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Evoked potentials 2
Auditory evoked potentials
| Question | Answer |
|---|---|
| Primary auditory cortex is Brodmann's area __ | 41 |
| The routinely used BAERs are __ latency BAERs | short |
| Typical short latency BAERs are up to __ msec in duration | 10 |
| Middle latency BAERs range from __ to __ msec in duration | 10, 50 |
| Long latency BAERs have a duration greater than __ msec | 50 |
| The two types of equipment used to deliver sounds for AEPs | headphones, earplugs |
| ____ are the type of equipment used to delivery sound in intraop monitoring | earplug headphones |
| __ are the most common type of equipment used to deliver sound for BAERs | headphones |
| Most BAEPs are generated in response to: pips, clicks, knocks | clicks |
| A sound __ is generated by giving a square wave electrical impulse into a speaker | click |
| Sound __ are given with alternative positive and negative polarity, which produces clicks in which the speaker diaphrgm moves towards and away from the eardrum | clicks |
| Compression of the air in the external auditory canal by movement of the diaphragm towards the eardrum is termed __ | condensation |
| Decompression of the air in the extenal auditory canal by movement of the diaphragm away from the ear is called __ | rarefaction |
| Clicks have a duration of approximately __ microseconds | 100 |
| The stimulus rate for short BAEPs is __ to __ per second | 8, 10 |
| The stimulus rate for middle latency AEPs is __ to __ per second | 8, 10 |
| The stimulus rate for ECochG is __ to __ per second | 8, 10 |
| The stimulus rate for sonomotor AEPs is __ to __ per second | 8, 10 |
| The stimulus rate for long latency AEPs is less than __ per second | 1 |
| ____ refers ti the average threshold intensity found in young health adults when tested with pure tones with > 0.5 seconds duration | hearing level |
| ___ is similar to hearing level but specific to a particular stimulusm especially since the threshold for tones of > 0.5 seconds may be different from the threshold for the threshold for clicks or shorter tones | normal hearing level |
| Hearing level refers to the average threshold intensity found in young healthy adults when tested with pure tones of at least __ seconds duration | 0.5 |
| ___ is the hearing threshold for a specific individual | sensory level |
| Sensory level for an individual with normal hearing for sustained pure tones is equivalent to __ __ | hearing level |
| Sensory level for non-sustained tones or other stimuli in an individual with normal hearing is equivalent to ______ | normal hearing level |
| Auditory threshold testing is usually measured by altering the intensity in __ dB steps | 5 |
| ___ is a physical measure of sound intensity which ignores physiologic transduction and detection of stimuli | sound presure level |
| The zero pressure level for sound pressure level at 1000 Hz is set at ___ dynes/cm2 or __ microPa. | 0.00002, 20 |
| ___ is determined bt comparing the peak-to-peak amplitude of the stimulus with the amplitude of a sine-wave of a pure tone having the same peak-to-peak amplitude as the click | peak equivalent sound pressure level |
| Typical stimulus intensity peSBL in dB is frm __ to __ | 115, 120 |
| ___ are brief sounds of a specific frequency | tone pips |
| __ frequency tone pips typically cannot be very brief | low |
| Low frequency tones are encoded at the __ of the cochlea | apex |
| The steady state middle latency BAEP is produced by tone bursts at various frequncies repeated at __ per second | 40 |
| FFP | Frequency following potential |
| Intensity is typically __ to __ dB SL | 60, 70 |
| Broadband clicks are typically produced by __ microsecond electrical square wave pulses into a speaker | 100 |
| The most common ground for BAEPs | Fz |
| The most common number of averaged responses for BAEPs | 2000 |
| The typical sweep length for BAEPs is at least __ msec | 15 |
| The minimum sampling rate is __ / second | 10000 |
| The maximum sampling interval for BAEPs is __ microseconds | 100 |
| Channel one in a BAEP is typically: | Cz-A1 |
| Channel two in a BAEP is typically: | Cz-A2 |
| The typical low frequency filter for BAEP ranges from __ to __ but with mechanical or EMG artifact can be up to __ to __ | 10, 30, 100, 200 |
| The typical high frequency filter from BAEPs is from __ to ___o | 1000, 4000 |
| Increased BAEP threshold indicates a __ lesion in BAEPS (central / peripheral / possible central) | peripheral |
| Absence of waves I - V unexplained by extreme hearing loss of technical problems indicates a __ lesion in BAEPS (central / peripheral / possible central) | central |
| Absence of waves following wave I or wave III indicates a __ lesion in BAEPS (central / peripheral / possible central) | central |
| Abnormally long peak latency V on rapid repetitive stimulation indicates a __ lesion in BAEPS (central / peripheral / possible central) | possible central |
| Increased latency of waves I - V indicates a __ lesion in BAEPS (central / peripheral / possible central) | peripheral |
| Abnormal decrease of the V/I amplitude ratio, esp. when associated with other abnormalities, indicates a __ lesion in BAEPS (central / peripheral / possible central) | central |
| Abnormal long peak latency III and V indicates a __ lesion in BAEPS (central / peripheral / possible central) | possible central |
| Abnormal latency-intensity curves indicates a __ lesion in BAEPS (central / peripheral / possible central) | peripheral |
| Abnormal long interaural difference of ipsilateral I-V unexplained by middle or inner ear problems identifiable on audiometric tests indicates a __ lesion in BAEPS (central / peripheral / possible central) | central |
| Abnormally increased interpeak latency I-III, III-V indicates a __ lesion in BAEPS (central / peripheral / possible central) | possible central |
| Sound is conducted via bone conduction to the contralalteral ear, but the sound is attenuated by __ to __ dB | 50,60 |
| Sonomotor AEPs are recorded using electrodes over the __ or __ muscles | neck, scalp |
| Short latency BAEPs are recordeed so that an __ (upward/downward) deflection means positivity at the vertex | upward |
| Medium latency BAEPs are recorded so that a __ deflection means positivity at the vertex | downward |
| Long latency BAEPs are recorded so that a __ deflection means positivity at the vertex | downward |
| Wave __ is absent in many normal BAEPs | II |
| Wave __ is commonly fused in normal BAEPs | IV |
| Wave I is generated by the ___ | acoustic nerve |
| Wave I is generated by the __ (proximal/distal) portion of the acoustic nerve | distal |
| Wave III is generated by projections from the __ through the __ | superior olive, lateral lemniscus |
| Wave V is generated by projections from the __ to the __ | pons, midbrain |
| Wave __ is seen only ipsilateral to the stimulus | I |
| Separattion of wave IV and V is more prominent __ (ipsilateral / contralateral) to the stimulus | contralateral |
| Wave __ is the last wave to be last with reduced stimulus intensity | V |
| Wave __ may be split and reversed with a change in click polarity | III |
| In order to distinguish wave I from ___, try reversing the polarity of the stimulus | cochlear microphonic potential |
| In order to distinsguish wave I from the cochlear microphonic potential, try ____ | reversing polarity of the stimulus |
| Wave III is equidistant between waves __ and __ | I, V |
| Waves II and III occasionally occurs __ (ipsilateral / contralateral) to sound stimuli | contralateral |
| Which of the following is not a way to aid identification of wave V: (A) recording from the ipsilateral ear, (B) reducing stimulus intensity, (C) changing stimulus polarity | recording from the ipsilateral ear |
| Which of the following is not a way to aid identification of wave V: (A) recording from the contralateral ear, (B) increasing stimulus intensity, (C) changing stimulus polarity | increasing stimulus intensity |
| BAEPs may be absent in infants before age __ weeks conceptual age, but have been recorded as early as __ weeks conceptual age | 30, 25 |
| As conceptual age increases, wave __ latency decreases, and the wave I - V interpeak latency decreases by ~ __ - __ msec from 25 to 44 weeks conceptual age | V, 2, 3 |
| The wave V latency in infants shortens most prominently from week __ to __ | 32, 34 |
| As infants grow to adulthood, there is a __ to __ msec reduction in I - V ipsilateral | 0.8, 1 |
| Wave I latencies reach adult values by about __ __ of age | 6 weeks |
| Interpeak latency I - V reaches adult levels by about __ __ of age | 18 months |
| Females have slightly __ (shorter/longer) peak and interpear latencies of the BAEP than males | shorter |
| The difference between males and females in peak / interpeak latencies is seen after age __ | 8 |
| An increase in the BAEP stimulus about __ per second increases the latency and decreses the amplitude of the BAEP | 30 |
| An increase in stimulus rate above 30 __ (increases/decreases) latency and __ (increases/decreases) amplitude | increases, decreases |
| The increased latency at stimulus rates > 30 / second is best seen in wave __ | V |
| Clicks of rarefaction and condensation produce differences in response __ | latency |
| Contralateral recordings are characterized by short latencies of waves __ and __ and longer latencies of waves __ and __ | III, IV, II, V |
| Contralateral recordings cause shorter interpeak latencies from waves __ - __ and longer latencies from __ - __ | II, III, IV, V |
| Wave I latency (male or female) | 2.1 |
| Wave V/I amplitude ratio (male or female) | 0.5 |
| I - III interpeak interval, male | 2.55 |
| I - III interpeak interval, female | 2.4 |
| III - V interpeak interval, male | 2.35 |
| III - v interpeark interval, female | 2.2 |
| Reduction of wave V alone suggests a lesion in the __ | midbrain |
| If wave I cannot be definitively determined, this is used instead | negative wave preceding II |
| Reduction in stimulus intensity typically increases the __ in wave V | latency |