Rehab Aud Question Set 7-11 flashcards |

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*1. List the four factors that influence speechreading

Speaker, signal/code, environment, speech reader

*2. Where should a talker be located when speaking to someone who needs speechreading to facilitate effective communication?

Face to face or 45 degree angle

3. Speechreading may be facilitated by using a slightly slower speaking rate without exaggeration of articulatory gestures

True or False

4. What speech feature is best conveyed via speechreading?

a. Manner
b. Place
c. Voicing
d. Nasality

5. In conversational speech, about 50% of words are indistinguishable visibly

True or False

*6. Define viseme

phoneme grouped by its place of articulation or the shape of the mouth

*7. Define homophenes

different speech sounds that look the same

8. What is the optimal distance between speaker and receiver for speechreading?

a. 1 foot
b. 5 feet
c. 10 feet
d. 20 feet

*9. Why is it important to select tests that don't reflect a ceiling effect?

B/c if client gets 100%, you don't know what they have difficulty with

10. Which of the following therapy types emphasizes the development of speechreading ability?

a. Auditory verbal
b. Total communication
c. Auditory oral
d. Rochester Method

11. 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

True or False

12. In the article, Bergeson et al. describe a limitation in a prior, related study, when they used the Pediatric Speech Intelligibility measure to assess AV benefit. What was the limitation that they described?

a. Ceiling effects
b. Floor effects
c. Unreliable across examiners
d. Lack of ecological validity

*13. 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

OC/AV

14. Which condition improved at the slowest rate over time?

a. Auditory only
b. Visual only
c. Auditory + visual

*15. Results indicated that children implanted at older ages performed better on the Common Phrases task than children implanted at younger ages. Why was this 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 effects resulted in small number of children in early implant group

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

True or False

17. Parents who have children with hearing loss often change their own verbal behavior towards their child

True or False

18. The degree to which individuals patients trust audio/SLPs and other health care providers relates directly to following the professional's recommendations

True or False

*19. 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

*20. Social competence is an important part of being a good communicator. Children with hearing loss sometimes have difficulty with maintaining positive relationships with peers and thinking independently. Name TWO other skills that might be impacted relative to social competence for children with hearing loss

self control, flexibility, knowing feelings of others

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

True or False

*23. Name one reason a deafened adult faces unique challenges when coping with hearing loss

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

24. For true "membership" in the DEAF community, one needs to be deaf

True or Flase

25. In general, most psychological difficulties that result from hearing loss are more related to communication problems than the hearing loss per se.

True or False

26. In the Perminger and Yoo study, the psychosocial exercises devised were toad in evaluating problem-focused coping of participants with hearing loss

True or False

27. Questionnaires are often used as outcomes measures for AR programs, particularly for adult populations. These tools often evaluate the:

a) activity limitations posed by hearing loss
b) participantion restrictions imposed by hearing loss
c) efficacy of AR groups
d) a and b
e) all of the above

28. One limitation of the Preminger study was that there was no control group. This made it impossible to conclude whether the treatment groups were more effective than non treatment condition

True or False

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

True or False

30. In Preminger study related to average hearing handicap index, the study group that had the best hearing loss related quality of life following training was

a) communication strategies group
b) communication strategies and psychosocial training group
c) information and psychosocial training group
d) no significant differences were apparent between groups on this measure

*31. What are the three cochlear implant companies that have FDA approval in the US?

Advanced Bionics, Coclear Corp, MedEI

*32. Why would you need to remove the 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

*33. Name three members of the CI team

Otolaryngogist, audiologist, SLP, social workers, parents, teachers of D/HH

*34. 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

*35. What are current audiometric CI criteria for children 12 to 24 months of age

profound SNHL

*36. 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

37. Absence of the VIII nerve is a medical contraindication for a CI

True or False

38. The cochlear implant surgery is generally done on an inpatient basis

True or False

39. What technique allows audiologists to test the integrity of the internal device, both during and after surgery?

a) real ear
b) MAPping
c) CI verification
d) Telemetry

40. What is the device configuration for a patient with a cochlear implant in one ear and a hearing aid in the other ear?

a) bilateral
b) unilateral
c) bimodal
d) hybrid

*41. What are three reasons why speech perception scores have improved over time for CI recipients?

Advanced in internal/external components, speech coding strategies, and more liberal criteria for who can get a CI

42. Cochlear implant candidacy vary across cochlear implant manufacturers and insurance carriers

True or False

43. According to the author, what questionnaire is the most clinically used and frequently cited for assessing auditory skill development with amplification for children ages birth to 3?

a. IT MAIS
b. PBK
c. PEACH
d. LittleEars

*44. 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, may artificially inflate scores, could exclude people who would derive benefit from CIs

*45. Hybrid implants are intended for patients with good (low/high) frequency hearing and poor (low/high) frequency hearing. Choose best options.

Low/high

*46. Name the five parts of the external speech processor

coil, coil cable, battery, magnet, speech processor

*47. What does the indicator light do on the CI?

it lets the parents know if the speech processor is picking up sound and/or troubleshooting is needed

48. Where does the FM/Roger plug into?

a. the coil port on the external magnet
b. the cable port on the side of the processor
c. the accessory port in the back of the processor
d. it doesn't plug in anywhere - it connects via bluetooth

*49. Which acoustic environment was more reverberant - the auditorium or the hallway?

auditorium

50. What is the stimulus we used to test the reverberation time?

a. a hand clap
b. a balloon popping
c. recorded steady state noise
d. recorded speech

51. Data logging indicates how often the hearing aids are worn on the patient's ears

True or False

*52. How can you tell from data loving if the patient is wearing the hearing aids with the battery activated?

look at the classifier data logging information

53. Why should an audiologist use prescriptive targets to fit and verity hearing aids

a. to ensure adequate audibility
b. to ensure the hearing aid isn't too loud
c. to ensure the hearing aid has maximum gain
d. A and B only

54. How far should the end of the probe tube be from the eardrum?

a. 0 to 3 mm
b. 2 to 5 mm
c. 5 to 7 mm
d. 25 to 30 mm

55. For children, how long should the black marker ring be from the end of the probe tube?

a. 28 to 30 mm
b. 25 to 28 mm
c. 20 to 25 mm
d. 2 to 5 mm

56. How often should you do a listening check for a child with a CI/HA?

a. at least once a day
b. at least once a week
c. at least once a month
d. at least once every 8 weeks

57. When performing a listening check, what are you not listening for?

a. does the hearing aid sound distorted
b. is there even amplification change when you change the volume control
c. are the programs all functioning appropriately
d. is the hearing aid over amplifying sounds for the patient

*58. What is the most common problem with any non functioning hearing aid

dead battery

*59. What would be one common reason for feedback?

Occlusion or cerumen in ear canal, armload is too small or ill fitting, hearing aid is damaged, or there is cracked tubing

60. Which of the following is not a size of HA battery?

a. 312
b. 13
c. 675
d. 24

61. The California Consonant Test is sensitive to speech perception problems for which population?

a. children with high frequency hearing loss
b. adults with low frequency hearing loss
c. children with cochlear implants
d. adults with high frequency hearing loss

62. Why was the minimal auditory capabilities (MAC) battery developed?

a. to evaluate performance in individuals with profound hearing loss
b. to evaluate performance in individuals who speak English as a second language
c. to evaluate performance in individuals with low cognitive abilities
d. none of the above

*63. Presbycusis, in its most common form is a (high/low) frequency (conductive, mixed, sensorineural) hearing loss that progresses (rapidly/gradually)

High/sensorineural/gradually

64. Increasing the gain of hearing aids is a useful strategy for dealing with phonemic regression because the damage involves peripheral auditory pathways

True or False

65. The most effective way to use research to demonstrate that an aural rehabilitation program works is through a

a. case study
b. randomized controlled trial
c. correlational study
d. all of the above

66. Aging adults may experience greater speech perception difficulties than what would be expected based on their audiometric thresholds

True or False

67. Testing adults with monosyllabic word lists is the best way to get at everyday listening performance

True or False

68. What are the benefits of self report questionnaires in AR?

a. easy to administer
b. inexpensive
c. non-invasive
d. all of the above

69. When conducting consonant recognition training, when should the AR therapist provide feedback?

a. Immediately after the client's response
b. 5 minutes after the client's response
c. after every third trial
d. at variable intervals

*70. What does the acronym WATCH mean and when would an audiologist use it?

W: Watch talker's mouth
A: Ask specific questions
T: Talk about hearing loss
C: Change the situation
H: Healthcare knowledge

Use during the HA fitting process

*71. What are two types of coping behaviors demonstrated by adults with hearing loss?

1. controlling the social scene
2. avoiding the social scene

72. Research has shown that reasons for seeking help for hearing loss depends more not he client's perceptions of their activity limitations and participation restrictions than the actual degree of hearing loss impairment

True or False

73. How would a clinician use the self report measure, the COSI, to help a client during the AR process?

a. to about the client's impairment on ta structural level
b. to about the client's perceptions of restricted activities
c. to about client's manual dexterity issues
d. to about the client's cognitive abilities

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