Passage
Sound waves propagate through many conducting structures in the ear before they are transduced into neuronal signals. When sound waves reach the fluid-filled cochlea, they are detected by hair cells lining the basilar membrane. The cochlear spiral can be modeled as a resonator system because each section of the basilar membrane is sensitive to a specific frequency (Figure 1) .
Figure 1 Amplitude pattern of the basilar membrane for different frequenciesPresbycusis (age-related hearing loss) results from a combination of factors that lessens an individual's mechanical and/or neurological sensitivity to sound. Pure tone audiometry (PTA) is used to determine an individual's ability to detect different sound frequencies and can be used to evaluate presbycusis. A "pure" tone is characterized by a single sinusoidal waveform. An audiogram plots the relative intensity required of a given frequency to be detected by the individual (Figure 2) .
Figure 2 Audiogram of an elderly patient exhibiting presbycusis
-A sound wave used in PTA that causes resonance close to the apex of the basilar membrane has a relatively:
A) short wavelength.
B) high intensity.
C) low pitch.
D) large phase shift.
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