Auditory and Vestibular System ppt 26 Flashcards

1
Q

What are the anatomical components of the middle ear?

A

Auditory ossicles:Transmit and amplify vibrations from tympanic membrane to oval window.

Auditory (eustachian) tube:Equalizes air pressure on both sides of tympanic membrane.

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2
Q

What are the anatomical components of the internal ear?

A

Cochlea: Contains a series of fluids, channels, and membranes that transmit vibrations to spiral organ (organ of Corti), the organ of hearing; hair cells in spiral organ produce receptor potentials, which elicit nerve impulses in cochlear branch of vestibulocochlear (VIII) nerve.

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3
Q

What is the mechanism of sounds conduction

A

mechanical movement of stereocillia causes depolarization of hair cells.

a downward displacement causes hyperpolarization

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4
Q

What is the auditory pathway?

A

Cochlear nerve–> cerebellopontine angle (lateral pons)–> superior olivaery, trapezoid, l. lemmiscus, inf. colliculus, medial geniculate body, super temporal gyrus

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5
Q

What is the tympanic reflex?

A

Tensor tympani and stapedius muscles cause the malleus be pulled inward

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6
Q

What is the issue with a Eustachian tube dysfunction?

A

altered pressure= TM stretch= pain

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7
Q

What is a conduction deafness hearing defect?

A

interruption of the passage of sound waves through the external or middle ear

Obstruction
Ostoclerosis
Otitis Media (inflammation)
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8
Q

What is a nerve deafness hearing defect?

A

Disease of the cochlea, cochlear nerve, or central auditory pathway (acoustic neuroma)

Presbycusis (aging. most common cause of hearing loss)
Acoustic Neuroma

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9
Q

Weber Test

A

Tunning fork top head

unilateral louder sound sound:
conduction-bad ear
sensorineural- good ear

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10
Q

Rinne Test

A

A>B

air/ bone conduction

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11
Q

Schwabach Test

A

compares bone conduction to a normal person

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12
Q

What are the anatomical components of the vestibular apparatus?

A
Semicircular ducts.
Otolithic Organs (saccule and utricle)
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13
Q

What is the function of the semilunar ducts?

A

Contain crustal (hair cells) that respond to rotational Acceleration and declaration of movement,

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14
Q

What is the function of the utricle?

A

horizontal acceleration

static equilibrium in relation to the force of gravity. most sen. when head is up right

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15
Q

What is the function of the saccule?

A

vertical acceleration

static equilibrium in relation to the force of gravity. most sen. when head is horizontal

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16
Q

What kind of crystals lie atop hair cells in the otolithic organs?

A

Calcium Carbonate crystals called otoconia

17
Q

What are the fluids of the labyrinth?

A

Perilymph-Extracellular fluid:communicates with subarachnoid via aqueduct

Endolymph-Intrecellular fluid: recreated by the stria

18
Q

What is the role of vestibular apparatus in posture?

A
  • maintenance of equilibrium & balance.
  • hair cells in vestibular apparatus activates VIII.
  • Sensory fibers transmit impulses to cerebellum
19
Q

What is the 3 neuron arc in the VOR

A

oculomotor nuclei, vestibular nuclei, and vestibular ganglion.

20
Q

Caloric Nystagmus

A

Mnemonic COWS Cold, Opposite; Warm, Same

watch vide

21
Q

Internuclear opthalmoplegia

A

definite in adduction and contralateral abducting nystagmus

horizontal diplopia
trouble tracking fast objects

watch video: https://www.youtube.com/watch?v=MWJz75R01s4

22
Q

Motion sickness

A

caused by stimulation of the semicircular canals during motion,

ntihistamines that affect the neural pathways from the vestibule.

23
Q

Meniere Disease

A

an inner ear disease associated with an increase in endolymphatic fluid pressure. Characterized by episodic attacks of vertigo, tinnitus, hearing loss, horizontal nystagmus

24
Q

Tinnitus

A
  • noises such as ringing, clicking, whistling, or booming in the ears.
  • disorders in the middle or inner ear
25
Q

Vertigo

A
  • sensation of turning or rotation
  • nausea, vomiting, and gait ataxia.

-lesions that affect the labyrinth of the inner ear or the vestibular division of CN VIII.