochleal nucleus)
first order fibres synapse here

some fibres travel ipsilaterally, but most contralaterally up to the inferior colliculus (synapses)

some fibres travel to the superior olivary nucleus

the fibres project to the medial geniculate nucleus of the thalamus where the fibres synapse and join the auditory radiation to the auditory cortex

signals travel to both brain hemispheres

19
Q

where does sound go apart from to the auditory cortex

A

superior olives
reticulum of the brainstem
vermis of the cerebellum (arousal response to noise)

20
Q

where is the auditory cortex

A

insula and temporal lobe

21
Q

what nucleus projects to the primary auditory cortex

A

medial geniculate nucleus

22
Q

what information does the auditory association cortex receive

A

secondary projections from the primary auditory area

and also thalamic association area

23
Q

describe the mapping to the auditory cortec

A

the sound is mapped in the cochlear and this is preserved all the way to the cortex

lower frequencies are usually anterior

6 maps per person which are all involved in sound cognition

24
Q

how does directionality occur (3 ways) horizontal only

A

volume
sound shadow
sound lag

25
Q

how can the ear detect front to back or above/ below directionality

A

folds in the pinna which changes the characteristics of sound coming from above compared to below

26
Q

what can cause conduction deafness

A

blockage in the outer ear
infection
angle of eustacian tube causes a predisposition to middle ear infections
can be caused by ossification of middle ear bones
ruptured tympanic membrane

27
Q

what is sensineural deafness

A

caused by breakdown of cochlear or damage to nerve/ cortex

28
Q

what is the effect of an association area lesion

A

loss of meaning of sound

29
Q

what is the effect of a primary cortex lesion

A

reduced sensitivity to sound

30
Q

what does a rinne negative (left ear) and ipsilateral weber test tell you

A

left conductive deafness

31
Q

what does a contralateral weber tell you

A

left sensory neural deafness