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Chapter 17 THE SPECIAL SENSES Chapter Synopsis Included among the special senses are smell, taste, sight, hearing, and equilibrium. .In contrast to the general senses, the special senses have highly complex receptor organs. The detailed anatomy and physiology of the special senses are discussed. The development of the eyes and ears are also discussed. Disorders include cataracts, glaucoma, macular degeneration, deafness, Menier’s disease, and otitis media. Clinical applications include hyposmia, taste aversions, age related macular damage, LASIK, detached retina, presbyopia, and otosclerosis. Chapter Outline and Objectives INTRODUCTION 1. Briefly describe the receptors for the special senses. OLFACTION: SENSE OF SMELL 2. Discuss the interconnection of the senses of smell and taste. Anatomy of Olfactory Receptors 3. Discuss the anatomic relation of cells in the olfactory mucosa and describe the cellular parts with respect to function. Physiology of Olfaction 4. Describe the sequence of events in which a molecule that comes in contact with mucus of the epithelium initiates an action potential. Odor Thresholds and Adaptation 5. Explain the result of olfactory nerve adaptation on sensory nerve output and how it is useful in discriminative sensory sensitivity. Olfactory Pathway 6. Describe the neural links from the bipolar olfactory receptor to their destinations in specific functional areas of the brain. 7. Define hyposmia and state its causes. GUSTATION: SENSE OF TASTE 8. Discuss the general similarities and differences in operation of the gustatory and olfactory systems, then relate how they work together. Anatomy of Taste buds and Papillae 9. Describe the organization and functional parts of the cells within the various taste buds, indicating the differing cellular duties and etiological transformations. Physiology of Gustation 10. Describe the means by which the binding of a dissolved molecule in saliva generates a postsynaptic potential in the primary sensory neuron. 11. Describe how the gustatory system discriminates among hundreds of different tastes with only four types of taste receptors. Taste Thresholds and Adaptation 12. Discuss how the taste threshold changes with adaptation. Gustatory Pathway 13. Indicate which cranial nerves conduct taste impulses from separate regions of the tongue to specific areas of the brain. 14. Describe tase aversion and correlate this phenomenon to survival. VISION Accessory Structures of the Eye Eyelids 15. Describe the structures of the eyelids and their functions. Eyelashes and Eyebrows 16. Describe the eyelashes and eyebrows and their functions. Lacrimal Apparatus 17. Describe the structures of the lacrimal apparatus and their functions. Extrinsic Eye Muscles 18. Identify the extrinsic eye muscles and their functions. Anatomy of the Eyeball Fibrous Tunic 19. Describe the tissue configurations and related jobs of the components of the fibrous tunic. 20. Discuss the procedure of and implications for LASIK. Vascular Tunic 21. Describe the structural constituents of the three regions of the vascular tunic, while emphasizing how these allow performance of their distinct duties. Retina 22. Describe the major features and layers of the nervous tunic. 23. Discuss the positions of extensions and soma of two types of photo-receptor cells and three varieties of retinal neurons that compose the numerous layers within the retina. 24. Discuss the general purpose of the different retinal cells. Lens 25. Describe the structure and function of the lens. Interior of the Eyeball 26. Describe the materials that occupy the cavities and chambers of the inner eye, and state how the materials support the operation of the eye. 27. Discuss age related macular disease and examine its effects on vision. Image Formation 28. Discuss how components of the eyeball mimic the parts of a camera to perform the three basic processes in properly focusing light on the retina. Refraction of Light Rays 29. Discuss how the bending of light as it passes through the differing densities of transparent materials of the eye is used to direct the rays from objects of varying distance to focus on the retina. Accommodation and the Near Point of Vision 30. Demonstrate how the iris, lens, and extrinsic eye muscles operate in order to converge the light from a near object onto the retina. 31. Examine the effect on image formation when there are abnormal changes in the structure of the cornea and lens. 32. Discuss age related changes in elasticity and their effects on accomodation as seen in presbyopia. Refraction Abnormalities 33. List and discuss the refraction abnormalities. Constriction of the Pupil 34. Outline the components of the iris control mechanism, and their operation and purpose in altering the diameter of the pupil. Convergence 35. Illustrate how and why the relative forward angle of the eyes varies as an object of interest changes distance. Physiology of Vision Photoreceptors and Photopigments 36. Describe the definitive structures and operations of rod and cone photoreceptors as well as the location and differences between photopigments. 37. List the steps of the configuration changes that occur to the photopigments upon absorption of a photon. Light and Dark Adaptation 38. Indicate how the timing of photopigment regeneration leads to different capacities in rods and cones to adapt to changes in light intensity. Release of Neurotransmitters by Photoreceptors 39. Discuss the sequence of interactions between photopigments, enzymes, sodium channels, photoreceptor membrane potential, glutamate release, and changes in the membrane potential of connected bipolar cells. Visual Pathway 40. Mention that the signal produced by the photoreceptors is progressively integrated as it moves through the circuits leading to the brain. Processing of Visual Input in the Retina 41. Discuss how the type of circuit connections of rods and cones to other retinal neurons dictates differences in light sensitivity and clarity of the image invoked by the two types of photoreceptors. Brain Pathway and Visual Fields 42. Diagram the relationship that results in stereoscopic vision from light originating from specific visual fields with the area of the retina that receives it and the alternate pathways of the associated neurons. HEARING AND EQUILIBRIUM Anatomy of the Ear External (Outer) Ear 43. Describe the tissue structures and functions of the auricle and auditory canal. Middle Ear 44. Discuss the anatomy, operations, and functions of middle ear structures from the tempanic membrane to the oval window. 45. Explain why the ossicles amplify the force of vibrations by a factor of thirty from the eardrum to the stapes. 46. State some functional responsibilities of internal auditory tube. Internal (Inner) Ear 47. Illustrate how the bony and membranous labyrinths fit together to form the modules of the semicircular canals, vestibule, and cochlear apparatus. 48. Examine the specialized structures of the sensory mechanisms of the semicircular canals, vestibule, and cochlear apparatus. Nature of Sound Waves 49. Establish the physical relations of sound wave length to frequency and pitch, and amplitude to loudness measured in decibels. 50. Describe how loud sounds damage hair cells. Physiology of Hearing 51. Discuss the principal structures and events that transform differing sound vibration frequencies into impulses traveling along separate cochlear neurons, which are involved with the physiology of hearing. Auditory Pathway 52. Describe the components of the auditory pathway. 53. Discuss how cochlear implants can be used for people with deafness due to injury to hair cells. Physiology of Equilibrium 54. Distinguish between the two kinds of equilibrium. Otolithic Organs: Saccule and Utricle 55. Describe the cellular and extracellular constituents of the maculae, and the relative spacial position of these otoliths organs with the saccule and utricle. 56. Discuss how the otoliths work with the cilia of the macular hair cells to indicate relative orientation to gravity and direction of acceleration. Semicircular Ducts 57. Describe how the fluid of the semicircular canals temporarily moves against the cupula of the ampula to incite impulses that indicate three dimensions of rotational movement. Equilibrium Pathways 58. Define the distribution of the cochlear and vestibular components of cranial nerve VI to the nuclei for vision and head orientation, and to the cerebellum for integration with information on movement control. DEVELOPMENT OF THE EYES AND EARS Eyes 59. Describe the embryological development of the eyes. Ears 60. Describe the embryological development of the ears. AGING AND THE SPECIAL SENSES 61. Discuss the effects of aging on the senses of smell, taste, hearing, and vision. DISORDERS: HOMEOSTATIC IMBALANCES 62. Describe the causes and symptoms of cataracts, glaucoma, deafness, Menier’s disease, and otitis media. MEDICAL TERMINOLOGY 63. Define medical terminology associated with sense organs.