The Ear Flashcards

(39 cards)

1
Q

what makes up the inner ear

A

cochlea and vestibular apparatus

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2
Q

what is Meniere’s disease

A

where theres too much fluid in the cochlea and vestibules giving the felling of spinning, that the ear is full and some hearing loss

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3
Q

what is benign paroxysmal positional vertigo

A

where there are short burst of vertigo due to crystals in the vestibular apparatus causing the fluid to move

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4
Q

what is sensorineural hearing loss

A

where there are problems in the inner ear, vestibulocochlea nerve of brain causing hearing loss

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5
Q

describe how vibrations are transmitted in the inner ear

A

the stapes transmits vibrations to the oval window causing fluid in the duct to move. this is sensed by the stereo cilia which then generate action potentials through CN VIII

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6
Q

what makes up the external ear

A

the pinna, external auditory meatus and lateral surface of the tympani membrane

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7
Q

what is the function of the eternal ear

A

collect the vibration and transmit and focus them down the meatus to the tympani membrane

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8
Q

describe the structure of the external auditory meatus

A

the outer 1/3 is cartilaginous and contains glands to produce wax and hair cells
the inner 2/3 is bony, through the temporal bone

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9
Q

what is ramsey-hunt syndrome

A

where there is reactivation of the chicken pox virus from the ganglia of the facial nerve causing vesicles in the external ear

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10
Q

what is pinna haematoma

A

where there is accumulation of blood between the cartilage and perichondrium of the pinna

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11
Q

what is the effect of pinna haematoma

A

the blood supply to the cartilage is from the perichondrium so can get avascular necrosis - this leads to fibrosis of the cartilage giving ‘cauliflower ears’

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12
Q

what do you treat a pinna haematoma

A

drain the blood and reposition the 2 layers

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13
Q

what is otitis externa

A

inflammation of the external auditory meatus

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14
Q

what makes up the inner ear

A

the 3 ossicles and the air filled space

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15
Q

what are the 3 ossicles called

A

malleus, incus and stapes

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16
Q

what do the ossicles do

A

transmit vibrations from the tympani membrane to the oval window of the cochlea (from an air to fluid medium)

17
Q

what muscles are involved if the noises are too loud

A

contractions of tensor tympani and stapedius mean the the excessive vibrations don’t damage the ear

18
Q

why can you become hypersensitive to loud noises with facial nerve problems

A

the facial nerve supplies tensor tympani and stapedius which dampen the effects of loud noises

19
Q

what does the Eustachian tube do

A

allows for drainage of mucus

equilibrates the pressure of the middle ear with the atmosphere

20
Q

what would happen is the Eustachian tube was blocked

A

the mucosa in the middle ear cavity would absorb the air creating a negative pressure - retracting the tympani membrane
there would also be no drainage of mucus produced

21
Q

what is otosclerosis

A

fusion of the ossicles so vibrations won’t be transmitted causing deafness

22
Q

what is Otitis media with effusion

A

where there is a blockage of the Eustachian tube causing a build up of negative pressure and fluid

23
Q

how will the tympani membrane look in Otitis media with effusion

A

it will be retracted

24
Q

what is acute otitis media

A

middle ear infection causing the build up of exudate in the middle ear cavity

25
what will the tympani membrane look like in acute otitis media
it will be bulging and could potentially be ruptured
26
what is mastoiditis
where a middle ear infection spreads to the air filled mastoid cells
27
what does mastoiditis look like
red, bulging mastoid process, pushing the ear forward
28
where could the infection spread in mastoiditis
venous structures and the brain
29
what is cholesteatoma
abnormal growth of skin in the middle ear
30
what is the symptom of cholesteatoma
foul smelling ear discharge
31
describe Rinne's test
tap the tuning fork and place on mastoid process | repeat but then place over the ear
32
describe Weber's test
tap the tuning fork and place on top of the head
33
with normal hearing what results would you expect in Rinne's test
hearing the fork better when placed over the ear - as conduction through air is better then through bone
34
with normal hearing what results would you expect in Weber's test
both ear would hear the noise equally
35
in sensorineural hearing loss what would you expect in Rinne's test
the noise to be best heard over the ear
36
in sensorineural hearing loss what would you expect in Webers test
in the unaffected ear
37
in conductive hearing loss what would you expect in Rinne's test
best heard when placed over the bone
38
in conductive hearing loss what would you expect in Weber's test
best heard in the affected ear
39
what is conductive hearing loss
hearing loss which is cause by problems in the outer and middle ear