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final exam hearing anatomy
it is everything
173
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Undergraduate 4
12/05/2013

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Term
___________ is the study of the formation and developement of an embryo and fetus
Definition
Embryology
Term
an embryo is developed from three layers of tissue:
Definition

ectoderm

endoderm

mesoderm

Term
ectoderm is the _____ layer
Definition
outer
Term
endoderm is the ______ surface
Definition
inner surface
Term
mesoderm is the _______ core
Definition
inner
Term
about ____ weeks after conception, bulges appear on either side of the the tissue that will develop in to the neck and head called pharyngeal arches
Definition
4 weeks
Term
each pharyngeal arches contain four components
Definition

artery

muscle

cartilage

nerve

Term

the pharyngeal arches:

the ______ forms from the arch arteries

Definition
artery
Term

the pharyngeal arches:

 _____ and  _____ form from mesoderm

Definition
muscle and cartilage
Term

the pharyngeal arches:

____ form from ectoderm

Definition
nerve
Term
the ear forms from ______ anatomical unit serving both hearing and balance
Definition
1
Term
the ear develops from three different parts
Definition

inner

middle

outer

Term
the cochlear duct begins to coil until it has completed ____ turns and begins to resemble the cochlea
Definition
2 1/2
Term
the tympanic cavity and Eustachian tube develops from Endoderm derived from the ____ Pharyngeal Pouch
Definition
1st
Term
Ossicles develop from ____ and ____ Pharyngeal Arches
Definition
1st and 2nd
Term
at the begining of the _____ month, ectodermal epitheliam cells form a solid Meatal Plug
Definition
3 rd
Term
in the _____ month the Meatal Plug dissolves
Definition
7th
Term
the auricle develops from ____ _____ _____
Definition
6 Auricular Hillocks
Term
the external auditory meatus develops from the _______ pharyngeal Cleft
Definition
1 st
Term
developmental abnormalities are usually caused by genetic factors, but _________can interfere with normal development of the Middle Ear or Internal Ear
Definition
environmental factors
Term
Rubella virus can corss the placenta and if during the ____ or ____ week it may cause severe damage to the Cochlea.
Definition
7th or 8th week
Term
all of the frequently occuring chromosomal syndromes and most of the less common ones have ________as one of their characterisitics
Definition
ear anomalies
Term

terminology

 

towards the front is ______

Definition
anterior
Term

terminology

 

towards the back _______

Definition
posterior
Term

terminology

 

towards the bottom _______

Definition
inferior
Term

terminology

 

toward the top ______

Definition
superior
Term

terminology

 

away from the midline _______

Definition
lateral
Term

terminology

 

toward the midline ________

Definition
medial
Term
the ________ ear is responsible for gathering sounds from acoustical environment and funneling them into teh auditory canal
Definition
external ear
Term
the _______ varies from person to person in size and shape (part of the outer ear_
Definition
pinna/auricle
Term
the pinna is made entirely of ______
Definition
cartilage
Term
the anatomy of the auricle is such that it is more effiient at delivering ______ frequency soudns than ____ frequency sounds.
Definition

high frequency sounds

low frequency sounds

Term
the pinna also helps in _____ of osunds delivered to the head
Definition
localization
Term
the ______ is the protective flap originating from the front of the pinna and protruding back toard the rear of the pinna
Definition
tragus
Term
the ____ is a large cup shaped depression to the rear of and below the tragus which froms the entrance to the ear canal
Definition
concha
Term
the ridged rim along the posterior and superior region of the pinna is the ______
Definition
helix
Term
the _______ is the groove that runs down the posterior portion of the pinna
Definition
scaphoid fossa
Term
the ______ is the prominent ridge anterior from the scaphoid fossa
Definition
antihelix
Term
________ is the inferior most region of antihelix
Definition
antitragus
Term
the __________ ________ is the most prominent depression in a triangular area formed by branching of antihelix into two crura
Definition
triangular fossa
Term
the ________ is a tube formed in teh side of the head, begining at eh concha and extending inward at a slight upward angle for approximately 1 inch in adults
Definition
The EAC
Term
the outer 1/3 potion of the EAC is __________
Definition
cartilaginous
Term
the outer 1/3 of the EAC contains __________ glands
Definition
sebaceous glands
Term
the outer 1/3 of the EAC secretes _______
Definition
sebum (cerumen)
Term
the outer EAC also contains _______
Definition
hair follicles
Term

cerumen exits the ear naturally through

-

-

Definition

chewing

talking

Term
the inner 2/3 of the EAC pass through the tympanic portion of the ______ bone
Definition
temporal
Term
there are/are not glands or hair follicles in the inner 2/3 potion of the EAC
Definition
are not
Term
the two potions of the EAC meet at the __________ junciton
Definition
osseocartilaginous
Term
__________ is a joint syndrome produces reffered pain, perceived in ear, which constitutes significant amout of otalgia in adults
Definition
TMJ
Term
the angle of the EAC is Slanted _______ in children
Definition
downward
Term
the TM is ______ shape
Definition
oval
Term
the tympanic membrane is made up of ____ layers?
Definition
3
Term

the layers of the TM:

the outer layer is formed by an extension of the epidermal linning of the ______ ______ ______.

Definition
external auditory meatus
Term

the layers of teh TM:

the inner layer is a contunuation of the _____ lining of the middle ear space

Definition
membranous
Term
the middle layer of the TM is composed of a ________ material that is believed to provide support of TM
Definition
fibrous
Term

the two fibers of the TMs middle layer is

-

-

Definition

radial fibers

circular fibers

Term
the ______ - fibers are few in number but also not arranged like they are in other parts of TM
Definition
Pars flaccida
Term
aka sharpnells membrane
Definition
pars flaccida
Term
there is greater density of supportive fibers _____ the pars flaccida where the TM tends to be stiffer
Definition
outside
Term
the periphery of the TM is thickened to form a fibrocattilaginous ring called a _____
Definition
annulus
Term
the ________ sits in a groove within the auditory meatus
Definition
annulus
Term
embedded in fibrous portion of TM is ______ - which is the largest and most lateral middle ear bone
Definition
malleus
Term
you can divide the TM into ______ quadrants
Definition
4
Term
the point of greatest retraction is called hte ______ of the TM
Definition
umbo
Term
at birth the TM is in such a position that it is almost lying on the 
________ floor
Definition
canal
Term
the outer layer of hte TM migrates from the _______ out
Definition
center
Term
the pinna function is to :
Definition

collect sound and direct it into the EAC

and localize sound

Term
the EAC carries acoustic signal to the ________ ear.
Definition
middle
Term

the inner 2/3 portion of the EAC

protect ______

keep temperature constant

resonator for _____ frequencies

filter for ______ frequencies

Definition

TM

high

low

Term
movement of the TM causes identical movement of whaT?
Definition
malleus
Term

______ is affected in one or both ears very small

 

Definition
microtia
Term
_____ is the closure of a body orifice that is normally open
Definition
atresia
Term
in aural atresia _____ % of individuals have normal hearing
Definition
80%
Term
why odes the surgery happen at 5 years old?
Definition
ear is closer to full size at this time
Term
_______ is the narrowing of the ear canal
Definition
stenosis
Term

collasping canals

t/f

a conductive hearing loss may be present

Definition
true
Term
the human ability to maintian balance depends on information from several body systems are called ________
Definition
vestibular
Term

body systems:

______ - provides direct info from surrounding objects on orientation of the body and depends on the ability of the eyes to see

Definition
visual
Term

body systems:

_______ - concerns somatosensory stimuli received in tissue from supporting structures such as muscles and tendons of the body

Definition
proprioceptive
Term

body systems:

________ - relies on forces of gravity and inertia

Definition
vestibular
Term

the vestibular system is composed of:

1

2

3

 

Definition

3 semicircular canals

utricle

saccule

Term
there are a total of ____ semicircular canals
Definition
6
Term
each SCC is ________ contains endolymph and is surrounded by a larger bony cavity
Definition
membranous
Term
all 3 SCC arise from the ______ and return to the utricle through the ______
Definition

utricle

ampulla

Term
at the base of each SCC is a swelling called ______
Definition
ampulla
Term

the ampulla contains small aggregations of connective tissue with highly developed ciliated sensory cells called

__________

Definition
crista ampularis
Term
________ are small particles of calcium cabonate in the viscous fluid of the saccule and utricle
Definition

otoliths

 

Term

an infection that occurs in the skin of the external auditory canal is called

?

Definition
external otitis and otitis externa
Term
aka external otitis is ?
Definition
swimmer's ear
Term
______ is a fungal external ear infecion
Definition
otomycosis
Term
_________ is an infection of the hair follicles
Definition
furunculosis
Term

T/F

anitbiotics and eardrops to treat furuncolisc are unsuccessful in treatment becuase the pocket of inection may be inaccessible

Definition
true
Term
inflammation of the TM is called
Definition
myringitis
Term
bony tumor that does not present a hearing problem unless size occludes ear canal and conductive hearing loss results
Definition
osteoma
Term
outward projection for surfaces of bone
Definition
extoses
Term
exostoses is aka _____
Definition
surfers ear
Term

surgical repair of the TM

 

Definition
myringoplasty
Term
thickening and scarring of TM
Definition
tympanosclerosis
Term

while performing this sensory transduciton process, the inner ear analyzes a sound stimulus in terms of its

1.

2.

3

 

Definition

frequency

intensity

temporal properties

Term

human cochlea contains about ______ afferent neurons

and about _______ efferent neurons

Definition

30,000

18,000

Term
perilymph is high in ____ and low in _____
Definition

Na

K

Term
endolymph is low in _____ and high in ______
Definition

Na

K

Term
_____ discovered that cochlea generates a sound of its own
Definition
kemp
Term
_______ now allow for the study of cochelar function in animals and humans
Definition
OAEs
Term
frequency response of nerve cells in the cochlea arranged so that ______ frequencies are at apical end and ______ frequencies are at basal end
Definition

low

high

Term
_________ behaves as a finely tuned band pass
Definition
basilar membrane
Term
IHCs have ____% of the cochlear afferent neurons
Definition
95%
Term
____ _____ _____ provide the cochea with its exquisite fine tuning properties, allwoing each specific region along hte basilar membrane to be preferentially tuned to one specific frequency
Definition
outer hair cells
Term
outer hair cells serve as ______ of the acoustic signal
Definition
amplifiers
Term
disorders of the inner ear cause _______ hearing loss
Definition
sensorineural hearing loss
Term
malformations of the labyrinth may be ____ or ______
Definition
inherited or acquired
Term

disorders of hearing fall into two categories

-

-

 

Definition

congenital

aquired

Term
______ means something you are born with
Definition
congenital
Term
_____ - several morpholic congenital abnormalities of the inner ear
Definition
dysplasias
Term
dysplasias include ________ of the bony labyrinth, membraneous labyrinth, or both
Definition
maldevelopment
Term
_______ means something you inherit from you parents
Definition
hereditary
Term
_________ ________ dysplasia that accounts for 10% of all hereditary deafness
Definition
usher's syndrome
Term
usher's syndrome is associated with ______
Definition
retinosis pigmentosa
Term
__________ __________ acocunts fro 2-3% of all cases of conenital deafness in US
Definition
waardenburg's syndrome
Term
this syndrome is associated with white forelock and widened intercanthal distance eyes
Definition
waardenburg's syndrome
Term
________ is a common congenital viral infection which is associated with a number of neurological disorders including hearing loss
Definition
CMV
Term
_____ refers to thecondition in which the nucleus of the cell contains an extra chromosome
Definition
trisomy
Term
_____ is a yellow pigment, which is a major end product of hemoglobin metabolism
Definition
bilirubin
Term
hyperbilirubinemia is also known as ________
Definition
kernicterus
Term
_____ disorders occur after birth
Definition
acquired
Term
________ _______ is believed to play a role in some caes of otherise unexplained heraing loss
Definition
fetal hypoxia
Term
_______ are at rish for SNHL
Definition
premature infants
Term
______ hearing loss is excessive noise that can cause permanent damage to the cochlea
Definition
noise induced hearing loss
Term
the loss is of chochlear origin and is most pronounced in the vicinity of ____ kHz
Definition
4
Term
_________ ______ is hearing loss after exposure to long and intense sound often is transient in nature and over time normal hearing returns
Definition
temporary threshold shift
Term
____ ___ _____ is accompanied by irreversible cochlear damage
Definition
permanent threshold shift
Term
cochlear concussion results from a blow to the head not severe enough to cause a _____
Definition
fracture
Term
______ is the term that has been traditionally applied to the HL that normallly accompanies aging
Definition
presbycusis
Term
idiopahtic endolymphatic hydrops - _____ disease
Definition
meniere's
Term

symptoms of meniere's

-

-

-

-

 

Definition

roaring tinnitus

vertigo

hearing loss

aural fullness

Term
____ _____ is a benign tumor that is usually not of auditory nerve origin nor is it a neuroma
Definition
benign tumor
Term
if the tumor is a ______ it typically arises from the vestibular nerve within the internal auditory meatus
Definition
acoustic neuroma
Term

T/F

tinnitus is a disease

Definition

false

it is a symptom of a wide range of disorders

Term
____% of US adults report having tinnitus at one time or another
Definition
32%
Term
4 elements of the vestibular system
Definition

vision

inner ear

musculature

cerebellum

Term
SCC detech _____ acceleration
Definition
angular acceleration
Term
the utricle and saccule detect _____ acceleration
Definition
linear
Term
______ is a reflexive eye movement in response to head movement
Definition
VOR
Term
the feeling that you or your surroundings are moving when there is no actual movement
Definition
vertigo
Term
aka for ataxia
Definition
disordered
Term
BPPV is what?
Definition
short bouts of vertigo that occur after head movement
Term
meniere's episode usually lasts for ____ hours
Definition
2-4 hours
Term
meniere's disease is preceded by _____ in one ear
Definition
fullness
Term
viral infection of the nerve with dysfunction on one side with no associated hearing loss -
Definition
veribular neuritis
Term
infection of the entire inner ear
Definition
labyrinthititis
Term
_____% of all medications cause dizziness
Definition
25%
Term
4 types of energy throughtout the entire ear?
Definition

accoustic

mechanical

hydralic

neural  

Term
the vibrating area of the TM is ____ to ____ times that of the oval window
Definition
17th to 20
Term
increased pressure and lever action of the malleus results in pressure increase at oval window ____ times
Definition
23
Term
patients who claim to have hearing loss but actually have normal hearing sensitivity or a lesser hearing loss than is portrayed is called
Definition
erroneous hearing loss
Term
reasons for erroneous hearing loss
Definition

lawsuits

workers comp

children

Term

two common symptoms of auditory nerve disorders are

-

-

 

Definition

tinnitus

high frequency sensorineural hearing loss

Term
lesions on the VIIIth nerve may occur as a result of ____, ____, _____, on the nerve trunk
Definition

disease

irritation

pressure

Term

etiologies for these include

-

-

-

-

 

Definition

tumor

meningitis

hemorrhage

trauma

Term
auditory nerve tumors is a term usually applied is called ________
Definition
accoustic neuroma
Term
acoustic neuroma is small if ?
Definition
contained within IAC
Term
acoustic neuroma is considered medium if ?
Definition
up to 1 cm into the CPA
Term
acoustic neuroma are ____% unilateral
Definition
95%
Term
______ - may cause dozens or even hundred of neuromas in different parts of the body
Definition
neurofibromatosis
Term
________  is a auditory neuropathy spectrum disorder
Definition
ANSD
Term
______ patients that have normal ouer hair cell function but responses on the VIIIth nerve that carries electrical signals to the brain fail to occur in synchrony
Definition
ANSD
Term

patients with ANSD do/do not benifit from hearing aids

 they do/ do not benifit from cochlear implants

Definition

do not

do

Term
patients with _____ present with complaints of decreased hearing abilities, although routine hearing evalutations indicate normal peripheral hearing
Definition
APD
Term
CN ____ is the smallest nerve with fewer axons than any other cranial nerve
Definition
4
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