Questão 1
Questão
What is true about characteristics of sound waves?
Responda
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Alternate phases of compression and decompression of molecules of the medium
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Alternate phases of compression and decompression in vacuum
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Sound waves are associated with pressure changes called sound pressure.
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Pressure waves are longitudinal vibrations of molecules of the medium
Questão 2
Questão
What is a correct match between Velocity and sound in air?
Responda
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335 m/s in air - 0°C at sea level
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44 m/s in air - 20°C at sea level
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297 m/s in air - 0°C at sea level ,
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1450 m/s in water - 20°C at sea level.
Questão 3
Questão
What is a correct match between Velocity and sound in water?
Responda
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335 m/s in water - 0°C at sea level
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1450 m/s in water - 20°C at sea level
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344 m/s in air - 20°C at sea level
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1250 m/s in water - 20°C at sea level
Questão 4
Questão
Sound waves; choose correct
Responda
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The crests of these waves are areas of high density, called compressions.
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The troughs are called rarefactions.
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The troughs are called compression.
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Sounds are waves of air molecules.
Questão 5
Questão
Sound wave properties; choose correct
Responda
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Amplitude determines Pitch
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Amplitude determines Loudness
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Frequency determines Loudness
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Frequency determines Pitch
Questão 6
Questão
Frequency of sound; choose correct
Responda
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Frequency is the rate at which the source produces sound waves
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Low pitched or bass sounds have low frequencies.
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High-pitched or treble sounds have low frequencies.
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A healthy, young person can hear sounds with frequencies from 20 to 20,000 Hz.
Questão 7
Questão
Frequency of sound; choose correct
Responda
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The ability to hear high pitch sounds (high frequencies) increases with age –
this condition is called presbycusis.
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The ability to hear high pitch sounds (high frequencies) declines with age – this condition is called presbycusis.
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Male hearing range decreases more quickly than the female.
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The sound of human speech is mainly in the range 300 to 3,000 Hz.
Questão 8
Questão
Loudness of sound; choose correct
Responda
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This very wide range of values is converted into a logarithmic scale of decibels range of 0 dB to 300 dB.
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This very wide range of values is converted into a logarithmic scale of decibels range of 0 dB to 140 dB.
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Sound waves are silent if their compressions are dense.
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The amplitude of the acoustic pressure is measured in pascals (Pa).
Questão 9
Questão
Thresholds of hearing; choose correct
Responda
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Threshold of hearing (10-16 W/m2 = 0 B = 0 dB).
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Loud conversation (10-12 W/m2 = 4 B = 40 dB).
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Ordinary conversation (10-9 W/m2 = 7 B = 70 dB).
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Threshold of pain (10-3 W/m2 = 13 B = 130 dB).
Questão 10
Questão
Characteristics of audition; choose correct
Responda
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The pitch of the average male voice is 120 Hz while of the female voice is 250 Hz.
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Noise is sound composed of many related frequencies.
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harmonics is sound composed of many unrelated frequencies.
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Sounds are complex mixtures of pure tones. (accords)
Questão 11
Questão
Sound and anatomy; choose correct
Responda
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The auditory system is maximally sensitive between 500 – 5,000 Hz
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The Frequency response is determined by the functional anatomy of the ear.
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The auditory system is maximally sensitive between 200 – 2,000 Hz
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Sound is FELT above 130dB
Questão 12
Questão
What is correct about the external ear?
Responda
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Consists of the tympanic membrane and the external auditory meatus (auditory canal).
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Sound waves travel through the meatus and impinge on the brain.
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The Meatus acts as a resonator
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The Pinna funnels sound waves into the meatus.
Questão 13
Questão
Characteristics of audition; choose correct
Responda
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Binaural localization relies on the comparison of auditory input from two separate auditory detectors (ears).
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The auricle ensures reliable transmission of speech.
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Convergence and amplification of the sound.
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Localization of the source of the high pitch sound is based on assessment of difference of amplitude and time
Questão 14
Questão
Middle ear; choose correct
Responda
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Decompression of the sound pressure.
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Conduction of the sound through the lever system of auditory ossicles.
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Defensive mechanism of the ear – function of the tympanic reflex.
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Language (foreign) is shifted higher, needs to be louder
Questão 15
Questão
The middle ear; choose correct
Responda
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The handle of the malleus is attached to the centre of the tympanic membrane
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The malleus forms a rigid connection with the incus and they act as a single lever.
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The incus forms flexible connection with the malleus.
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Footplate of stapes moves in and out at the round window
Questão 16
Questão
Attenuation reflex; choose correct
Responda
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Contraction - increase sound conduction
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Tensor tympani muscle – pulls the handle of the malleus inward
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Stapedius muscle – pulls the stapes outward
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Loud sound in high frequencies
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Adaptation to continuous high intensities sound
- to mask low-frequencies sound in loud environment
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Reduce sound by 30dB
Questão 17
Questão
The inner ear; choose correct
Responda
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Consist of vestibule and cochlea
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Helicoterma – connection between scala tympani and scala vestibuli
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Scala vestibuli – to oval window;
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Scala media has 3 walls; basilar memb, Reissner's memb. and stria vascularis
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Scala tympani – to round window
Questão 18
Questão
The inner ear; choose correct
Responda
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Organ of corti is placed in cochlear duct
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Perilymph – scala vestibuli
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Endolymph – scala tympani
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Potential gradient across hair cells about 140 mV
Questão 19
Questão
The organ of corti; choose correct
Questão 20
Questão
The organ of corti - hair cells; choose correct
Responda
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Inner hair cells 3,500 - supplied by myelinated fibers
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Outer hair cells 3,500 - supplied by myelinated fibers
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Outer hair cells 15,000 - supplied by unmyelinated fibers
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Inner hair cells 15,000 - supplied by unmyelinated fibers
Questão 21
Questão
Organ of corti - Afferent innervation ; choose correct
Responda
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From superior olivary nucleus – olivocochlear fibers
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Bipolar neurons from spiral ganglion within the modiolus
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90% of fibers innervate inner hair cells
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Axons enter the auditory-vestibular nerve
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On afferent fibers that contact the inner
hair cells
Questão 22
Questão
Organ of corti - Efferent innervation ; choose correct
Responda
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From superior olivary nucleus – olivocochlear fibers
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On afferent fibers that contact the inner
hair cells
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Bipolar neurons from spiral ganglion within the modiolus
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On outer hair cells
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Helps to improve frequency discrimination
Questão 23
Questão
Hair cells activation; choose correct
Responda
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Different parts of the basilar membrane have the same resonance frequencies.
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Basilar membrane up – reticular lamina up and toward the modiolus
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Basilar membrane up – reticular lamina down and away from modiolus
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Tectorial membrane holds the tips of the outer hair cells stereocilia
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Inner hair cells cilia’s are bend by movement of endolymph
Questão 24
Questão
Auditory Pathway - neurons ; choose correct
Responda
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Neurones of the spiral ganglion – to auditory nerve.
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Neurones of the ventral (and dorsal) cochlear nucleus – to lateral lemniscus.
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Neurones of the superior colliculi.
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Neurones of the Inferior olives.
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Neurones of the medial geniculate body (MGN) of the thalamus to auditory cortex
Questão 25
Questão
Auditory cortex; choose correct
Responda
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Area 41 of Brodmann division in temporal lobe
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Low frequencies are represented rostrally and laterally,
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High frequencies – caudally and medially
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High frequencies – caudally and laterally
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Secondary auditory cortex 42, 22, 52 Brodmann’s area
Questão 26
Questão
Hair cells; choose correct
Responda
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Has stereocilia with actin and kinocilia
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Connect to efferent fibers with glutamine
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Endolymph is low in K+
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Mechano-sensitive non-selective channels, opened by tip links on hair cells
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Hair cells bending to stereocilia - de -polarize producing sound
Questão 27
Questão
Audition; choose correct
Responda
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Semicircular system and Cochlea use different receptors
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Semicircular system is responsible for equilibrium
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Cochlea is responsible for sound
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Olivary nucleus connects to neuron from left and right ear
Questão 28
Questão
Audition; choose correct
Responda
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The right ear is the 1st to hear sounds
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The left ear is the 1st to hear sounds
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The right ear has a shorter pathway to the brain
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The left ear has a shorter pathway to the brain
Questão 29
Questão
Correct conduction of sound in air, from start (standard pathway)
Responda
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Ossicles - Tympanic memb. - Basilar memb. - Perilymph to endolymph - Cochlea
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Tympanic memb. - Ossicles - Basilar memb. - Cochlea - Perilymph to endolymph
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Tympanic memb. - Ossicles - Perilymph to endolymph - Basilar memb. - Cochlea
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Ossicles - Tympanic memb. - Perilymph to endolymph - Cochlea- Basilar memb.
Questão 30
Questão
Correct conduction of sound in bone, from start (amplification)
Responda
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Vibration of skull - Perilymph to endolymph - Basilar membrane - Cochlea
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Vibration of skull - Cochlea - Perilymph to endolymph - Basilar membrane
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Vibration of skull - Cochlea - Basilar membrane - Perilymph to endolymph
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Vibration of skull - Basilar membrane - Cochlea - Perilymph to endolymph
Questão 31
Questão
Deafness; choose correct
Responda
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Nerve deafness is impairment of the auditory nerve
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Conduction deafness is impairment of structures of the ear that conduct sound to cochlea
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Nerve deafness impairment of structures of the ear that conduct sound to cochlea
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Bone conduction in conduction deafness is normal
Questão 32
Questão
Match audio tests to purpose
Quantitative - Assessment of hearing loss
Qualitative - Type of hearing loss = Conduction deafness, Sensorineural (cochlear, nerve) deafness.
Responda
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Acumetry – Quantitative
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Audiometry - Quantitative and Qualitative
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Tuning fork tests - Qualitative
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Tuning fork tests - Quantitative
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Acumetry - Qualitative
Questão 33
Questão
Tuning fork tests; Choose correct
Responda
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Rinne test - comparison of the patient’s bone conduction to examiner’s bone conduction.
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Rinne test – comparison of the patient’s air (ossicular) conduction of sound to the bone conduction.
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Weber test - differentiation between conduction and nerve deafness.
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Schwabach test – comparison of the patient’s bone conduction to examiner’s bone conduction.
Questão 34
Questão
Rinne test - air and bone conduction (tuning fork test); choose correct
Responda
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Normal hearing - (positive rinne) sound is heard twice as long by air conduction as by bone conduction
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Conductive deafness in right ear - (negative rinne) sound is heard longer by bone conduction than by air conduction
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Conductive deafness in right ear - (positive rinne) sound is heard longer by air conduction than by bone conduction
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Perceptive deafness of right ear - (positive rinne) sound is heard longer by air conduction than by bone conduction
Questão 35
Questão
Weber test - bone conduction (tuning fork test) - choose correct
Responda
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Conductive deafness in right ear - Sound lateralizes to the better ear
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Normal hearing - Sound does not lateralize to either side; heard equally well in both ears.
-
Perceptive deafness of right ear - Sound lateralizes to the better ear
-
Conductive deafness in right ear - sound lateralizes to defective ear, few sound are carried through external and middle ear.
Questão 36
Questão
SCHWABACH bone conduction; choose correct
Responda
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Longer - conduction disorder – longer than normal bone conduction
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Is a method based on comparing bone conduction to a normal subject to the patient
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Shorter - nerve disorder - shorter than normal bone conduction
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Is a method based on comparing bone conduction to a deaf subject to the patient
Questão 37
Questão
Acumetry (whisper test); choose correct
Responda
-
Assessment of the distance of hearing.
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Normal ear can hear whisper voice from 6m (young humans – even 20 m).
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1-3m – mild hearing loss.
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3-6m – moderate hearing loss.
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< 1m – severe hearing loss.
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> 6m – normal hearing.
Questão 38
Questão
Vestibular sensation – hair cells; choose correct
Responda
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Otolith organ – signals linear acceleration
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Semicircular canals – signal rotational acceleration
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Utricle – signal vertical acceleration
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Sacculus – signal horizontal acceleration
Questão 39
Questão
Vestibular pathways; choose correct
Responda
-
3rd neuron - flocculonodular lobe of the cerebellum - posture
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II neuron – here terminate vestibular nerves in: flocculonodular lobe of the cerebellum - posture
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II neuron – here terminate vestibular nerves in: ipsilaterally four-part vestibular nuclei
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1st neuron – vestibular ganglion (Scarpa’s ganglion):
supplies the cristae and macula
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3rd neuron - vestibular ganglion (Scarpa’s ganglion):
supplies the cristae and macula
Questão 40
Questão
Vestibulo-ocular reflex (VOR); choose correct
Responda
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Abducens nucleus - The medial lateral fascicle (mlf) projects from the Vestibulocochlear nucleus to the oculomotor nucleus
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Vestibulocochlear nerve - from the peripheral vestibular sensors to the vestibular nuclei in the brainstem (vn)
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Two-neuron arc, during a head movement to the right
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The oculomotor nucleus - The left lateral rectus muscle (lr) and the right medial rectus muscle (mr) get contracted, turning the eyes to the left.
Questão 41
Questão
Romberg test; choose correct
Responda
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With the eyes open 3 sensory systems provide input to cerebellum to maintain truncal stability. These are vision, olfaction and vestibular sense.
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Mild lesions in one vestibular or proprioception system cannot be compensated by vision
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When the patient closes their eyes, visual input is removed and instability can be brought out.
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In vestibular malfunction direction of falling is direction of slow phase of nystagmus
Questão 42
Questão
Nystagmus; choose correct
Responda
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Is a jerky movement of the eye with slow and quick components.
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The direction of nystagmus is identified by the direction of the quick component.
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The quick component is initiated by impulses from the labyrinths.
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The slow component is triggered by a center of the brainstem.
Questão 43
Questão
Vestibular nystagmus; choose correct
Responda
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Secondary nystagmus is involved with the slow phase in the opposite direction. It continues for 1min.
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Secondary nystagmus is involved with the rapid phase in the same direction. It continues for 20-30 s.
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Trigger by angular acceleration, which activate movement of eye opposite direction to head movement.
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Pathology causing vestibular nystagmus can be lesions of brainstem or Menier's disease
Questão 44
Questão
Tests for Nystagmus; choose correct
Responda
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Optokinetic – reflex that maintain visual fixation on stationary point while the body rotates
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Caloric test - toward the warmer ear
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Caloric test - post-rotatory nystagmus
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Barany rotation test - post-rotatory nystagmus