Auditory System and Function Quiz

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Questions and Answers

What is the primary function of inner hair cells in the auditory system?

  • Providing a barrier against loud noises
  • Distorting higher sound levels
  • Transmission of sound information to the brain (correct)
  • Amplification of sound

Damage to outer hair cells results in total hearing loss.

False (B)

What are Otoacoustic Emissions (OAE's) a sign of?

Cochlear health

The __________ causes stereocilia deflection towards the limbus and hyperpolarization of the hair cell.

<p>compression stimulus</p> Signup and view all the answers

Match the components of the vestibular apparatus with their descriptions:

<p>Utricle = Detects horizontal movement Saccule = Detects vertical movement Semicircular canals = Detects rotational movement</p> Signup and view all the answers

What is the primary role of the vestibular system?

<p>Maintaining balance and perceiving head movement (C)</p> Signup and view all the answers

The pinna enhances low-frequency sounds more effectively than high-frequency sounds.

<p>False (B)</p> Signup and view all the answers

What is the purpose of the tympanic membrane in the middle ear?

<p>It serves as a barrier and aids in sound transmission.</p> Signup and view all the answers

The EAM is an acoustic resonator with peak resonance between _____ Hz.

<p>3000 to 4000</p> Signup and view all the answers

Match the following structures with their functions:

<p>Pinna = Enhances high-frequency sounds Temporal Bone = Protects auditory structures EAM = Conducts sound to the tympanic membrane Tympanic Membrane = Transmits sound vibrations</p> Signup and view all the answers

Which cranial nerves innervate the External Auditory Meatus?

<p>5th (Trigeminal), 7th (Facial), and 9th (Glossopharyngeal) (A)</p> Signup and view all the answers

The head shadow effect aids in sound localization.

<p>True (A)</p> Signup and view all the answers

The ______ area of the tympanic membrane is the most elastic portion.

<p>Pars Flaccida</p> Signup and view all the answers

What typically happens if outer hair cells (OHCs) are damaged?

<p>OAE's are absent (D)</p> Signup and view all the answers

Otoacoustic emissions (OAE's) reflect neural function.

<p>False (B)</p> Signup and view all the answers

What is the primary role of inner hair cells (IHC's) in the auditory system?

<p>Transduction and coding of high intensity acoustic signals</p> Signup and view all the answers

The cochlear microphonic mimics the ______ of a sound stimulus.

<p>stimulus</p> Signup and view all the answers

Which type of auditory nerve fibers connects to inner hair cells (IHC's)?

<p>Type 1 fibers (A)</p> Signup and view all the answers

Match the components of the balance system to their descriptions:

<p>Vision = Detects visual orientation and movement Inner ear = Contains structures for balance Cerebellum = Integrates balance information Musculature = Provides physical support and motion control</p> Signup and view all the answers

The cochlear nucleus is located in the brain's cortex.

<p>False (B)</p> Signup and view all the answers

The membranous structure of the vestibular system is secured to the bony labyrinth by ______.

<p>connective tissue</p> Signup and view all the answers

What is the primary role of outer hair cells (OHCs) in the cochlea?

<p>Cochlear amplification and sharpening sound clarity (A)</p> Signup and view all the answers

Positive acoustic decay indicates a good condition of the auditory system.

<p>False (B)</p> Signup and view all the answers

What fluid is found in the scala media?

<p>Endolymph</p> Signup and view all the answers

The ___ is the bony structure that protects the area between the oval and round window.

<p>promontory</p> Signup and view all the answers

Which nerve innervates the stapedius muscle?

<p>Facial nerve (CN 7) (B)</p> Signup and view all the answers

Match the inner ear structures with their functions:

<p>OHCs = Cochlear amplification IHCs = Sound encoding to the brain Basilar membrane = Supports the Organ of Corti Stria vascularis = Maintains electrical potential</p> Signup and view all the answers

Potassium entering the hair cells leads to hyperpolarization of the cells.

<p>False (B)</p> Signup and view all the answers

The inner ear contains ___ fluid in the scala vestibuli.

<p>perilymph</p> Signup and view all the answers

What structure divides the cochlea into three ducts?

<p>Basilar and Reissner's membranes</p> Signup and view all the answers

Which of the following structures are part of the first group of specialized sensory receptors?

<p>Semicircular canals (B)</p> Signup and view all the answers

The two horizontal semicircular canals are arranged in orthogonal planes.

<p>False (B)</p> Signup and view all the answers

What are the two otolithic organs?

<p>Utricular macula and Saccular macula</p> Signup and view all the answers

The hair cells in the ampulla are located on a mound of supporting cells called the ______.

<p>crista ampullaris</p> Signup and view all the answers

What is the hearing conservation program monitored for?

<p>Noise exposure levels above 85 decibels (A)</p> Signup and view all the answers

Increased stress from noise exposure can lead to cardiovascular disease.

<p>True (A)</p> Signup and view all the answers

Match the following semicircular canals with their pairs:

<p>Right horizontal SCC = Left horizontal SCC Right superior SCC = Left posterior SCC Right posterior SCC = Left superior SCC</p> Signup and view all the answers

List two mental impacts of noise exposure.

<p>Sense of isolation and Annoyance</p> Signup and view all the answers

What is the required dB range for noise exposure measurement in the workplace?

<p>80 dB to 130 dB (C)</p> Signup and view all the answers

Employers must repeat monitoring whenever there are changes in production, process, or controls that decrease noise exposure.

<p>False (B)</p> Signup and view all the answers

What are the two types of audiograms required in the hearing conservation program?

<p>baseline and annual audiograms</p> Signup and view all the answers

A sound source needs to have _____ and elasticity to produce sound.

<p>mass</p> Signup and view all the answers

Match the terms with their definitions:

<p>Mass = The amount of matter in a substance Weight = Gravitational force exerted on a mass Elasticity = Ability to resist change in shape and volume Sound Intensity = Amount of energy transmitted per second over an area</p> Signup and view all the answers

What must be included in the audiometric testing program mandated by employers?

<p>Baseline audiograms (C)</p> Signup and view all the answers

A Standard Threshold Shift (STS) is defined as a shift of 10 dB or more at frequencies of 500, 1000, and 2000 hertz.

<p>False (B)</p> Signup and view all the answers

What is the Hearing Level Threshold?

<p>The lowest intensity at each frequency that a person with normal hearing can be expected to hear 50% of the time.</p> Signup and view all the answers

Flashcards

Vestibular System

It's the ability to perceive changes in head movement, like acceleration and deceleration, as well as the head's orientation relative to gravity.

Temporal Bone

This bone houses and protects most of the hearing system's components, including the outer, middle, and inner ears, as well as the 7th and 8th cranial nerves.

Pinna

It's like a funnel, collecting sound waves and slightly amplifying frequencies around 5 kHz.

Pinna Effect

This means higher frequencies are collected more effectively due to the ear's ridges and grooves.

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Head Shadow

This effect happens because your head blocks sound waves reaching the ear on the opposite side, making it quieter.

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External Auditory Meatus (EAM)

It's about 2.5-3 cm long and 0.75 cm wide, starting at the concha and ending at the eardrum.

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Tympanic Membrane

It's the eardrum, a thin membrane that vibrates when sound waves hit it.

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Middle Ear

This is the air-filled space in the middle ear that changes how low-frequency sounds travel.

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Rarefaction in the ear

Sound waves entering the ear cause the basilar membrane to move upwards, resulting in hair cell depolarization.

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Compression in the ear

Sound waves entering the ear cause the basilar membrane to move downwards, resulting in hair cell hyperpolarization.

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Otoacoustic Emissions (OAE's)

The inner ear generates sounds in response to sound stimuli. They indicate a healthy cochlea and can be spontaneous or triggered.

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Inner Hair Cells (IHC)

When damaged, this structure impairs the transmission of sound information to the brain, causing significant hearing loss.

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Outer Hair Cells (OHC)

When damaged, this structure affects sound amplification, leading to reduced sensitivity to quieter sounds and potential distortion.

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Acoustic Reflex Threshold

Normal Acoustic Reflex threshold is initiated at 70-90 dB HL at 500 Hz, 1KHz, and 2KHz.

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Acoustic Reflex: Bilateral Stimulation

The acoustic reflex is strongest when both ears are stimulated simultaneously.

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Acoustic Decay

Acoustic Decay refers to the decay of the acoustic reflex over time. A positive decay can indicate a retrocochlear lesion (tumor or pathology behind the cochlea).

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Stapedius and Tensor Tympani Muscles

The stapedius muscle is innervated by the facial nerve (CN VII), while the tensor tympani muscle is innervated by the trigeminal nerve (CN V).

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Cochlea Structure

The cochlea is a bony snail-shaped structure with 2.2-2.9 turns. It is located in the petrous part of the temporal bone. It contains two fluids: endolymph and perilymph, and three membranes: basilar, tectorial, and Reissner's.

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Cochlea Ducts

The basilar membrane and Reissner's membrane divide the cochlea into three ducts: Scala Vestibuli, Scala Media, and Scala Tympani.

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Cochlea Frequency Processing

The basal portion of the cochlea is responsible for processing high frequencies (HFs). It is narrow and stiff. The apical portion of the cochlea is responsible for processing low frequencies (LFs). It is wide and less stiff.

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Cochlea: Promontory

The promontory is a bony structure between the oval and round windows that provides protection. It is where the stapes footplate connects to the oval window.

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Scala Vestibuli

The scala vestibuli is the upper duct filled with perilymph. It is connected to the oval window and the stapes footplate.

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Scala Media

The scala media is the middle duct filled with endolymph. It houses the Organ of Corti, the sensory organ of hearing.

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OHC Motility

The ability of the outer hair cells (OHCs) to change their length in response to sound, which amplifies sound signals and improves hearing sensitivity.

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Absent OAEs

When OAEs are absent, it indicates damage to the outer hair cells, which are crucial for hearing.

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Summating Potential

A type of electrical potential recorded from the cochlea that is a direct current potential generated by hair cells.

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Tonotopic Organization

The organized arrangement of neurons within the auditory pathway, where neurons responding to specific sound frequencies are located in specific areas.

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Balance System

A system that integrates information from the vestibular, visual, and somatosensory systems to maintain balance and spatial orientation

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Cochlear Microphonic

A type of electrical potential recorded from the cochlea that reflects the summed activity of hair cells along the basilar membrane in response to sound.

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Hearing Level Threshold

The minimal sound intensity a person with normal hearing can detect 50% of the time for each frequency.

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Sound Intensity

The amount of energy transmitted per second through one square meter of area.

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Elasticity

The ability of an object to resist changes in shape and volume.

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Weight

The gravitational force exerted on an object's mass by planets like Earth, Mars, or the moon.

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Mass

The amount of matter in a substance.

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Sound pressure change

A change in sound pressure over time.

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Significant Threshold Shift (STS)

An average shift of 10 dB or more in either ear at frequencies of 2,000, 3,000, and 4,000 Hertz.

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Baseline Audiogram

A hearing test done when an employee starts a job, to establish their baseline hearing ability.

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Semicircular Canals

Three bony loops in the inner ear that detect head rotation. They are called the horizontal, posterior, and superior canals.

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Ampulla

A rounded, fluid-filled bulge at the end of each semicircular canal. It contains sensory hair cells that detect rotational movement.

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Otolithic Organs

Specialized sensory structures in the inner ear responsible for detecting linear acceleration and gravity. There are two types: utricular and saccular maculae.

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Cupula

The gelatinous membrane covering the hair cells in the ampulla. It helps to detect rotational movement by bending the hair cells.

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Crista Ampullaris

A structure in the ampulla containing hair cells that detect head rotation. It is located on a mound of supporting cells.

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Hair Cells

Sensory hair cells that contribute to the vestibular system's functions. They are located in the ampulla and otolithic organs.

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Paired Semicircular Canals

These are the 3 semicircular canals on one side of the head are paired with the 3 canals on the other side, but in a mirror image. For example, the right horizontal canal is paired with the left horizontal canal.

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Paired Otolithic Organs

Similar to the paired semicircular canals, the otolithic organs (utricular and saccular maculae) also function in pairs to sense linear acceleration and gravity. This arrangement helps maintain balance and stability.

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Study Notes

Anatomy and Physiology of the Auditory and Vestibular Systems

  • Hearing is a result of the peripheral and central nervous systems working together
  • The vestibular system is responsible for perceiving changes in head movement and maintaining balance
  • The temporal bone supports and protects the structures of the auditory periphery, including the outer, middle, and inner ears, as well as cranial nerves 7 and 8.

Outer Ear

  • The pinna has a funnel effect, enhancing frequencies around 5 kHz.
  • The pinna effect collects higher frequencies more efficiently due to its ridges and recesses.
  • The head shadow effect is a directional auditory effect where sounds presented to one side of the head will be louder in that ear, while the opposite ear has a reduced intensity due to the head's interference.
  • The outer ear aids sound localization by creating complex sound resonance which changes as the sound source location changes.

External Auditory Meatus/ Ear Canal

  • The ear canal is 2.5-3 cm in length and 0.75 cm in diameter.
  • It is lined with epidermis, contains hair follicles, and glands that produce cerumen. This canal is innervated by the trigeminal (5th), facial (7th), and glossopharyngeal (9th) cranial nerves
  • The canal acts as an acoustic resonator, with a peak resonance around 3000-4000 Hz.

Middle Ear

  • The middle ear is an air-filled cavity acting as a filter altering the transmission of some low-frequency sounds.

Tympanic Membrane

  • The tympanic membrane is 8-10 mm in diameter and made of three layers (epidermal, fibrous, and membranous).
  • The fibrous layer includes the Pars Tensa (stiffer area) and Pars Flaccida (more elastic).
  • An annular ligament lines the rim of the membrane anchoring it to the ear canal wall.
  • The umbo is located in the center of the membrane, marking the attachment point for the malleus.

Ossicular Chain

  • The ossicular chain transmits vibrations from the eardrum to the cochlea, dampening high-intensity sounds and stabilizing middle ear transmission.
  • The chain consists of malleus, incus, and stapes.
  • The eustachian tube balances air pressure within the middle ear by opening the mouth or swallowing, helping to direct fluid from the nose or mouth.

Transformer Action

  • Sound travels through the air from a low impedance to a high impedance (fluid-filled cochlea).
  • To allow for an efficient transmission, there are three key mechanisms: Area ratio between the tympanic membrane and stapes footplate, lever advantage of the middle ear bones, and the way the malleus and incus interact, and the way the malleus and incus interact.

Acoustic Reflex

  • It diminishes the high-intensity sounds to protect the inner ear, accomplished by the contraction of the stapedius muscle.
  • The reflex is activated by sounds with intensities above 70-90 dB HL from 500, 1000, and 2000 Hz.

Inner Ear

  • The cochlea is a bony, snail-shaped structure with 2.2-2.9 turns.
  • It is located in the petrous portion of the temporal bone.
  • Fluid within the cochlea includes endolymph and perilymph.
  • Membranes (basilar, tectorial, and Reissner's) divide the cochlea into three ducts (vestibular, middle, and tympanic).
  • The helicotrema is where the scala vestibuli and tympani communicate.

Cochlear Potentials

  • Endocochlear/ resting potential.
  • Cochlear microphonic is the summation of hair cell responses, mimicking the stimulus.
  • Summating potential represents a direct current generated by hair cells.

Auditory Nerve

  • The auditory nerve (CN VIII) connects the cochlea with the brainstem's cochlear nucleus via the auditory pathway, starting from the cochlea.
  • One component of type 1 fibers connects with IHCs (90%) and type 2 fibers with OHCs.
  • Tonotopic organization specifies the frequency sensitivity of a neuronal position.

Balance System

  • The balance system involves multiple sensory systems.
  • The relevant systems include the vestibular system (inner ear), visual system, somatic sensory/ proprioceptive system, and cerebellum, information integrated in the brain stem and affected by the cerebral cortex.

Otoacoustic Emissions (OAEs)

  • OAEs are sounds generated by the inner ear, a sign of cochlear health.
  • OHCs are linked to OAE production, and their damage often results in the absence of OAEs.
  • They are tested by measuring their intensity range.

Cochlear Implants

  • Cochlear implants bypass disordered cochlear hair cells.
  • They use electrical stimulation to stimulate the auditory nerve directly.
  • The electrodes are placed in the scala tympani.
  • There are 12-22 electrodes in the array.
  • The electrodes are designed based on frequency and speech understanding are paramount.

Hearing Aids vs Cochlear Implants

  • The benefit of cochlear implants is mainly hearing and speech perception skill enhancement, improvement in lip-reading, improvement in speech production, and improvement in speech comprehension.
  • Hearing impairments are non-surgical, using acoustic energy to mechanically stimulate the sensory hair cells.
  • Cochlear implants are surgical, using electrical impulses to directly stimulate the auditory nerve and bypass disordered cochlear cells.

Cochlear Implant Processing Strategy

  • The input signal is converted to an electrical code that uses frequency, temporal, and amplitude cues for optimal speech perception representation, and to account for variable listening situations.

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