Postlab quiz 4 Flashcards
AIED =
Autoimmune Inner Ear Disease
What is autoimmune inner ear disease (3)
Progressive hearing loss and/or dizziness
Reduced hearing w/tinnitus
Attacks of dizziness (normal blood tests for antibodies)
What does autoimmune inner ear disease resemble
Meniere’s disease
Affects this many of the X million Americans with hearing loss
<1%, 28 million
Causes of autoimmune inner ear disease (5)
Antibodies/immune cells damage inner ear bystander damage cross-reactions intolerance genetic factors
What causes bystander damage
cytokines provoke extra immune reactions
What causes cross reactions
antibodies cause accidental damage
ear shares common antigens with potential pathogens
What causes intolerance
ear may only be a partially immune privileged locus
What effect do genetic factors have on AIED
possible increased susceptibility to hearing disorders
Signs and symptoms of AIED (4)
Hearing loss in one ear and rapid progression to second ear (can progress slowly)
Fullness in the ear
vertigo
tinnitus, hissing, or roaring sound
What is AIED often mistaken for
Otitis media
What are treatments for AIED (5)
Steroids like prednisone ore dexamethasone (short-term)
Cytotoxic agents like cytoxan or methotrexate (short-term)
Plasmapheresis
cochlear implant
cell and gene therapy
Exteroceptors
receptors that recieve stimuli from outside the body
interoceptors
receptors that receive stimuli from inside the body
Detect changes within the body
Where are interoceptors located
deep within muscles, tendons, and other structures
Exteroceptors are located
on the surface of the body (usually)
Our senses are comprised of these types of receptors
exteroceptors
Weber’s law states this
the size of the just noticeable difference, dI, is a constant proportion of the original stimulus, I
Weber’s fraction
The ratio of intensity difference to the initial weight intensity
Just noticeable difference or intensity difference is
the amount of stimuli needed to have a noticeable difference in our current stimulation state.
What is referred pain
pain that originates in one area of the body, but is perceived in another (ex. Heart attack)
What is done for the weber test (hearing)
The handle tip of a struck tuning fork is placed against the middle of the subjects forehead to determine if one ear is more deaf than the other
When doing the weber test for hearing what is the result if one ear hears the fork better than the other: sensorineural
The sound will be heard better in the normal ear because neural activity is essential for hearing
When doing the weber test for hearing what is the result if one ear hears the fork better than the other: conductive
The ear that hears the fork louder is the ear that is more deaf, due to the good ear having the sound masked by environmental noise
Conduction deafness can be simulated by doing this simple thing
plugging one ear with cotton
The Rinne test compares this
air conduction of sound with bone conduction of sound
The weber test for hearing should be conducted in a room with this level of noise
normal room noise
The Rinne test for hearing should be conducted in a room with this level of noise
A quiet room
What is done for the Rinne test (hearing)
Place the end of the handle of a struck tuning fork on the mastoid process. As soon as the sound is no longer audible through the bone hold the fork about 1 inch from the ear. The subject should be able to hear again.
If the should is heard through the bone longer the person has this type of deafness
conduction deafness
What are the expected results of the weber and rinne test for hearing for the following condition: no hearing loss
Weber: no lateralization
Rinne: Sound heard longer through air conduction
What are the expected results of the weber and rinne test for hearing for the following condition: conduction deafness
Weber: lateralization to the deaf ear
Rinne: sound heard as long as or longer through bone conduction than air
What are the expected results of the weber and rinne test for hearing for the following condition: sensorineural deafness
Weber: lateralization to the normal ear
Rinne: sound heard longer through air conduction
How is hearing loss quantified by an audiogram
If there is an increase of 20 dB above normal tone level the subject is sead to have hearing loss of 20dB for that tone
List the classifications of hearing loss in accending order
normal mild moderate severe profound hearing loss
What is a audiogram
an instrument for measuring hearing acuity that consists of an earphone conneted to an electronic oscillator.
Range of hearing tested in both types of audiogram tests
250-8000 Hz
500-2000 Hz
Frequency of normal speech
500-2000 Hz
What is a receptive field
sensory + visual neurons activated by stimuli that fall within a specific physical area (two point test)
Areas with large receptive fields
back, thigh
Areas with small receptive fields
finger tip
Lateral inhibition does this
Increases contrast between activiated receptive fields and inactive neighbors
Benefits of lateral inhibition
way of isolating location of stimuls
increase in sensory preception
Generator potentials 2 characteristics
caused by adequate stimuli in sensory cells
amplitude proportional to strength of stimulus
Another name for generator potentials
receptor potentials
2 characteristics of action potentials
all or none event
strength of stimulus determines frequency