Overview of Special Senses and the Eye

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Questions and Answers

Which artery is primarily responsible for the arterial supply to the eye?

  • Maxillary artery
  • Ophthalmic artery (correct)
  • Central retinal artery
  • Internal carotid artery

What is a potential consequence of central retinal artery occlusion (CRAO)?

  • Hearing loss
  • Blindness (correct)
  • Nausea
  • Facial paralysis

Which veins are responsible for the venous drainage of the eye?

  • Central retinal veins
  • Jugular veins
  • Superior and inferior ophthalmic veins (correct)
  • Facial veins

Which nerve is NOT primarily responsible for the extra-ocular muscles of the eye?

<p>Optic nerve [II] (B)</p> Signup and view all the answers

Which part of the ear is responsible for both hearing and balance?

<p>Inner ear (D)</p> Signup and view all the answers

What component is NOT part of the external ear?

<p>Tympanic membrane (C)</p> Signup and view all the answers

Which intrinsic muscles of the auricle are responsible for changing its shape?

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

What describes the shape of the external acoustic meatus?

<p>S-shaped (A)</p> Signup and view all the answers

What type of nerve fibers innervate the circular fibers of the pupil?

<p>Parasympathetic nerve fibers (D)</p> Signup and view all the answers

What is the function of the aqueous humor in the eye?

<p>To maintain intra-ocular pressure (B)</p> Signup and view all the answers

Which part of the retina is sensitive to light?

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

What condition results from increased intra-ocular pressure due to issues with aqueous humor?

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

What is the main symptom of cataract?

<p>Gradual, painless vision blurring (D)</p> Signup and view all the answers

Which structure does the lens attach to via zonular fibers?

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

What is the primary function of the pharyngotympanic tube?

<p>To equalize pressure on both sides of the tympanic membrane (B)</p> Signup and view all the answers

Which part of the pharyngotympanic tube is primarily bony?

<p>One-third bony part (B)</p> Signup and view all the answers

What part of the eye is described as the 'blind spot'?

<p>Optic disc (D)</p> Signup and view all the answers

Which chambers of the eye contain aqueous humor?

<p>Anterior and posterior chambers (D)</p> Signup and view all the answers

What does the tensor tympani muscle do in response to loud noises?

<p>Pulls the handle of the malleus medially (A), Tenses the tympanic membrane (D)</p> Signup and view all the answers

What structure connects the bony labyrinth to the cranial fossa?

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

How many synovial joints are present between the auditory ossicles?

<p>Two (D)</p> Signup and view all the answers

Which cranial nerve innervates the stapedius muscle?

<p>Facial nerve [VII] (D)</p> Signup and view all the answers

How many times does the cochlea wrap around its central bony column, known as the modiolus?

<p>2.5 times (D)</p> Signup and view all the answers

Which of the following accurately describes a feature of the vestibule?

<p>Contains the oval window (B)</p> Signup and view all the answers

Which part of the eye is responsible for refracting light as it enters the eye?

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

What structure is found in the middle vascular layer of the eyeball?

<p>Ciliary Body (C)</p> Signup and view all the answers

What is the shape and approximate size of the tympanic membrane?

<p>Oval and approximately 1 cm in diameter (B)</p> Signup and view all the answers

Which of the following correctly describes a function of the ciliary body?

<p>Suspension of the lens (B)</p> Signup and view all the answers

Which part of the tympanic membrane is known for being thick and taut?

<p>Pars tensa (D)</p> Signup and view all the answers

What component of the eye is known as the 'white of the eye'?

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

The part of the eye that lacks blood vessels and can be replaced easily is the:

<p>Cornea (D)</p> Signup and view all the answers

What technique is recommended for better examination of the tympanic membrane with an otoscope?

<p>Pulling the auricle superiorly, posteriorly, and slightly laterally (C)</p> Signup and view all the answers

What feature forms the convexity on the internal surface of the tympanic membrane?

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

Astigmatism is primarily caused by irregular curvature of which part of the eye?

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

Which structure contains smooth muscle fibers that control lens accommodation?

<p>Ciliary Body (C)</p> Signup and view all the answers

Which wall of the middle ear is adjacent to the tympanic membrane?

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

What feature is located in the posterior wall of the middle ear?

<p>Aditus to mastoid antrum (B)</p> Signup and view all the answers

In the structure of the eyeball, what is the role of the zonular fibers?

<p>To insert into the lens and suspend it (A)</p> Signup and view all the answers

Which part of the middle ear opens into the pharyngotympanic tube?

<p>Tympanic cavity (C)</p> Signup and view all the answers

What feature is associated with the medial wall of the middle ear?

<p>Round window (D)</p> Signup and view all the answers

What is the primary function of the vitreous humor in the eye?

<p>To maintain the round shape of the eye (B)</p> Signup and view all the answers

Which extra-ocular muscle is responsible for raising the upper eyelid?

<p>Levator palpebrae superioris (D)</p> Signup and view all the answers

What can be a potential consequence of paralysis of the levator palpebrae superioris?

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

Which nerve innervates the lateral rectus muscle?

<p>Abducent nerve (VI) (C)</p> Signup and view all the answers

Which extra-ocular muscle aids in directing the pupil downwards and outwards?

<p>Superior oblique (C)</p> Signup and view all the answers

What is the primary function of the lacrimal gland?

<p>Secretion of lacrimal fluid (B)</p> Signup and view all the answers

What condition can result from extra-ocular muscle weakness?

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

Which path does the lacrimal fluid take after being secreted by the lacrimal gland?

<p>From lacrimal sac to nasal cavity (C)</p> Signup and view all the answers

Flashcards

Eyeball Components

The eyeball is composed of two main parts: a wall and internal components.

Eye Wall Layers

The eyeball wall consists of three layers: outer fibrous, middle vascular, and inner retinal layers.

Fibrous Layer Parts

The outer fibrous layer includes the sclera, which maintains eyeball shape, and the transparent cornea, which refracts light.

Vascular Layer Parts

The middle vascular layer comprises the choroid, ciliary body, and iris.

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Ciliary Body Function

The ciliary body suspends the lens, accommodates it for focusing, and produces aqueous humor.

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Sclera Function

The sclera is the white part of the eye; it maintains the shape of the eyeball.

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Cornea function

The cornea is the transparent front part of the eye; it refracts light entering the eye.

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Iris Function

The iris is the colored part of the eye. It controls the size of the pupil, regulating the amount of light entering the eye.

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Pupil size regulation

The iris controls pupil size using circular and radial muscles.

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Retinal layers

The retina has a visual and non-visual part.

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Optic disc

The area where the optic nerve exits the retina, creating a blind spot.

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Aqueous humor

A fluid that fills the anterior and posterior chambers of the eye, providing nutrients and maintaining pressure.

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Glaucoma

Increased intra-ocular pressure due to abnormal aqueous humor drainage.

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Lens

A transparent structure in the eye that focuses light onto the retina.

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Cataract

Opacity of the lens, causing gradual vision blurring.

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Intra-ocular pressure

Fluid pressure inside the eye; important for maintaining eye shape and function.

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Vitreous Humor

A transparent, gelatinous substance that fills the posterior chamber of the eye, helping maintain its round shape.

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Extraocular Muscles

Muscles that control the movement of the eyeball, allowing us to look in various directions.

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Levator Palpebrae Superioris

A muscle that elevates the upper eyelid, allowing us to open our eyes.

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Ptosis

Drooping of the upper eyelid caused by paralysis of the levator palpebrae superioris muscle.

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Superior Rectus Muscle

A muscle that elevates, adducts, and internally rotates the eyeball.

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Inferior Rectus Muscle

A muscle that depresses, adducts, and externally rotates the eyeball.

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Medial Rectus Muscle

A muscle that adducts the eyeball, moving it towards the nose.

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Lateral Rectus Muscle

A muscle that abducts the eyeball, moving it away from the nose.

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Tympanic Membrane

A thin, oval-shaped membrane separating the external ear canal from the middle ear, also known as the eardrum. It's about 1 cm in diameter and angled at 55 degrees.

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Pars Flaccida

The thin and flexible part of the tympanic membrane.

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Pars Tensa

The thick and taut part of the tympanic membrane.

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Tympanic Membrane Surfaces

The tympanic membrane has two surfaces: external (concave) and internal (convex). The internal surface features the umbo and malleolar folds.

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Cone of Light

A bright reflection visible on the lower anterior part of the tympanic membrane when using an otoscope.

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Middle Ear Parts

The middle ear is divided into two parts: the tympanic cavity (adjacent to the eardrum) and the epitympanic recess (above the eardrum).

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Middle Ear Walls

The middle ear has six walls: roof, floor, posterior, anterior, lateral, and medial.

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Medial (Labyrinthine) Wall Features

The medial wall of the middle ear has five features: oval window, round window, promontory, stapedial artery opening, and facial nerve canal.

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Ophthalmic Artery

The main artery supplying the eye, branching from the internal carotid artery. It has numerous branches, a vital one being the central retinal artery.

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Central Retinal Artery

A branch of the ophthalmic artery that directly supplies the retina, vital for vision. Blockage of this artery (CRAO) leads to blindness.

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Superior & Inferior Ophthalmic Veins

Veins responsible for draining blood from the eye. They connect with the cavernous sinus, allowing potential spread of infections from the face to the brain.

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Danger Triangle of the Face

A triangular area on the face, where facial infections can spread to the cavernous sinus via the ophthalmic veins, potentially leading to serious complications.

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Optic Nerve

Cranial Nerve II, responsible for transmitting visual information from the eye to the brain, making sight possible.

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Oculomotor Nerve

Cranial Nerve III, responsible for controlling most eye movements by innervating several extraocular muscles.

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Trochlear Nerve

Cranial Nerve IV, responsible for controlling the superior oblique muscle, a specific eye muscle that helps rotate the eye downward and outward.

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Abducent Nerve

Cranial Nerve VI, responsible for controlling the lateral rectus muscle, allowing the eye to move outwards.

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Pharyngotympanic tube

A tube connecting the middle ear to the pharynx, equalizing pressure and draining mucus.

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Auditory ossicles

Three tiny bones in the middle ear: malleus, incus, and stapes. They transmit sound vibrations.

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Tensor tympani

A muscle in the middle ear that tenses the eardrum to reduce loud noise.

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Stapedius

A muscle in the middle ear that dampens vibrations of the stapes to protect from loud sounds.

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Bony labyrinth

The bony outer shell of the inner ear, containing the membranous labyrinth.

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Membranous labyrinth

A fluid-filled membrane inside the bony labyrinth, containing sensory organs for hearing and balance.

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Semicircular canals

Three curved tubes in the bony labyrinth that detect head movement and rotation.

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Cochlea

A spiral-shaped part of the inner ear that converts sound vibrations into neural signals.

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Study Notes

Special Senses Overview

  • Special senses include vision, hearing, balance, taste, and smell.
  • These senses utilize specialized sensory organs.
  • Sensory organs include the eye (vision), ear (hearing & balance), tongue (taste), and nose (smell).

The Eye

  • The eye consists of two primary parts: the eyeball and accessory organs.
  • The eyeball has three layers: outer fibrous layer (sclera & cornea), middle vascular layer (choroid, ciliary body, iris), and inner retinal layer (retina).
  • The cornea is the transparent front of the eye.
  • The sclera is the white part of the eye.
  • Accessory organs include eyebrows, eyelids, extra-ocular muscles, conjunctiva, and the lacrimal apparatus.
  • The lacrimal apparatus produces tears.

Internal Components of the Eyeball

  • Aqueous humor: A clear fluid filling the anterior and posterior chambers.
  • Lens: A transparent structure that focuses light onto the retina.
  • Vitreous humor: A jelly-like substance filling the vitreous chamber.
  • The aqueous humor provides nutrients and maintains intraocular pressure.

Extra-ocular Muscles

  • Several extra-ocular muscles control eye movement.
  • Each muscle has a specific function (elevation, depression, abduction, adduction, internal and external rotation).
  • These muscles are innervated by the oculomotor, trochlear, and abducens nerves.

The Ear

  • The ear is divided into three parts: external ear, middle ear, and inner ear.
  • The external ear gathers sound waves.
  • The middle ear transmits sound vibrations.
  • The inner ear converts sound waves into nerve impulses.
  • The external ear includes the auricle (pinna), external acoustic meatus, and tympanic membrane.
  • The middle ear is comprised of the auditory ossicles (malleus, incus, stapes) and the eustachian tube.
  • The inner ear includes the bony labyrinth and membranous labyrinth, as well as the cochlea and semicircular canals.
  • The auditory ossicles transmit sound vibrations to the inner ear.
  • The eustachian (auditory) tube connects the middle ear to the throat.

The Internal Ear (Labyrinth)

  • The internal ear contains the bony and membranous labyrinths.
  • The membranous labyrinth features the cochlea, semicircular ducts, utricle, and saccule.
  • The cochlea is the hearing organ.
  • The semicircular ducts, utricle, and saccule are the balance organs.

Sensory Receptors of the Internal Ear

  • The organs of hearing and balance lie within the internal ear.
  • Otoliths are small crystals within the ear's vestibule.
  • Information from these sensory organs is sent to the brain via the vestibulocochlear nerve.

Arterial and Venous Supply

  • Ocular blood supply is chiefly from the ophthalmic artery branches.
  • Venous blood from the eye drains into the superior and inferior ophthalmic veins.
  • Ear blood vessels supply and drain to and from specific arteries and veins found throughout the head.

Innervation

  • The eye and ear receive signals from cranial nerves.
  • Specific nerves are responsible for vision, eye movement, balance, hearing, and other sensory functions.

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