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Topic 2
Ototoxicity
37
Audiology
Graduate
08/30/2017

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Term
Not an actual structure, but a series of tunnels, channels, and spaces in the petrous portion of the temporal bone
Definition
Labyrinth
Term
-There are 3 ___ filled chambers in the cochlea
-What are the 3 chambers?
-What fluid is in each chamber?
Definition
-fluid
-Scala vestibule, scala media, and scala tympani
-SV: perilymph; SM: endolymph; ST: perilymph
Term
What is the function of the inner ear?
Definition
To convert mechanical sound waves to neural impulses that can be recognized by the brain for hearing and balance.
Term
The cochlea resembles a snail shell and spirals for about ____ turns around a bonycolumn
Definition
2 3/4
Term
The Organ of Corti is made up of what 3 things?
Definition
sensory hair cells, supportive structures, and nerve fibers
Term
The base of the basilar membrane is ___ and ___ and the apex is ___ and more ___
Definition
thin; stiff; wider; elastic
Term
Which is more vulnerable, inner or outer HCs?
Definition
Inner hair cells, which affects the 8th nerve which affects temporal processing
Term
What side effects should you look for with IHC damage?
Definition
tinnitus, sense of aural fullness, change in hearing sensitivity, and vertigo
Term
Can ototoxicity cause auditory neuropathy and central auditory processing issues?
Definition
Yes
Term
the basic & applied science regarding the fate & actions of drugs in the body
Definition
Pharmacology
Term
“poison” or “drug”
Definition
Pharmakon
Term
“study of”
Definition
logos
Term
any substance recommended or used to diagnose, treat, or prevent a disease
Definition
Drug
Term
How many prescription drugs are there?
Definition
More than 13,000
Term
What are the 5 areas of Pharmacology?
Definition
Pharmacokinetics, pharmacodynamics, toxicology, and pharmacogentics
Term
what the body does with a drug-absorption, distribution,
metabolism, excretion
Definition
Pharmacokinetics
Term
what the drug does to the body-site & effect; mechanism
of interaction
Definition
Pharmacodynamics
Term
toxic or unwanted effects of drugs
Definition
Toxicology
Term
the body’s genetic response to drugs
Definition
Pharmacogentics
Term
What are some factors that can affect how a drug works?
Definition
age, weight, other illnesses, diet, exercise, smoking, and other medications
Term
Phases of Clinical Trials:
-Phase I: Researchers test a new drug or treatment in a ___
group of people for the ___ time to evaluate its safety,
determine a safe dosage range, and identify side effects. • -Phase II: The drug or treatment is given to a ___ group of
people to see if it is ____ and to further evaluate its safety. -Phase III: The drug or treatment is given to large groups of
people to ___ its effectiveness, monitor ___ ___, compare it to ___ used treatments, and collect information that will allow the drug or treatment to be used ___.
-Phase IV: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in ___ populations and any side effects associated with long-term use.
Definition
small; first; larger; effective; confirm; side effects; commonly; safely; various
Term
Methods Used to Create Medications:
-___ (most drugs are made this way)-Active ingredients are made via chemical processes
-from ___ sources
◦ Examples: morphine from opium poppy, insulin from cow/pig pancreas, penicillin from mold
-_____- A natural product is chemically modified to
improve safety or effectiveness ◦ Examples: some AMG, ___
Definition
Synthetically; natural; semi-synthetically; penicillin
Term
What are the 3 names used for a drug?
Definition
chemical name, generic name, and trade name
Term
What is the generic and trade name for the chemical name of acetaminophen?
Definition
Generic: acetaminophen; Trade names: tylenol, tempra, tapanol, and liquiprin
Term
underlying physiological mechanism; chemical produces response(s)
Definition
Action
Term
observed consequences of actions
Definition
Effects
Term
a drug that can interact with a receptor to activate a response
Definition
Agonist
Term
part of a cell (membrane surface) with which the drug interacts
Definition
Receptor
Term
a drug that can bind to a receptor, but does not activate receptor to produce response
Definition
Antagonist
Term
What can happen if an antagonist binds to a receptor?
Definition
It may prevent an agonist from binding which could prevent a normal response
Term
how well a drug binds to its receptor
Definition
Affinity
Term
how efficiently the drug-receptor complex produces a response
Definition
Efficacy
Term
-Agonists have ___ affinity & ___ efficacy.
-Antagonists have ___ affinity and ___ efficacy.
Definition
high; high; high; no
Term
Two Basic Principles of Pharmacology:
-No drug produces a ___ effect. All drugs act at ___ sites.
-Every drug produces adverse or unwanted ___ ___.
Definition
single; multiple; side effects
Term
What did the Food and Drug Act of 1906 do?
Definition
required mfrs to list ingredients on labels. No misleading or false claims. Registration of some medications.
Term
What did these laws do?
-1912 Sherley Amendment
-1938 Federal Food, Drug, and Cosmetic Act
-1951 Durham-Humphrey Amendment
Definition
-prohibited false claims for meds with patents
-Prevented new drugs from being marketed until
tested. Mandated accurate labels.
-Specified how prescription drugs could be ordered & dispensed; required label
Term
What did this legislation do?
-1962 Kefauver-Harris Drug Amendment
-1994 Dietary Supplement Health & Education Act
Definition
-Required mfrs to prove safety & efficacy before
marketing. Required drugs approved in1938-1962 to be
tested
-Allowed FDA to regulate claims & labels for “dietary supplements”; classified them as foods so they are NOT required to pass safety & efficacy testing
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