Hearing And Equilibrium Flashcards

1
Q

The external ear

A

Consists of pinna and the ear canal, sealed at its end by tympanic membrane (eardrum)

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2
Q

Middle ear

A

Just beyond the ear drum, an air filled space connected to the pharynx by the Eustachian tube

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3
Q

The inner ear

A

Contains the sensors; cochlea and vestibular apparatus

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4
Q

What is the cochlea important for

A

Hearing

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5
Q

What is the vestibular apparatus important for

A

Equilibrium

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6
Q

What exactly is sound

A

Pressure waves

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7
Q

Where is the pressure high in pressure waves? Where is the pressure low?

A

High in the peaks, low in the troughs

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8
Q

Pitch

A

The frequency (number of wave peaks per second)

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9
Q

What is the sound range for human ears

A

16-20,000 Hz- 10 octaves

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10
Q

Where is acuity highest in human hearing

A

1000-3000 Hz

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11
Q

Amplitude

A

The pressure difference between peak and trough
Main factor that determines our perception of loudness- the larger the amplitude the louder the sound

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12
Q

T/F. Loudness depends entirely on amplitude

A

False, it depends on amplitude and frequency

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13
Q

What does the eardrum separate

A

The outer ear from the middle ear

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14
Q

Describe the path of sound vibrations

A

The eardrum will vibrate the malleus bone, moving the incus, which moves the stapes, pushing against the oval window

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15
Q

What are the smallest bones in the body

A

The ossicles, three bones in the ear, the malleus, incus, and stapes which act as a lever system carrying vibrations from the eardrum to the smaller oval window

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16
Q

Where are the receptor cells in the ear

A

Cochlea

17
Q

Describe the path of sound vibrations from the oval window to the cochlea and back to the middle ear

A
  1. The ossicles vibrate the oval window
  2. Wave energy passes through the cochlea and exits from round window to the middle ear
  3. Some of the wave energy will travel through the helicatrima, into the tympanic duct while others take a short cut through cochlea duct with auditory cells (hair cells)
18
Q

The cochlear duct contains the ______

A

Organ of corti (contains auditory receptors)

19
Q

Organ of Corti

A

Sits on the basilar membrane and under the tectorial membrane
Contains auditory receptor cells- mechanoreceptors- they are epithelial cells and contain around 20,000 per cochlea

20
Q

Stereocilia

A

Each hair cell contains 50-100 stiff hair cells which extend into the tectorial membrane.

They bend when waves in perilymph deform the basilar and tectorial membranes

21
Q

When do hair cells depolarize

A

When the cilia bend toward the longest cilium, exciting a neuron and will release a neurotransmitter- activating primary sensory neuron

Axons of these neurons form the auditory nerve (cochlear nerve)- cranial nerve 8

22
Q

When do hair cells hyperpolarized

A

When its cilia bend away, releasing less transmitter and does not cause any excitation

23
Q

Where is the membrane narrow and stiff?where is wider and more flexible

A

It is narrow near the round and oval window. Wider and flexible at the helicotrema

24
Q

Fill in the blank.

high-frequency waves maximally displace the membrane at the _____ end

A

Oval window end

25
Q

How can the brain deduce the frequency

A

By paying attention to which hair cells are most active (high frequency-oval window and low frequency-helicotrema)

26
Q

Auditory signal pathway

A

Cochlear nuclei in medulla> midbrain > thalamus> auditory cortex

27
Q

Where is the primary auditory cortex located

A

In the temporal lobe

28
Q

Describe the three types of hearing loss

A

Conductive hearing loss: sound can’t be transmitted through the external or middle ear
Sensorineural hearing loss: damage to the hair cells by loud sounds or elsewhere in the inner ear.
Central hearing loss: damage to the cortex or the pathways from cochlea to cortex. Trouble recognizing and interpreting sounds

29
Q

What is the most common type of hearing loss in elderly people

A

Presbycusis- sensorineural causing by dead hair cells (can’t be replaced)

30
Q

Rinne Test

A

Hold a tuning or against mastoid bone (back of ear) and then beside the ear. Ask when the sound is louder. Normally is it louder in the ear canal, but if it is louder at the bone, it is conductive loss

31
Q

Weber Test

A

Hold the tuning fork to the patient’s forehead and then in the midline

In sensorineural loss, the sound is louder in the good ear.

With conductive loss, it is louder in the bad ear because it doesn’t have to compete with sounds heard through the ear canal

32
Q

Difference parts of the ______ sense head position and motion

A

Vestibular apparatus

33
Q

Utricle and saccule

A

Contain hair cells that are activated when the head tilts relative to gravity

34
Q

Semicircle canals

A

Fluid filled hoops that detect head rotation

35
Q

When you turn right, where will the fluid in the semicircle canals slosh to

A

Toward the left

36
Q

Where do equilibrium pathways project to

A

The cerebellum