Auditory and Vestibular System Flashcards

1
Q

Compare endolymph to perilymph in terms of potassium concentration, which end of hair cells it contacts, and where it is found

A

Endolymph — potassium-RICH fluid filling cochlear duct and membranous labyrinth; bathes APICAL end of hair cells. Found in SCALA MEDIA.

Perilymph — potassium-POOR fluid filling bony labyrinth; bathes BASAL end of cochlear hair cells. Found in SCALA VESTIBULI and SCALA TYMPANI.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

In terms of regions of the basilar membrane and position of oval window vs. helicotrema, where are high frequency vs. low frequency sounds registered?

A

High frequency sounds = near oval window, where basilar membrane is narrow and stiff

Low frequency sounds = near helicotrema where basilar membrane is wide and flexible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Hair cells are mechanoreceptors that are stiff, graded in size, and rich in actin. Stereocilia exist on their ___ surface, while neural synapses are on the ______ surface

A

Apical; basal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Following deflection of stereocilia, ____ ions enter the cell from endolymph and depolarize it.

A

K+

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Following deflection of stereocilia, K+ ions enter the cell from endolymph and depolarize it.

The electrochemical gradient driving this results from what 2 factors?

A

Large endolymphatic potential (K+ concentration gradient)

Large electrical gradient (scala media has high positive charge)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Deflection of stereocilia causes depolarization, release of NT _______ and generation of APs in CN 8. Stereocilia are linked together and deflect as a bundle. Deflection toward the tallest stereocilia causes _____ while deflection in the opposite direction causes _____

A

Glutamate; depolarization; hyperpolarization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the ion channels in the hair cells that allow K+ in to initiate depolarization?

A

TRPA1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Activation of TRPA1 and influx of K+ allows voltage gated ____ channels to open which is what triggers release of _____ at the postsynaptic cell, a spiral ganglion neurite

A

Ca; glutamate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What structure maintains the electrochemical properties of the endolymph?

A

Stria vascularis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Difference in function between inner hair cells vs. outer hair cells of basilar membrane

A

Inner hair cells = type I afferents; primary source of auditory info (transmission)

Outer hair cells = type II afferents; amplification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

In terms of hair cell innervation, hair cells receive afferent innervation from the ____ _____ and efferent innervation from the _____ ____ ____

A

Spiral ganglia; superior olivary complex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Function of dorsal cochlear nuclei

A

Determine location of sound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Function of ventral cochlear nuclei

A

Determine nature of sound (high vs. low frequency)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Function of medial superior olivary nucleus (primary nucleus of superior olivary complex)

A

Difference in TIME of arrival to ears

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Function of lateral superior olivary nucleus

A

Differences in INTENSITY

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Function of superior colliculus vs. inferior colliculus

A

SC: takes location data from IC and adds final dimension (vertical height) to create spatial map of sounds location

IC: Suppresses info related to echoes, which would interfere with localization and arrives at a final estimation of localization of sound along horizon

17
Q

Function of primary auditory cortex (A1) vs. association (A2)cortex

A

A1 = Beginning to interpret sound

A2 = processing complex sounds, name sounds, speech undulations

18
Q

First site in brainstem where information from both ears converges

A

Superior olivary complex

19
Q

Relay station in auditory pathway located in the thalamus, allows processing of speech inflections

A

Medial geniculate nucleus

20
Q

In the tonotopic map of the primary auditory cortex, more rostral areas are activated by ____ frequencies while more caudal areas respond to _____ frequencies

A

Low; higher

21
Q

3 types of efferent input to the auditory system

A

Olivocochlear efferents
Middle ear muscle motor neurons
Autonomic innervation of inner ear

22
Q

Olivocochlear efferents originate in the superior olivary complex

Medial OC neurons innervate ____ hair cells while lateral OC neurons innervate ____hair cells

The main function of these efferents is ______

A

Outer; inner

Protective

[shifts responses to higher sound levels]

23
Q

Function of middle ear efferents

A

Tensor tympani to the malleus (from CN V)

Stapedius to the stapes (from CN VII)

May prevent damage and prevent low frequency masking which improves speech discrimination

24
Q

What are otoacoustic emissions? What are their clinical importance?

A

The ear can emit sound — either spontaneous or evoked. Spontaneous occur in 1/3 of people and evoked are used to test for hearing loss

Clinically important for newborn hearing screen, tinnitus, and ototoxicity

25
Type of hearing loss caused by damage to hair cells or nerve fibers or both
Sensorineural hearing loss [caused by noise damage, ototoxic drugs, age]
26
Which type of hair cells are more susceptible to injury in terms of sensorineural hearing loss? Which area of the cochlea is more susceptible?
Outer hair cells Base (high frequency) of cochlea is more susceptible
27
What structures detect rotational acceleration vs. forward/backward linear acceleration vs. vertical linear acceleration?
Rotational acceleration (horizontal, anterior, posterior) = semicircular canals Horizontal linear acceleration = utricle Vertical linear acceleration = saccule
28
Rotation in the horizontal plane is best detected by what ear structure?
Horizontal semicircular canal
29
Rotation in the vertical plane backwards maximally activates what ear structure?
Posterior semicircular canal
30
Rotation in the vertical plane forwards maximally activates what ear structure?
Anterior semicircular canal
31
Regardless of which direction we fall, our reflexes are designed to keep out eyes on the _______
Horizon [while rotating, our eyes rotate horizontally, if you fall forward your eyes move up, if you fall backward your eyes move down]
32
When the horizontal semicircular canal is active, the ipsilateral _____ m. is activated while the ipsilateral ______ m. is inhibited
Medial rectus; lateral rectus
33
When the posterior semicircular canal is activated, the _____m. is activated while the ____ m. is inhibited so that the eyes move down to continue to focus on a point as you fall backwards
Superior oblique; inferior oblique
34
When the anterior semicircular canal is activated, the ____ m. is activated and the _____ m. is inhibited so that the eyes move up to continue to focus as you fall forward
Superior rectus; inferior rectus
35
________ resides inside the vestibular apparatus (in the membranous labyrinth) _______ surrounds the vestibular apparatus (in the bony labyrinth)
Endolymph (high [K+]) Perilymph (high [Na+])
36
The vast majority of the cortical and cerebellar involvement of the vestibulooptic reflexes is to _____ the reflex to allow for voluntary motion
Suppress