Special Senses Flashcards

1
Q

What is the olfactory epithelium?

A

A specialised region of the mucous membrane covering the superior conchae at the roof of the nasal cavity

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2
Q

What is the olfactory lining epithelium?

A

Pseudostratified columnar

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3
Q

What are the 3 cell types found in the olfactory epithelium?

A
  1. Olfactory receptor
  2. Support/sustentacular
  3. Basal
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4
Q

Describe the morphology of basal cells.

A

Small, spherical/cone-shaped cells
Stem cells
Basally located nuclei

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5
Q

Describe support/sustentacular cells.

A

Columnar with broad, cylindrical apexes and narrower bases
Microvilli
Well-developed junctional complexes
Abundant ion channels

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6
Q

Describe the morphology of olfactory receptor cells.

A

Bipolar neurons
Knob-like swelling with basal bodies
Non-motile cilia on basal bodies

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7
Q

What is the lifespan of olfactory receptor cells?

A

1 month

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8
Q

What is the purpose of the rich vascular supply in the olfactory mucosa?

A

Warm the air

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9
Q

What are the Bowman’s/olfactory glands?

A

Large tubuloalveolar serous glands that secrete a watery fluid that dissolves odorants

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10
Q

What are the 3 concentric layers of the eye?

A
  1. Corneoscleral coat
  2. Vascular/uveal coat
  3. Retina
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11
Q

What is continuous with the sclera?

A

Meninges/dura

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12
Q

What is the composition of the corneosclera layer?

A

Sclera: tough external fibrous layer
Cornea: transparent anterior extension of the sclera

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13
Q

What does the vascular/uveal coat consist of?

A

Iris and ciliary body anteriorly
Vascularised choroid coat posteriorly

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14
Q

What does the retina consist of?

A

Layers of nerve cells, their processes, support cells (neural retina) and an outer layer of pigmented epithelium

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15
Q

How does the retina communicate with the brain?

A

Optic nerve

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16
Q

What is the name of the anterior edge of the neural retina?

A

Ora serrata

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17
Q

What is the lens?

A

A biconvex transparent structure held in place by zonular fibres from the ciliary body

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18
Q

What lies posterior to the lens?

A

Vitreous body

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19
Q

What is the name of the opaque pigmented expansion of the middle layer partly covering the anterior surface of the lens?

A

Iris

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20
Q

What are the 2 fluid-filled cavities in the eye?

A

Anterior chamber: space between cornea and iris
Posterior chamber: between iris, ciliary processes, zonular attachments and lens

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21
Q

What do the cavities in the eye contain?

A

Aqueous humor

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22
Q

What is the vitreous body?

A

Transparent, gelatinous mass of connective tissue

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23
Q

What is the conjunctiva?

A

A thin, transparent mucosa that covers the exposed anterior portion of the sclera and continues as the lining of the internal surface of the eyelids

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24
Q

What type of epithelium lines the conjunctiva?

A

Stratified columnar epithelium with numerous small cells resembling goblet cells

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25
Q

What makes up the anterior segment of the eye?

A

Cornea
Anterior and posterior chambers and their content

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26
Q

What are the 5 layers of the cornea?

A
  1. External stratified squamous epithelium
  2. Bowman’s membrane
  3. Stroma
  4. Descement’s membrane
  5. Inner simple squamous endothelium
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27
Q

What is the constitution of the corneal stroma?

A

Layers of parallel type I and V collagen bundles that align at right angles to each other
Between collagen bundles are cytoplasmic extensions of keratocytes

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28
Q

What is the corneal endothelium responsible for?

A

Maintaining a state of hydration
Protein synthesis to maintain Descemet’s membrane

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29
Q

What percentage of the cornea does the stroma account for?

A

85-90%

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30
Q

Describe keratocytes.

A

Modified fibroblasts
Star-shaped with numerous dendritic processes
Synthesise collagen and ECM components
Corneal crystallins in cytoplasm that reduce backscatter of light

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31
Q

What is the name for an accumulation of copper in Descemet’s membrane at the corneoscleral junction?

A

Kaiser-Fleischer ring

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32
Q

What is the limbus?

A

A transitional area where the transparent stroma merges with the opaque sclera

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33
Q

What sinus does the limbal stroma contain?

A

Canal of Schlemm which receives aqueous humor from an adjacent trabecular meshwork at the anterior chamber’s surface

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34
Q

What happens to Descemet’s membrane and its simple endothelium at the corneoscleral junction?

A

Replaced with trabecular meshwork that allows slow, continuous drainage of aqueous humor from the anterior chamber into the canal of Schlemm

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35
Q

Where is aqueous humor produced?

A

Ciliary processes

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36
Q

What is the circulation pathway of aqueous humor?

A
  1. Posterior chamber
  2. Around pupillary aperture
  3. Anterior chamber
  4. Iriodocorneal angle containing trabecular meshwork
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37
Q

Describe the trabecular meshwork.

A

Aka aqueous outflow apparatus
Loose C.T., flattened thin-walled endothelium channel containing collagen and elastic fibres
Encloses spaces of Fontana (communicate with anterior chamber)
Discontinuous basement membrane

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38
Q

Why is aqueous humor continuously drained?

A

Prevent increased intraocular pressure which causes glaucoma

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39
Q

Describe the choroid.

A

Highly vascular layer in the posterior 2/3 of the eye
Loose C.T. rich in collagen, elastic fibres, fibroblasts, melanocytes, macrophages, lymphocytes, mast cells and plasma cells
Inner region: choriocapillary lamina
Bruch’s membrane: thin amorphous hyaline sheet that separates choriocapillary lamina from retina

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40
Q

Where does Bruch’s membrane extend to and from?

A

Ora serrata to the optic nerve

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41
Q

Why does the choroid contain abundant melanocytes?

A

Produce pigment that block light from entering the eye except through the pupil

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42
Q

What is the ciliary epithelium?

A

Double layer of low columnar epithelial cells

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43
Q

Describe the morphology of the ciliary body.

A

Thick ring of loose C.T. containing melanocytes, smooth ciliary muscle, ciliary processes (numerous epithelium-covered extensions) and the ciliary zonule

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44
Q

What is the ciliary zonule?

A

A system of fibrillin-rich fibres that attach the capsule of the lens to the centre of the ciliary body

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45
Q

How is the shape of the lens changed to allow visual accommodation?

A

Changes in tension on the zonular fibres produced by contraction and relaxation of the ciliary muscles

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46
Q

What covers the anterior surface of the iris?

A

An irregular discontinuous layer of densely packed fibroblasts and melanocytes with interdigitating processes

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47
Q

What is the iris’ underlying epithelial layer composed of?

A

Myoepithelial cells

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48
Q

What do the radially extended processes of myoepithelial cells make up?

A

The thin dilator pupillae muscle along the posterior side of the iris

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49
Q

What is the sphincter pupillae muscle?

A

Smooth muscle bundles arranged in a circular array near the pupillary margin of this iris

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50
Q

Describe the lens.

A

Elastic, biconvex avascular structure
Between iris and vitreous body
Thick homogenous capsule (rich in proteoglycans and type IV collagen)

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51
Q

What is the germinal zone?

A

A layer of simple cuboidal epithelium over the anterior half of the lens

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52
Q

True or False: The cornea and lens depends on diffusion of aqueous humor for nutrition.

A

True

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53
Q

Describe lens fibres.

A

Elongated columnar epithelial cells with crystallins, filensin intermediate filaments and a degenerated nucleus

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54
Q

Lens fibres develop in successive waves from the embryonic period throughout adulthood from what region?

A

Equatorial region by deposition of new fibres in the peripheral cortex

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55
Q

Name the 2 layers of the retina.

A

Outer: retinal pigmented epithelium
Inner: neural retina (stratified and contains modified neurons)

56
Q

Name the layers of the retina.

A
  1. retinal pigmented epithelium
  2. layer of rods and cones
  3. external limiting membrane
  4. outer nuclear layer
  5. outer plexiform layer
  6. inner nuclear layer
  7. inner plexiform layer
  8. ganglion cell layer
  9. nerve fibre layer
  10. internal limiting membrane
57
Q

How many rod cells does the human retina have?

A

120 million

58
Q

Describe rod cells.

A

Thin and elongated
2 segments: outer photosensitive and inner metabolic machinery with connecting stalk between

59
Q

Describe the morphology of the photosensitive region of a rod cell.

A

600-1000 flattened membranous discs stacked and surrounded by a plasma membrane

60
Q

Describe the morphology of the metabolic machinery segment of a rod cell.

A

Rich in glycogen and mitochondria near the base by the connecting stalk
Abundant polyribosomes in mitochondrial region

61
Q

What is the function of the polyribosomes in the inner segment of a rod cell?

A

Produce proteins that are transported to the outer segment where they are incorporated into the membranous discs

62
Q

What is rhodopsin?

A

Visual pigment which is bleached by light and initiates the visual stimulus

63
Q

True or False: Rod cells are not sensitive to light and don’t allow vision in low light.

A

False

64
Q

How are the membranous discs of rod cells formed?

A

Repetitive in-folding of the plasma membrane near the connecting stalk and then detach from the plasma membrane

65
Q

How long does it take for the process of membranous disc replacement in rod cells take overall?

A

10 days

66
Q

How much light is necessary for a rod cell to respond?

A

A single photon

67
Q

How many cone cells are present in the human retina?

A

6-7 million

68
Q

How are cone cells different from rod cells in terms of vision?

A

Less sensitive to light
Specialised for colour vision in bright light

69
Q

There are 3 types of cone cells that contain variations of the visual pigment iodopsin. What are the colours they perceive?

A

Red, blue and green

70
Q

Describe cone cells.

A

Elongated with 2 segments, a connecting stalk and an accumulation of mitochondria and polyribosomes
Outer segment is more conical and discs are continuous with plasma membrane

71
Q

What is the retinal pigmented epithelium?

A

Low columnar cells with basal nuclei
Well-developed junctional complexes, gap junctions and numerous basal membrane invaginations with mitochondria
Apical processes that surround tips of photoreceptors with numerous melanin granules

72
Q

What are the functions of the retinal pigmented epithelium?

A
  1. Blood-retina barrier
  2. Absorb light
  3. Phagocytose shed components
  4. Remove free radicals
73
Q

What is the purpose of the ora serrata?

A

Creates a boundary between the neural and ciliary parts of the retina

74
Q

Why is the optic disc referred to as the blind spot?

A

Lack any photoreceptors

75
Q

What is the lamina cribosa?

A

A series of openings in the sclera that resemble a sieve that the fibres of the ganglion cell layer forming the optic nerve pass through

76
Q

What is the fovea centralis?

A

A shallow depression having only cone cells at its centre (foveola) with bipolar and ganglion cells at the periphery

77
Q

How are cone cells in the fovea centralis adapted?

A

Long and narrow that allows for closer packing and increases visual acuity

78
Q

Define the macula lutea.

A

Oval yellowish avascular area surrounding the fovea near the centre of the retina in the eye

79
Q

What is the contents of the first 5 retinal layer?

A
  1. RPE: 1 layer of melanin-rich cuboidal cells
  2. Rods and cones: photoreceptor cells in fibrillar layer
  3. ELM: line formed by junctional complexes between photoreceptors and Muller cells
  4. ONL: middle nucleated parts of photoreceptors
  5. OPL: lightly stained zone of synaptic areas between photoreceptors and bipolar cell dendrites
80
Q

What is the contents of the last 5 retinal layers?

A
  1. INL: cell bodies of bipolar cells, associated neurons and Muller cell nuclei
  2. IPL: thick synaptic area between bipolar and ganglion cells
  3. GCL: cell bodies of multipolar ganglion cells
  4. NFL: about 1 million ganglion cell axons
  5. ILM: thin basal lamina of Muller cells
81
Q

What are the functions of the 3 major parts of the ear?

A

External ear: Receive sound waves
Middle ear: sound waves are transmitted from air to fluids of the internal ear via set of small bones
Internal ear: fluid movements are transduced to nerve impulses that pass via the acoustic nerve to the CNS

82
Q

What is the auricle/pinna?

A

An irregular funnel-shaped plate of elastic cartilage, covered by tightly adherent skin, that directs sound waves into the ear

83
Q

Describe the external acoustic meatus.

A

A canal extending from the lateral surface of the head

84
Q

What is the lining epithelium of the external acoustic meatus?

A

Stratified squamous epithelium
Continuous with skin of auricle
Has hair follicles, sebaceous glands and modified apocrine sweat glands called ceruminous glands in the submucosa

85
Q

What is cerumen?

A

Oily or waxy, yellowish material that contains various proteins, saturated fatty acids and sloughed keratinocytes

86
Q

How do sounds waves transmit energy to the middle and inner ear?

A

Vibrations of an epithelial sheet called the tympanic membrane

87
Q

What is the tympanic annulus?

A

A rim of fibrocartilage that the edges of the tympanic membrane are attached to

88
Q

What are the 3 inner ear bones (auditory ossicles)?

A

Malleus, stapes and incus

89
Q

What covers the surfaces of the tympanic membrane?

A

Outer: Thin skin lacking hair follicles or glands
Inner: Simple cuboidal epithelium

90
Q

What lies between the epithelial coverings of the tympanic membrane?

A

A thin sheet of fibrous C.T. consisting mainly of collagen with fibroblasts, small blood vessels and sensory nerves

91
Q

What is the tympanic cavity?

A

An irregular, air-filled space in the middle ear between the tympanic membrane and the bony surface of the internal ear

92
Q

What is the Eustachian tube?

A

Auditory tube that allows communication between tympanic cavity and the pharynx

93
Q

What lines the tympanic cavity?

A

Simple cuboidal on a thin lamina propria that is strongly attached to the periosteum

94
Q

How does the lining of the tympanic cavity change near the opening to the Eustacian tube?

A

Becomes ciliated pseudostratified columnar epithelium

95
Q

What balances the air pressure in the middle ear?

A

The opening and closing of the auditory tube during swallowing

96
Q

What is the name of the 2 membrane-covered regions devoid of bone in the medial bony wall of the middle ear?

A

Oval and round windows

97
Q

What type of joint do the auditory ossicles articulate with?

A

Synovial

98
Q

How is the movement of the ossicles restricted to protect from damage caused by extremely loud noises?

A

Insertion of 2 small skeletal muscles into the malleus and stapes

99
Q

True or False: The stapes is attached to connective tissue of the tympanic membrane and the malleus is attached to the membrane of the oval window.

A

False, vice versa

100
Q

What is the role of the auditory ossicles?

A

Transmit mechanical vibrations of the tympanic membrane to the inner ear

101
Q

Where is the inner ear located?

A

Within the temporal bone

102
Q

What is the bony labyrinth?

A

An intricate set of of interconnected spaces in the inner ear that house a continuous fluid-filled, epithelium-lined tubes and chambers that make up the smaller membranous labyrinth

103
Q

What are the 2 divisions of the membranous labyrinth?

A

Vestibular labyrinth and cochlear labyrinth

104
Q

What is the role of the vestibular labyrinth?

A

Mediates the sense of equilibrium

105
Q

What does the vestibular labyrinth consist of?

A

2 connected sacs called the utricle and saccule, and 3 semicircular ducts arising from the utricle

106
Q

What is the role of the cochlear labyrinth?

A

Contains the receptors for hearing

107
Q

What does the cochlear labyrinth contain?

A

Cochlear duct that is connected to the saccule

108
Q

Where are the large areas of columnar sensory mechanoreceptors in the epithelial lining of the vestibular and cochlear labyrinth located?

A

Vestibular: 2 maculae of the utricle and saccule as well as 3 cristae ampullaris in the enlarged ampullary regions of the semicircular ducts
Cochlear: spiral organ of Corti in the cochlear duct

109
Q

What is the bony labyrinth filled with?

A

Perilymph

110
Q

What is the membranous labyrinth filled with?

A

Endolymph

111
Q

Define the modiolus.

A

The bony core of the cochlea that contains blood vessels and the large spiral/cochlear ganglia formed by the cochlear nerve

112
Q

What are the 3 spaces of the cochlea?

A

Scala vestibuli
Scala media (cochlear duct)
Scala tympani

113
Q

What is the helicotrema?

A

A small opening at the cochlear apex in which the scala tympani and vestibuli communicate

114
Q

True or False: The cochlear duct is filled with endolymph while the other 2 scalae are filled with perilymph.

A

True

115
Q

What separates the scala vestibuli from the cochlear duct?

A

A thin structure of a basement membrane covered by simple squamous epiuthelium called Reissner’s membrane

116
Q

What is the stria vascularis?

A

A unique epithelium consisting of cells with many deep basal infoldings with mitochondria, responsible for production and maintenance of the endolymph

117
Q

The spiral organ of Corti rests on a thick basal lamina called the basilar membrane. What are the 2 major hair cell types present?

A

Outer hair cells: 3 rows by the oval window increasing to 5 near the cochlear apex of curved row of longer stereocilia with the tallest embedded in the tectorial membrane
Inner hair cells: 1 linear array of short stereocilia

118
Q

What is the tectorial membrane?

A

An acellular layer extending over the spiral organ from the modiolus that consists of fine bundles of collagen, associated proteoglycans and other proteins

119
Q

Both of the hair cell types are innervated by afferent and efferent nerve endings but which type is more heavily innervated?

A

Inner hair cells

120
Q

What are the 2 major types of columnar supporting cells associated with hair cells?

A

Pillar cells
Phalangeal cells

121
Q

Describe pillar cells.

A

Columnar support cells
Stiffened by bundles of keratin
Outline a triangular, tunnel-like space between outer and inner hair cells

122
Q

Describe phalangeal cells.

A

Surround and directly support inner and outer hair cells by completely enclosing IHC but only the basal ends of the OHC

123
Q

What do the stereocilia of the cochlear hair cells detect?

A

Movement of the spiral organ

124
Q

What does deformation of the stereocilia during vibrations do?

A

Opens ion channels that depolarise the hair cell which causes the release of neurotransmitters that causes action potential in the terminals of the spiral ganglion neurons

125
Q

What do the receptive hair cells of the vestibular labyrinth detect?

A

Utricle and saccule: Head position with linear acceleration and gravity
Semicircular canals: Movement and responds to angular acceleration

126
Q

Describe the maculae in the walls of the utricle and saccule.

A

Small areas of columnar neuroepithelial cells containing mechanosensitive hair cells, columnar support cells with basal nuclei and nerve endings
Innervated by branches of the vestibular nerve
Sense linear acceleration and gravity

127
Q

What are the 2 types of hair cell found in the maculae of the utricle/saccule?

A

Type I: flask-shaped and innervated by cup-like afferent nerve terminal
Type II: elongated and in contact with several small punctate afferent and efferent nerve terminals

128
Q

What features do type I and II cells of the maculae in the vestibular labyrinth share?

A

A single kinocilium at the apical end of each hair cell and many rigid stereocilia

129
Q

What is the name of the thick, gelatinous layer of proteoglycans that the tips of the stereocilia and kinocilium are embedded in?

A

Otolithic membrane

130
Q

What are otoliths/otoconia?

A

Calcified structures present in the outer part of the otolithic membrane

131
Q

How many stereocilia project from the apical surface of vestibular hair cells?

A

40-80

132
Q

How do the stereocilia of the vestibular hair cells trigger a nerve impulse?

A

By bending in the direction of the kinocilium which stimulates the impulse

133
Q

What is the crista ampullaris?

A

A large ampulla in the semicircular ducts that has an elongated ridge-like area of mechanoreceptors

134
Q

What is the cupola?

A

A proteoglycan ccap-shaped layer attached to the sensory cells’ hair bundles, extending completely across the ampulla

135
Q

How is head rotation sensed by the hair cells in the semicircular ducts?

A

The movement of fluid displaces the cupola which bends the stereocilia

136
Q

What does the resting output of the hair cells in the semicircular ducts mean for impulse output?

A

Bending the stereocilia one way increases output and the other decreases it

137
Q

Describe the ultrastructure of the crista ampullaris.

A

Columnar hair cells sat in small crevised formed by the supporting cells
Apex of hair cells has a single non-motile kinocilium and many stereocilia