Hearing Flashcards

1
Q

the external and middle ear are filled with what?

A

With Air

*inner ear is filled with fuid

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2
Q

What two nerves are associate with the inner ear?

A

facial nerve, Vestibulocochlear nerve

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3
Q

Describe the process of sound transduction

A
  • Vibrations of the tympanic membrane are transmitted to the inner ear through the three auditory ossicles: the footplate of the stapes is pushed into the oval window
  • This movement displaces the fluid within the scala vestibuli, a tubular structure of the inner ear
  • The pressure wave is transmitted through the basilar membrane of the cochlea to the scala tympani
  • This causes the round window to bulge into the middle ear
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4
Q

what organ is responsible for the transduction of sounds?

A

The organ of Corti = the epithelium layer

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5
Q

What is impedence matching?

A

amplifying of pressure waves (like during whispering) up to 10-20dB- so we convert pressure waves in air to pressure waves in fluid

it depends on

– Ratio of surface area of tympanic membrane to that of the oval window

–Mechanical advantage of the lever system formed by the ossicle chain

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6
Q

Movement of what membrane below the hair cells - allows for signal transduction in the inner ear?

A

the basilar membrane moves and causes the cilia of the outer hair cells to bend- this causes a change in cation conductance in the apical ends of the hair cells - this causes a change in membrane potential

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7
Q

what are some causes of deafness?

A

conduction deafness= impaired sound transmission due to wax/foreing body or perforated typanic membrane in the external/middle ear

sensorineural deafness= loud sound, vascular lesions, drug toxicity - typically hair cells in certain parts of the cochlea are selectively damaged - diagnosed by audiometry

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8
Q

What are the Weber and Rinne tests?

A

Weber Test = evaluates lateralization - use vibrating tuning fork on top of patient’s head and ask patient where he hears it (one or both sides)- tests bone transduction - in an effected ear your overcompensating for a blockage of some sort and by bypassing air conduction and just using bone conduction, we actually hear better on effected side

Rinne Test = evaluates air and bone conduction - place base of a vibrating tuning fork on the mastoid process til patient can no longer hear sound- then quickly move tuning fork near ear canal - ask patient if he hears it and compare hearing times - if normal, air conduction should be greater than bone conduction- but if there is hearing deficiency, the bone conduction will be greater than air conduciton

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9
Q

what part of the cochlea acts as a frequence analyser?

A

the basilar membrane

it distributes the stimlus along the oran of corti so that different hair cells will respond to different frequencies of sound - high frequencies are best detected at the base, lower frequencies at the apex of the cochlea

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10
Q

the semicircular ducts are responsible for what acceloration?

A

horizontal, superior and posterior acceleration

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11
Q

what are the otolith organs responsible for?

A

utricle and the saccule are important for your linear accelerations- they contain calcium crystals that effect hair cells

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12
Q

describe the depolarization/hyperpolaization trends of the hair receptors in your inner ear

A

movement in opposite directions exibit opposite polarization effects leading to decaresed or incrased frequency of the nerve impulses - giving signal

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13
Q

What is Meniere’s Disease?

A
  • unilateral nerve deafness
  • tinnitus = ringing in affected ear
  • abnormal eye movements (nystagmus)
  • vertigo, ataxia, vomiting
  • caused by buidup of endolymph and/or reduction in blood flow to the ear
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14
Q
A
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