Pavlick- Ear Flashcards
outer ear is responsible for _____ sound
conducting
extends from external acoustic meatus to tympanic membrane
outer ear
infection of external ear
otitis externa
otitis externa commonly caused by infection with —aerobic; motile, catalase ⊕, gram⊝
rod. Non-lactose fermenting. Oxidase⊕.
Frequently found in water. Has a grapelike odor
pseudomonas aeruginosa
middle ear is responsible for _____ sound
amplifying
extends from tympanic membrane to cochlea
middle ear
ossicles of middle ear
malleus
incus
stapes
inflammation of middle ear extending from Eustachian tube to nasopharynx
otitis media
otitis media is caused by mucus obstruction or infection most commonly by _____
S. pneumoniae
more common in children than adults due to angularity of pharyngotympanic tube
otitis media
overgrowth of benign squamous cells in middle ear
Cholesteatoma
in middle ear, and can cause scarring and conductive hearing loss
cholesteatoma
inner ear is responsible for ______ mechanical force into neural code
translating
contains hearing structures (organ of Corti and vestibular apparatus)
inner ear
cochlea
vestibular apparatus
located within cochlear duct filled with endolymph (A)
organ of corti
endolymph found in more _____ charged environment
+
Contains inner (B) and outer (C) hair cells which rest on the basilar membrane (D)
Tectorial membrane (E) rests on top of hair cells
organ of corti
b/t scala tympani and scala vestibuli
organ of corti
G
F
G: scala vestibuli
F: scala tympani
more - charged environment filled w/ ___
perilymph
Sound waves will propagate through fluid media in scala tympani and vestibuli; Causes basilar membrane to ____________
move
Tectorial membrane is rigid and __________________ movement
resists
sound waves cause apical specialization (stereocilia and kinocilia) to _____________________
deform
____channels located at their base are opened to allow influx which causes signaling cascade
ion
3 components of vestibular apparatus
utricle
saccule
semicircular canals
linear acceleration/gravity
utricle
vertical acceleration/gravity
saccule
angular acceleration/ movement of head
semicircular canals
detects changes in a horizontal plane
utricle
detects changes in a vertical plane
saccule
relays angular acceleration/movement
semicircular canals
Have vestibular hair cells which operate similar to auditory hair cells
inner ear
vestibular hair cells are deformed by displacement of _____ w/in gelatinous matrix
otoconia
also known as ear stones, are calcium carbonate crystals in the inner ear that help you sense balance and acceleration
otoconia
in the utricle and saccule, neurosensory area where vestibular hair cells are found
macula (B)
in semicircular canals, neurosensory area where vestibular hair cells are found
crista ampullaris (C)
A
otoconia
3 causes of pontocerebellar angle tumors
meningioma
schwannoma
neurofibromatosis type 2
meningioma
pontocerebellar angle tumor
made up of antoni A w/ verocay bodies and and antoni B (hypocellular)
schwannoma
vibrations (sound waves) from external environment are translated into neural code by traveling through _____
ECOLIMA
ECOLIMA:
E: eight cranial nerve (hair cells)
C: cochlear nucleus
O: Olivary complex
L: lateral lemniscus
I: inferior colliculus
M: medial geniculate nucleus
A: auditory cortex
once signals from auditory pathway enter the CNS, projections are sent ____
bilaterally
main auditory pathway (contralateral)
cochlea
CN VIII
cochlear nuclei
olivary nuclei
lateral lemniscus
inferior colliculi
medial geniulate body
auditory cortex
minor auditory pathway (ipsilateral)
cochlea
CN VIII
cochlear nuclei
olivary nuclei
lateral lemniscus
inferior colliculi
medial geniculate body
2 categories of hearing loss
conductive
sensorineural
hearing loss in outer or middle ear
conductive
hearing loss that deals with inner ear or CNS pathway
sensorineural
age-related loss of hair cells; starts at base of cochlea (20,000 Hz) and migrates to apex (20 Hz)
Hearing aids can help compensate for high frequencies
Presbycusis
uses bone conduction of sound to help localize laterality
Rinne and Weber test
test that deals with conduction
Rinne
test that deals with localization
Weber
air > bone
midline
no hearing loss
air > bone
Weber test + in normal ear
sensorineural
bone > air
weber test + in affected ear
conductive
amplifies sound we are receiving
hearing aid
actually stimulates hair cells with a device through implanted receiver
cochlear implant
Excessive exposure to sound
Ototoxic antibiotics
Chemotherapeutics (e.g., cisplatin)
common causes of hearing loss
safe exposure limit
85 decibels/8 hrs a day
Sensation of spinning while stationary
vertigo
most common cause of vertigo
BPPV (peripheral cause)
central vertigo cause
brainstem lesion
peripheral vertigo causes
BPPV
meniere
Disorder characterized by episodes of vertigo triggered by changing head position (otolith displacement into semicircular canals)
BPPV (benign paroxysmal positional vertigo)
to diagnose BPPV
Dix-Hallpike maneuver
to treat BPPV
Epley maneuver
patient has ___ if + nystagmus on maneuver
BPPV
Disorder of inner ear which usually affects both balance and hearing
Meniere’s disease
caused by buildup of endolymph
Meniere’s disease
tinnitus
hearing loss
vertigo
Meniere’s disease