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A&P Vestibular Sys

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Bony Labyrinth: _______ = high Na/ low K   Perilymph  
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Membranous Labyrinth: ________ = high K/ low Na   Endolymph  
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_____ cells = receptors of labyrinth   Hair  
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movement of hair bundle and gel --> electrical response --> excitatory --> increase or decrease in firing of ____   CN VIII  
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_____ division conveys information about sound   Cochlea  
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the 3 general layers of the Cochlea division are the _____, _____, and _____   outer, middle, inner  
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sound vibrates ________ membrane --> middle ear ossicles --> perilymph --> resulting in changes in the basilar membrane .. organ of Corti   tympanic  
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types of hearing loss: ______ hearing loss = sound vibrations from the tympanic membrane to the inner ear are blocked   conductive  
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conductive hearing loss can be caused by ______ ____ in the auditory canal, _____ buildup in the middle ear, ____ ______, or abnormal _____ growth.   ear wax, fluid, ear infections, bone  
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types of hearing loss: ______ hearing loss = damage to the vestibulocochlear nerve.   sensorineural  
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sensorineural hearing loss can be caused by _____ injury, ____ defects, ____ or _____   head, birth, HTN or stroke  
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_______ is hearing loss most commonly due to age related changes.   presbycusis  
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_______ is sensitivity to sound   hypercusis  
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_______ is abnormal sounds (e.g. ringing, buzzing, etc.)   tinnitus  
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the peripheral vestibular system has 5 sensory organs: 3 ______ and 2 _____   semicircular canals, otoliths  
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Vestibular system: our _____ ear provide info about where we are in space - upright or leaning   inner  
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we rely on _____ cues most during movement   vestibular  
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our inner ear controls info about ___ & ___ cooridnation as well as ______ strategies.   eye & head, balance  
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semicircular canals are responsible for ______ motion.   angular  
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semicircular canals are oriented ___ degrees from eachother and pick up info in all planes. ___ degrees from the sagittal plane.   90, 45  
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______ - " bubble-like " projection containing crista   ampulla  
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Otoliths are responsible for ______ motion.   linear  
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the _____ and the _____ are the two otoliths.   uticle, saccule  
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the 3 semicircular canals are the ____, _____, and _______   anterior, posterior, and horizontal  
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_____ - houses the hair cells and rest on a tuft of nn fibers, blood vessels and supporting cells   Crista  
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_____ - gelatinous membrane that overlies each crista, resulting in a 'coupling' between head motion and hair cell movement.   Cupula  
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Cupula has the same specific gravity as ________, therefore NOT pulled by gravity.   endolymph  
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The utricle senses ______ linear while the saccule contributes to the ______ movements.   horizontal, vertical  
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Sensory hair cells or '______' are also covered by a gelatinous membrane which contain otoconia   maculae  
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_______ - calcium carbonate crystals or 'ear rocks' which causes the maculae to be sensitive to gravity.   Otoconia  
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sensory hair cells convert head motion (both angular and linear) into _____ firing   neural  
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Neurons firing send messages to the brain resulting in __________ of the head and body in space as well as _________ eye and head movement   orientation, cooridinated  
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when information getting to the brain is incorrect or the processing is incorrect the result from eithe is sensory conflict that usually leads to _____, _____, and often times ______   imbalance, dizziness, nausea  
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there are two main areas for vestibular input: 1) _____ _____ complex - " primary processor "2) ______ " the adaptive processor "   vestibular nuclear complex, cerebellum  
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____-____ ____ VOR: the purpose is to maintain stable vision during head movement, thus controlling eye-head coordination   vestibular-ocular reflex  
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_____-____ ___ VSR: the purpose is to stabilize the head and body, thus controlling skeletal muscle and coordination for balance.   vestibular-spinal reflex  
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_______ - generated calorics ( COWS ) and position change, cardinal sign for vestibular dysfunction   Nystagmus  
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_____ and _____ are the 3rd most common complaint to physicians, following headaches and LBP   dizziness and imbalance  
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___% of the population over the age of 40 will experience a balance or dizziness disorder during the lifetime   40%  
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of patients 65 and older, ___% of them will fall in a given year -- more than _______ hip fx   50%, 300,000  
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falls are the ______ cause of death from injury in persons over 65 years.   leading  
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__% complaints of dizziness are due to vestibular problem   85%  
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>___% of MHI released from hospital as 'normal' have residual symptoms   50%  
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Endolymph Hydrops/Meniere's Disease - deals with _____ _____   fluid problem  
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Labyrinthitis/Neuronities - involves an ____ ____ _____   inner ear infection  
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Fistula - is when there is a _____ __ _____   rupture in membrane  
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Benign Paroxysmal Positional Vertigo - is having _____ _____ ___   misplaced ear rocks  
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Trauma - either ____ pressure, or a blow to the _____   barometric, head  
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Acoustic Neuroma - ____ _____   benign tumor  
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Ototoxicity - can be caused from ____, or _______   meds, chemicals  
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Clinical sxs of Vestibular Pathology include imbalance/_____, dizziness, _______, visual blurriness, ______ , tinnitus, fatigue   falls, nystagmus, nausea  
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Clinical sxs of CNS Pathology include _____, spontaneous ______, poor muscle ____/____, decrreased postural control, poor oculomotor control   ataxia, nystagmus, tone/control  
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Clinical Summary: __________ and _____ cues are compared with vestibular cues to produce compensatory oculomotor and postural responses.   somatosensory, visual  
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the result of somatosensory, visual, and vestibular cues is " _____ ______ ". When these systems work appropriately and seamlessly, balance occurs subconsciously.   sensory integration  
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Somatosensory, visual, and vestibular systems have a high level of ______ and _____ which allows for compensation through appropriate medical intervention.   plasticity, redundancy  
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Created by: txst fall 2008
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