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  1. Maximum intensity limit is _____ for bone conduction
  2. Word Recognition testing Material
  3. threshold unit for audiogram
  4. what kind of response is required for a hearing threshold?
  5. minimum hearing level (dB HL) at which an individual can just detect the presence of speech material.
  6. Hearing Threshold
  7. Responses needed for pure tone threshold
  8. Pure Tone Threshold Measurement Procedure
  9. Air Conduction measurement
  10. Acoustic immittance audiometry includes...
  11. The SDT is used when..
  12. youcan present the Word Recognition Testing Level at a high intensity for...
  13. humans are not equally sensitive to all...
  14. maximum % score
  15. for an adult with hearing loss with relatively flat configuration, what is the optimal presentation level?
  16. Pure Tone Frequency Sequence:
  18. y-axis of audiogram
  19. Familiarization
  20. questionnaire completed by adult patients that assesses their perception of their level of communication difficulty related to hearing
  21. sloping configuration may require ____ dB SL for optimal speech recognition
  22. The SRT can be used as...
  23. Hearing Loss Configuration
  24. Conventional Speech Audiometry includes...
  25. SRT correspondence to Pure Tone results
  26. Test interoctaves If the Test-retest reliability for Pure Tone Frequency Sequence is over...
  27. range of HHI score for severe handicap; hearing aid needed
  28. Abnormal PI
  29. the audiometer should have electronic calibration how often?
  30. part of the audiological evaluation that describes the impact of hearing loss on daily function?
  31. passes through entire auditory system
  32. Speech Audiometry includes...
  33. What is an example of a Functional Assessment?
  34. Spondaic Words
  35. Presentation level for Word Recognition Testing for liesteners withs sloping hearing loss
  36. Speech threshold measurements
  37. suprathreshold performance/Word recognition measures...
  38. passes through entire auditory EXCEPT for outer and middle ear
  39. what is the mode of presentation for SRT?
  40. x-axis of audiogram
  41. range of HHI score for mild-mod. handicap/hearing aid possibly needed
  42. SRT Familiarization Procedure
  43. responses needed for SRT Threshold
  44. Material for SDT
  45. Normal PI (performance-intensity function)
  46. ANT (average normal threshold) is the reference point because...
  47. Threshold Measurement Familiarization
  48. what is the very first step of Threshold Measurement Familiarization
  49. Scoring for HHI
  50. Procedure for SDT
  51. Mixed Hearing Loss
  52. SRT Material
  53. one frequency of vibration
  54. If the earphones are too loose...
  55. range of HHI score for no handicap/no hearing aid necessary
  56. if the SRT is much worse than the PTA...
  57. if there is a response after first presenting the pure tone at 30 dB HL...
  58. Speech Recognition Threshold
  59. after threshold determination...
  60. Factors that Influence Threshold
  61. Humans are MOST sensitive to frequencies between
  62. Threshold that reflects the integrity of the total peripheral auditory mechanism
  63. Conductive Loss
  64. Threshold Determination
  66. If standing waves are present because of earphone placement...
  67. Method of obtaining SRT
  68. The audiometer should be have Biological Calibration how often?
  69. Clinical decisions in the word recognition testing
  70. If a person's Air conduction thresholds are normal in both ears, bone conduction is usually...
  71. Octave intervals
  72. What mode of presentatin is preferred for Word Recognition Testing?
  73. **Pure Tone Average
  74. Response required for Word Recognition Testing?
  75. Speech Audiometry definition
  76. Presentation level for Word Recognition Testing for listeners with normal or flat hearing losses?
  77. Modifications for SRT Threshold Determination
  78. Closed set material
  79. Frequencies tested for bone conduction
  80. dB SL
  81. records hearing thresholds
  82. Determining Degree of hearing loss
  83. thresholds are measured for...
  84. recognition task where the listener selects the test item from a closed set of choices
  85. Sensorineural Loss
  86. Air-bone gaps=
  87. Suprathreshold speech recognition gives you the...
  88. Conductive system
  89. Response Required for Speech Recognition Threshold
  90. Test-retest reliability for Pure Tone Frequency Sequence should be within...
  91. if there is no response at 30 dB HL during Threshold Measurement Familiarization, you...
  92. if there is still no response at 50 dB HL, you...
  93. threshold that is not ear-specific unless masking is used
  94. if the SRT is much better than the PTA...
  95. Open set material
  96. Procedure of Speech Recognition Testing
  97. Word Recognition testing
  98. SRT Threshold Determination Procedure
  99. Sensorineural system
  1. a Recorded speech
    -greater reliablilty, standardization, comparison btwn listenrs
  2. b Speech Recognition Threshold
    Suprathreshold speech recognition
  3. c behavioral response
  4. d no choices provided, identification required
  5. e air conduction
  6. f inner ear, auditory nerve and auditory cortex; determined by bone conduction
  7. g 40 dB
    -will result in optimal word recognition performance
  8. h 1000, 2000, 4000, 500, 250 Hz
    (different from air conduction)
  9. i 0-20
  10. j Speech Detection Threshold
    Speech Recognition Threshold
  11. k testing that the vocab used is familiar to the client.
    determine that client's responses are recognizable to the clinician.
  12. l usually MLV (monitored live voice)
    --b/c of it's flexibility
    can be recorded
    --standardized speaker, material and presentation level
    --recorded speech is inflexible; can't vary the rate of presentation or the test words.
  13. m performance decreases with increasing intensity of speech... AKA ROLLOVER**
  14. n lowest intensity level at which the listener can detect a sound
  15. o calibration of the audiometer
    test environment
    earphone placement
  16. p a technique designed to assess a person's ability to hear and understand speech
  17. q Word Recognition Score; WRS
  18. r ...
  19. s flat
  20. t is over 20 dB or greater difference between thresholds at adjacent octave intervals (ex: 750, 1500)
  21. u higher
  22. v suprathreshold performance
  23. w Bone conduction normal (under 20 dB HL)
    Air-bone gaps present (greater than 10 dB HL)
  24. x SRT
  25. y Threshold measurement for speech.
    suprathreshold speech recognition.
  26. z it is in dB SPL, and is set to 0 dB HL
  27. aa intervals of pure tones that stimulate specific places in the cochlea
    -250, 500, 1000, 2000, 4000, 8000
  28. ab BC abnormal; greater than 15 dB HL
    no air bone-gaps; AC and BC thresholds approximately the same at all test frequencies.
  29. ac 1000, 2000, 3000, 4000, 6000, 8000, retest 1000 (first ear only), 500, and 250 Hz
  30. ad daily
  31. ae Speech Detection Threshold (SDT)
  32. af there's an increase in high-frequency thresholds
  33. ag similar to pure-tone threshold method; down 10 up 5.
    Need THREE correct responses at the same level; count both descending and ascending responses (b/c recognition required)
    (for pure-tone, only need two responses in the ascending direction only)
  34. ah SRT should be within + or - 10 dB of the Pure Tone Average
  35. ai Hearing Handicap Inventory (HHI)
  36. aj bone conduction
  37. ak Bone conduction
    (b/c vibration of the skull reaches both cochleas)
  38. al Hearing Handicap Inventory
  39. am Instruct the patient
    place earphones
    test right ear OR better ear first
    begin at 1000 Hz
    present each tone for 1 second and vary timing between tones
  40. an Greater SL needed
  41. ao bone conduction thresholds
  42. ap move on to threshold determination (down 10 up 5)
  43. aq three in either ascending or descending directions
  44. ar ability to identify speech material at intensity levels above the threshold.
  45. as outer and middle ear, determined by air conduction
  46. at AC-BC
  47. au lower than air conduction
  48. av spondaic words; at least 20
  49. aw 22-60
  50. ax multiple choice
  51. ay should be noed; children's spondees, selected spondees
  52. az Bone conduction abnormal (>15 dB HL)
    Air-Bone Gaps present (>10 dB HL)
  53. ba usually presented via monitored live voice.
    Use procedure similar to pure tones.
    Ascending procedure may also be used.
  54. bb mode of presentation (MLV v. recorded speech)
  55. bc frequencies (pitches of sound)
  56. bd -present words at 50 dB HL (or clearly audible level)
    -have client respond to every word
    -eliminate problem words
  57. be pure tone
  58. bf different pure-tone stimuli transmitted through earphones one ear at a time
    can also be conducted in the sound field
  59. bg Identification of the word
    pointing to picture or object,
    signing or writing the response
  60. bh 1000 and 4000 Hz
  61. bi FREQUENCIES from 125 to 8000 Hz
    --low to high PITCH
  62. bj two in the ascending direction
  63. bk tympanometry
    acoustic reflex thresholds
  64. bl pure tones
  65. bm present the pure tone at 30 dB HL
  66. bn familiarization then threshold determination
  67. bo 62-100
  68. bp not important because recognition is not required.
  69. bq you repeat the familiarization and threshold determination processes at different frequencies
  70. br at least 40 dB SL above the PTA or SRT
  71. bs two-sylable words with equal emphasis on each syllable. common vocab, sound be able to understand and respond to each spondee.
  72. bt describe as the best to worst threshold.
  73. bu when you have a client who can't perform the SRT.
    -clients whose word recognition is so poor that speech is heard but not understood
    -young client's who can't respond by pointing to pictures or writing a response
  74. bv suprathreshold performance/Word recognition
  75. bw INTENSITY of sound from -10 to 120 db HL
    --LOUDNESS. soft to loud
  76. bx 13 emotional questions and 12 social questions
    0 for no
    2 for sometimes
    4 for yes
  77. by yearly (at least)
  78. bz increasing performance (% correct) with increasng intensity of speech until plateau
  79. ca Functional Assessment
  80. cb increase the level by 20 dB (to 50 dB HL)
  81. cc there's an increase in low-frequency thresholds
  82. cd decrease level by 10 when there is a response; increase level by 5 when there is no response ;
    until there are 2 responses in the ascending direction only.
  83. ce 1) Is bone conduction abnormal (>15)?
    ----if yes, sensorineural

    2) Are there air-bone gaps present (gaps >10)?
    ----if yes, conductive
  84. cf the listener may be exaggerating hearing loss
  85. cg client may have very poor word recognition ability
  86. ch dB HL
  87. ci a reference point to determine optimal presentation level for suprathreshold word recognition testing
  88. cj not tested
  89. ck increase the level by 10 dB until there is a response
  90. cl Air conduction threshold
  91. cm sensation level
    40 dB ABOVE the speech threshold
  92. cn list of monosyllabic words that are phonetically balanced.
    Typically open set material
  93. co SRT
    minimum hearing level for speech at which an individual can identify simple speech materials approximately 50% of the time
  94. cp + or - 5 dB
  95. cq audiogram
  96. cr Calculation of the average (mean) loss of hearing for the pure tone thresholds at 500, 1000, and 2000 Hz.
  97. cs finding a starting intensity level
  98. ct Oral- repitition of word
    can be written or point to pictures
  99. cu screening for retrocochlear pathology