medical physics Flashcards
What do lenses do
Refract light in order to change its direction
What is a converging (convex) lense
- curved outwards on both sizes
- causes parallel light rays to converge at a point
What type of images can converging lenses form
Real and virtual
What type of image can be projected onto a screen
Real images
What is a real image
Image formed when the object is further than the focal length
What is a virtual image
Image formed when the object is closer than the focal length
What is a diverging (concave) lense
- curved inwards on both sides
- cause parallel light rays to diverge
- always a virtual image
What is principal focus in converging lenses
The point at which light rays which are parallel to the principal axis are focused
What is principal focus in diverging lenses
The point from which the light rays appear to come from
What is the power of a lense
The measure of a lens’ ability to bend light
- positive in converging
- negative in diverging
What is focal length
The distance from the centre of the lens to the principal focus
What happens when the ciliary muscles contract
The lense becomes more curved so the focal length decreases, allows close up objects to be saw
What is accomodation
The ability of a lens to change its focal length to focus on an object
What can the eye focus on when the ciliary muscles are relaxed
Objects far away - 5m to infinity
What are the two types of photodetectors
Rods and cones
What light levels are rods activated by
Low levels
Why is the image produced by rods not clear
Many rods are connected to one nerve fibre and they don’t differentiate between wavelengths of light
What happens in very low light levels to rhodopsin
Enzymes fully reform the rhodopsin allowing the eye to reach its maximum sensitivity
What is rhodospin
A substance that is destroyed by light
What light levels are cones activated by
High light levels
Why do cones produce a greater image detail than rods
One cone is connected to one nerve fibre
How many types of light sensitive material do cones have
3
What is the choroid
A tissue which supplies the eye with food and oxygen and contains dark pigment
What happens to the iris in low light and why
Dilates to allow as much light to enter as possible
Why do cones have 3 types of light sensitive material
Each one detects one of red green and blue
What is the sclera
The tough protective layer of the eye
What is the sclera lined with
Choroid
What does the dark pigment in the choroid do
Reduces reflection meaning blurring of images is reduced
What is the iris
A ring of muscle which controls the amount of light which enters the pupil
What happens to the iris in high light and why
The iris contracts so the image can be focused on the fovea since outermost rays are removed
What is the back of the eye
The retina
What is the retina
The area where images are focussed
What is the retina formed of
Two types of photodetectors
what is the fovea (yellow spot)
a point directly behind the pupil made only of cones
What is spatial resolution
What you use to observe small details
Why do you see an object you are looking directly at in great detail
The density of cones is greatest on the fovea and decreases as you move away
What is the eye known as (refraction)
Optical refracting system
Why cant the fovea be used in low light levels
The cones aren’t activated so you notice greater detail in peripherals of your vision
What are the conditions necessary for two details/images to be distinguished
At least one rod or cone between the light from each of them
What is the near point
The closest distance which the eye can focus
Why is the eye known as an optical refracting system
Light refracts through it at several points
What is power of a lense
Ability to bend light
What is the far point
The furthest distance which the eye can focus
What type of lens does the eye act as
A converging lens
What happens if the image is closer than 5m
The ciliary muscles will contract causing the lens to be more curved causing its focal length to decrease and power to increase
Power equation for lenses
1/focal length
What is myopia
Eye is unable to focus on objects which are far away
Magnification equation
Size of image / size of object
What causes myopia
The image is focussed before the retina, this is caused by the eye being too long, lenses power is too high, far point less than infinity
What corrects myopia
Diverging lenses
What is hypermetropia
Unable to focus on objects which are close to it
What causes hypermetropia
When the power of the lenses is too small or flexibility is reduced
What corrects Hypermetropia
Converging lenses
What is astigmatism
Where the cornea is not spherical so different planes have different curvatures so light is unevenly focused on the retina
What corrects astigmatism
Cylindrical lenses
what does the prescription for astigmatism include
power and axis angle of the lens
What is the near point of a healthy eye
25cm
What is the focal length of diverging lenses
Focal length = -far point
What is the outer ear formed of
The pinna and external auditory canal
What is the pinna’s function?
To collect sound and direct it down the auditory canal towards the tympanic membrane
Where are wax glands
Auditory canal
What do wax glands do
Secrete a substance to protect the tympanic membrane and keep it flexible
What is the middle ear formed of
Ossicles, Eustachian tube, oval window and round window, tympanic membrane
What are ossicles
A group of 3 connected bones - malleus. Incus, stapes
What is the malleus connected to
Tympanic membrane
What is the stirrup connected to
Oval window
What do the ossicles act as
- A lever which amplify vibrations from tympanic membrane
- transmit the vibrations to the inner ear
- reduce amount of energy reflected from inner ear
What is the Eustachian tube connected to
The throat
Why is the Eustachian tube connected to the throat
So the middle ear can remain at atmospheric pressure
What size is the oval window compared to the tympanic membrane
Very small area
What does the fact the oval window is small do
Increases of pressure variations
What is the pressure detected by tympanic membrane increased by
A factor of 20
What is the inner ear formed of
Cochlea, auditory nerve and balance organs
What is the inner ear filled with
A fluid called perilymph
What does perilymph do
Allows transmission of vibrations
What do the balance organs do
Detect orientation and changes in velocity
What is the cochlea
A spiral shaped organ filled with a fluid called endolymph
What does the endolymph do
Allow vibrations to pass through to the basilar membrane
What is the basilar membrane covered in
Hair cells
What does the hair on the basilar membrane do
Produce electric signals when caused to vibrate at large amplitudes
What does the oval window transmit vibrations to
The cochlea
What are the vibrations passed through the cochlea as
Pressure waves
What causes the vibrations on the basilar membrane
It has different regions with different natural frequencies. Certain regions experience resonance. These areas vibrate at a large amplitude
What happens as sound waves move through the ear
Amplitude decreases but frequency is constant
What is intensity (ear)
Amount of energy arriving at the ear per second per unit area
Intensity equation
Intensity = Power / Area
What is intensity proportional to
Amplitude squared
What is the threshold of heating
Minimum intensity of a sound that a human ear can detect (1pWm^-2 at 1 kHz)
What is the frequency of sound perceived as
Loudness
What is the threshold of pain
Maximum intensity of a sound that a human ear can detect without extreme discomfort 1Wm^-2
What is the range of sound intensities
10^12
Why is there not a linear response between sound frequency and perceived loudness
The ear automatically decreases the amplification of high intensity sounds
What is the perceived loudness proportional to
Change in intensity over initial intensity
What is the change in loudness detected proportional to
Log of intensity change
Relative intensity level equation
10(log ( intensity / threshold of hearing)
What does the sensitivity of our heating depend on
Frequency of sound detected
When is the ear most sensitive at detecting sounds
2 kHz to 5 kHz, most sensitive at 3 kHz
What is an equal loudness curves (audiograms)
They show the required relative intensity level to detect a sound at a number of frequencies and vary person to person
How is an equal loudness curve produced
The loudness of a standard sound is compared to the loudness of a second sound
How is the equal loudness curves sound test actually done
By adjusting the intensity of the second sound until it is the exact same perceived loudness as the standard sound
What do equal loudness curves demonstrate
Sound intensity required for each frequency to have the same perceived loudness
What is a weighting filter used in
What is a weighting filter used in
What do weighting filters do
Mimic human ears response to different frequencies of sound
What is sound intensity level measured in
decibels
What is hearing loss
Where hearing has become less sensitive and needs to experience higher intensity sound waves in order to have the same perceived loudness
What can hearing loss be caused by
Deterioration with age or injury
How is an equal loudness curve created
- control frequency of 1000Hz at a specific intensity
- another sound at different frequency generated. Volume varied till appears to have same loudness. Measure intensity level
- repeat for different intensity levels
- change intensity of control and repeate
If intensity is measured in decibels then what is the loudness of the sound given in
Phons
What is more affected when hearing is deteriorated with age
Higher frequencies
What is more affected when hearing is deteriorated by injury
The certain frequency that caused the injury will be affected most
What is more affected when heating is deteriorated with excessive noise
4 kHz
How to equal loudness curve detect the cause of hearing loss
For deterioration with age, the curve will be higher at all frequencies
for injury it’ll have a peak at a range of most affected
what does both sides of the heart have
chamber called atrium and a ventricle which are separated by a valve
how does blood move from atria to ventricles then the body
Atria contract, ventricles contract which pushes blood to the body
What are the contractions of the atria and ventricles controlled by
Electrical signals produced in the sino atrial node (S-A )
How do the electrical signals move
Move across atria, short delay in the atrioventricular ( A-V) node, move across the ventricles
How are the electrical signals in the heat measured
An electrocardiograph which forms an ECG showing the change in PD over time
Why is there a pause when electrical signals move through the heart
So the atria can finish contracting otherwise the muscles would contract at the same time
What is it called when muscles in the heart are in their relaxed state
They are polarised
What are muscles in the heart when they experience a potential
Depolarised so contract
Why do muscles become polarised and depolarised
Change in ion imbalances in the cells
Labelled ecg
what does the p wave correspond to
contraction of atria
what does the qrs wave correspond to
contraction of ventricles
what does the t wave correspond to
relaxation of ventricles
What steps are taken to ensure best connection of electrodes for ecg
Electrodes are attached firmly, dead skin cells and hair removed, conducting gel used
What does the electrodes being placed on firmly do
Reduce the effect of noise on the reading
What does removing dead skin cells and hair do
Contact resistance is decreased
What does conducting gel do
Remove air so electrical contact is improved
How is electrical noise reduced
Make sure patient is relaxed, shield the electrocardiograph, electrodes made out of a material that doesn’t react, electrodes attached firmly
Why does making sure patient is relaxed reduce electrical nouse
To avoid signals produced by other muscle movement
Why does shielding the ecg reduce electrical noise
Remove sources of alternating currents