Auditory And Vestibular Systems Flashcards

1
Q

Function of the external ear

A

To funnel sound waves into the ear canal causing a vibration of the eardrum

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2
Q

Vibration of thr tympanic membrane causes what

A

It is magnified at the junction of the stapes it the inner ear to the cochlea and ultimately to the hair cells in the organ of corti which then go to the cochlear ganglion

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3
Q

What is the reflex involving the SON that protects the hair cells from damage and what cranial nerves are involved

A

???

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4
Q

What is the primary auditory cortex area number

A

41

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5
Q

Where is area 41 located

A

The transverse temporal gyri of heschl

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6
Q

What is the funcion of area 41

A

It is the auditory cortex responsible for the subjective experience of sound

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7
Q

What is the function of wernickes area

A

The interpretation of sound

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8
Q

Where do the central processes of the spiral ganglion neurons enter the CNS and synapse

A

The dorsal or vestibular cochlear nuclei int he dorsal and lateral rostral medulla

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9
Q

What are some of the nuclear groups involved int audition

A

The SON, nuclei of the lateral lemniscus and or the trapezoid body, and the inferior colliculus

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10
Q

How is the inferior colliculus involved in the pathway that always us to hear and interpret sounds

A

Inferior colliculus projects to the medial geniculate nucleus of the thalamus, which projects ipsilaterally to area 41 int he temporal lobe.

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11
Q

Conductive hearing loss

A

A loss in hearing due to some obstruction which prevents sound waves from reaching the cochlea

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12
Q

Sensory-neural hearing loss

A

Occurs when neurons or their processes are damaged in the PNS or CNS

Most unilateral lesions do not produce significant hearing loss

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13
Q

Unilateral lesions above the medulla which involve the auditory nuclei/pathway produce what

A

A bilateral diminution of hearing slightly more contralateral than ipsilateral but not deafness!!

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14
Q

What is the acoustic reflex

A

The way your brain prevents hair cells from being damaged in the cochlea via CN 5 and 7

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15
Q

Presbycusis

A

The accumulated loss of hair cells causing a decreased auditory acuity

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16
Q

If a patient hums and they hear better in the ear which shows damage they…

A

Have obstructive hearing loss

17
Q

If a patient hums and they hear the hum under in the “good” ear they have…

A

Sensori-neural hearing loss

18
Q

Where are the cell bodies of origin in the vestibular system

A

The vestibular ganglion

19
Q

The medial and superior vestibular nuclei send their axons where

A

To the medial longitudinal fasiculus to connect with the motor nuclei of 3,4,6

20
Q

Benign paroxysmal positional vertigo

A

The accumulation of little calcium carbonate crystals on the vestibular apparatus

21
Q

What is the maneuver associated with BPPV

A

The Epley Maneuver

22
Q

Meniere’s disease clinical triad

A

Fluctuating unilateral sensori-neural hearing loss, tinnitus, and vertigo due to an excess fluid in the inner ear

23
Q

Acoustic neuroma/vestibular neuroma

Schwannoma

A

A schwann cell tumor in the PNS that, if left unchecked, will compromise both divisions producing ipsilateral sensori-neural hearing loss, tinnitus, and vertigo

24
Q

Tumors of the cerebelopontine angle

Triad

A

Ipsilateral deafness, loss of the corneal reflex, and ataxia=the triad

Facial weakness and sensory loss may also be present ipsilaterally due tot he presence of CN 7

25
Q

What is the cerebellopontine angle

A

The zone between the middle cerebellar peduncle, cerebellum, and caudal pons/upper medulla

26
Q

Significant bilateral hearing loss affecting the cochlear and vestibular systems can occur because of what particular drugs

A

Aminoglycoside antibiotics