Rehab Aud Exam 2 flashcards |

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four factors that influence speech reading

speaker, signal/code, environment, speech reader

where should a talker be located when speaking to someone who needs speechreading to facilitate effective communication?`

face-to-face of 45 degree angle

speech reading may be facilitated by using a slight slower speaking rate without exaggeration of articulatory gestures


what speech feature is best conveyed via speech reading?

Place (manner and voicing are invisible)

in conversational speech, about 50% of words are indistinguishable visibly


define viseme

phoneme grouped by place of articulation or shape of the mouth


different speech sounds that look the same

what is the optimal distance between speaker and receiver for speech reading

5 feet

why is it important to select tests that don't have a ceiling effect

because if a client gets 100%, you don't know what they have difficulty with

which of the following therapy types emphasizes the development of speechreading ability

auditory oral

the term audiovisual integration describes the additive effect of combining auditory and visual cues. In other words, speech recognition with auditory and visual cues equals auditory only scores plus visual only scores


Bergeson et al. describes a limitation in a prior, related study, when they used the pediatric speech intelligibility measure to assess AV benefit. what is the limitation that they describe?

ceiling effect

results of the study indicated that children who were (OC/TC) performed better on the outcome measure, and children consistently did better in the (AV, V only, A only) condition. Choose one within each parenthesis


which condition improved at the slowest rate over time

visual only

results indicated that children implanted at older ages performed better on the common phrases task than chidden implanted at younger ages. why was the result surprising to the authors and how did they explain this discrepant finding?

usually early implanted children do better on outcome measures , older children were 3 years older than early-implanted children at time of testing, also, sampling effect resulted in small number of children in early implant group

Kricos (2000) urges those involved in counseling to accept denial as normal part of accepting their child's hearing loss, but also to help parents move through the phase as quickly as possible to that they can help their child more effectively


parents who have children with HL often change their own verbal behavior toward their child


the degree to which individual patients trust audiologist and SLPs relates directly to following the professional's recommendations


what is the average length of time from when an adult suspects they have a hearing problem to when they actually seek some sort of help?

7 years

social competence is an important part of being a good communicator. children with HL sometimes have difficulty with maintaining positive relationships with peers and thinking independently. name 2 other skills that might be impacted relative to social competence for children with HL

self control
knowing feelings of others

for some populations it is important for them to develop relationships with other teens with hearing loss


name one reason a deafened adult faces unique challenges when coping wit hearing loss

no ties to deaf community
limited communication skills
can't speech read

for true membership in the Deaf community, one needs to be deaf


in Preminger and Yoo study, the psychosocial exercises devised were to aid in evaluating problem-focused coping of participants with hearing loss


questionnaires are often used as outcome measures for AR programs, particularly for adult populations. these tools often evaluate the:

all of the above:
activity limitations posed by hearing loss
participation restrictions imposed by HL
efficacy of AR groups

one limitation of Preminger and Yoo study was that there was on control group. This made it impossible to conclude whether the treatment groups were more effective than no treatment condition


just interacting and being with others with hearing loss, learning about the associated feelings of having hearing loss, and seeing how others cope with hearing loss can be perceived as a benefit from an AR group therapy


in Preminger and Yoo study related to average hearing handicap index, the study group that had the best hearing loss related quality of life following training was

communication strategies + psychosocial training group

what are the three cochlear implant companies that the FDA approves

Advanced Bionics
Cochlear Corp

Why would you need to remove internal magnet when a patient needs a high resolution MRI

MRI would disrupt the placement of the internal magnet, because an MRI is a giant magnet

Name three members of the CI team

Social workers
Teacher of D/HH

what are current CI criteria for adults, in terms of aided speech scores?

50% or less in ear to be implanted, 60% or less in unimplanted ear

what are current audiometric CI criteria for children 12 to 24 months of age?

profound SNHL

what are current CI criteria for children 2 to 18 years of age in terms of aided speech scores

30% or less on word recognition measure

absence of the VIII nerve is medical contraindication for CI


the cochlear implant surgery is generally done on an inpatient basis


what technique allows audiologists to test the integrity of the interal device, both during and after surgery


what is the device configuration for a patient with cochlear implant in one ear and hearing aid in other ear


what are three reasons why speech perception scores have improved over time for CI recipients

advance in internal/external components
speech coding strategies
more liberal criteria for who can get CI

cochlear implant candidacy criteria vary across cochlear implant manufacturers and insurance carriers


according to the author, what questionnaire is the most clinically-used and frequently-cited for assessing auditory skill development with amplification in children ages birth to 3


identify one reason why we shouldn't use 70 dB SPL as the presentation level when determining implant candidacy for an adult

not representative of real world listening situations (eco validity) may artificially inflate scores, could exclude people who would derive benefit from CI's

hybrid implants are intended for patients with good (low/high) frequency hearing and poor (low/high) frequency hearing

low, high

name five parts of external speech processor

coil, coil cable, battery, magnet, speech processor

what does the indicator light do on the CI

it lets arenas know if speech processor is picking up sound or troubleshooting is needed

where does the FM/Roger plug into

the accessory port in the back of the processor

which acoustic environment was more reverberant

the auditorium

what is the stimulus we used to test the reverberation time

hand clap

data loggia indicates how often the hearing aids are worn on the patients ears


how can you tell from data logging if the patient is wearing the hearing aids with the battery activated

look at the classifier data logging information

why should an audiologist use prescriptive targets to fit a nd verify hearing aides

to ensure adequate audibility and to ensure the hearing aid isn't too loud (A and B only)

how far should the end of the probe tube be from the eardrum

2 to 5 mm

for children, how long should the black marker ring be from the end of the probe tube

20 to 25 mm

how often should you do a listening check for a child with a CI/HA

at least once a day

when performing a listening check, what are you not listening for?

is the hearing aid overamplifying sounds for the patient?

what is the most common problem with any non functioning hearing aid

dead battery

what would be on common reason for feedback

occulsion or ceruman in the ear canal
ear mold too small or doesn't dil
HA damage by cracked tubing

which of the following is not a size of HA battery


the california consonant test is sensitive to speech perception problems for which population

adults with high frequency hearing loss

why was the minimal auditory capabilities (MAC) better developed

to evaluate performance in individuals with profound hearing loss

presbycusis in most common form is a high/low frequency (cone. mixed, SN) HL that progresses rapidly/progressively

high, SNHL, gradually

increasing the gain of HA is a useful strategy for dealing with phonemic regression because the damage involves peripheral audioty pathways


the most effect way to use research to demonstrate that an aural rehab program works is though a

randomized ontrolled trial

aging adult may experience greater speech perception difficulties than what would be expected based on their audiometric thresholds


testing adults with monosyllabic odd lists is the best way to get at everyday listening performance


what are the benefits of self report questionnaires inAR

all of the above (easy to administer, inexpensive, non invasive)

when conducting consonant recognition training, when should the ar therapist provide feedback?

immediately after the client's response

what does acronym WATCH mean and when would an audiologist use it?

use during HA fitting process

W = watch talkers mouth
A = ask specific questions
T = talk about HL
C = change the situation
H = healthcare knowledge

what are two types of coping behaviors demonstrated by adults with hearing loss

controlling social scene
avoiding social scene

research has shown that reasons for seeking hep for hearing gloss depends more on the client's perceptions of their activity limitations and participation restrictions than the actual degree of HA impairment


how would a clinician use the set report measure, the COSI, to help a client during the aR process

to about the client's perceptions of restricted activates

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