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102 Multiple choice questions

  1. higher
  2. a reference point to determine optimal presentation level for suprathreshold word recognition testing
  3. 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.
  4. frequencies (pitches of sound)
  5. multiple choice
  6. Word Recognition Score; WRS
  7. ability to identify speech material at intensity levels above the threshold.
  8. describe as the best to worst threshold.
  9. 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
  10. bone conduction
  11. + or - 5 dB
  12. pure tone
  13. testing that the vocab used is familiar to the client.
    determine that client's responses are recognizable to the clinician.
  14. screening for retrocochlear pathology
  15. 0-20
  16. Bone conduction
    (b/c vibration of the skull reaches both cochleas)
  17. three in either ascending or descending directions
  18. 1000 and 4000 Hz
  19. SRT should be within + or - 10 dB of the Pure Tone Average
  20. 1000, 2000, 3000, 4000, 6000, 8000, retest 1000 (first ear only), 500, and 250 Hz
  21. calibration of the audiometer
    test environment
    earphone placement
  22. Hearing Handicap Inventory (HHI)
  23. 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
  24. ...
  25. increasing performance (% correct) with increasng intensity of speech until plateau
  26. usually presented via monitored live voice.
    Use procedure similar to pure tones.
    Ascending procedure may also be used.
  27. Recorded speech
    -greater reliablilty, standardization, comparison btwn listenrs
  28. familiarization then threshold determination
  29. Speech Detection Threshold (SDT)
  30. INTENSITY of sound from -10 to 120 db HL
    --LOUDNESS. soft to loud
  31. 62-100
  32. ...
  33. FREQUENCIES from 125 to 8000 Hz
    --low to high PITCH
  34. Air conduction threshold
  35. Speech Detection Threshold
    Speech Recognition Threshold
  36. AC-BC
  37. air conduction
  38. mode of presentation (MLV v. recorded speech)
  39. -present words at 50 dB HL (or clearly audible level)
    -have client respond to every word
    -eliminate problem words
  40. at least 40 dB SL above the PTA or SRT
  41. ...
  42. inner ear, auditory nerve and auditory cortex; determined by bone conduction
  43. tympanometry
    acoustic reflex thresholds
  44. is over 20 dB or greater difference between thresholds at adjacent octave intervals (ex: 750, 1500)
  45. suprathreshold performance
  46. dB HL
  47. intervals of pure tones that stimulate specific places in the cochlea
    -250, 500, 1000, 2000, 4000, 8000
  48. suprathreshold performance/Word recognition
  49. list of monosyllabic words that are phonetically balanced.
    Typically open set material
  50. pure tones
  51. two-sylable words with equal emphasis on each syllable. common vocab, sound be able to understand and respond to each spondee.
  52. present the pure tone at 30 dB HL
  53. increase the level by 10 dB until there is a response
  54. lowest intensity level at which the listener can detect a sound
  55. flat
    sloping
    rising
    notched
    cookie-bite
    symmetrical/asymmetrical
    bilateral/unilateral
  56. behavioral response
  57. client may have very poor word recognition ability
  58. BC abnormal; greater than 15 dB HL
    no air bone-gaps; AC and BC thresholds approximately the same at all test frequencies.
  59. audiogram
  60. yearly (at least)
  61. 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)
  62. Threshold measurement for speech.
    suprathreshold speech recognition.
  63. lower than air conduction
  64. Identification of the word
    repetition
    pointing to picture or object,
    signing or writing the response
  65. daily
  66. 13 emotional questions and 12 social questions
    0 for no
    2 for sometimes
    4 for yes
  67. there's an increase in high-frequency thresholds
  68. sensation level
    40 dB ABOVE the speech threshold
  69. Bone conduction abnormal (>15 dB HL)
    Air-Bone Gaps present (>10 dB HL)
  70. spondaic words; at least 20
  71. there's an increase in low-frequency thresholds
  72. Functional Assessment
  73. 1000, 2000, 4000, 500, 250 Hz
    (different from air conduction)
  74. 1) Is bone conduction abnormal (>15)?
    ----if yes, sensorineural

    2) Are there air-bone gaps present (gaps >10)?
    ----if yes, conductive
  75. move on to threshold determination (down 10 up 5)
  76. 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.
  77. Oral- repitition of word
    can be written or point to pictures
  78. Hearing Handicap Inventory
  79. the listener may be exaggerating hearing loss
  80. not tested
  81. not important because recognition is not required.
  82. Bone conduction normal (under 20 dB HL)
    Air-bone gaps present (greater than 10 dB HL)
  83. different pure-tone stimuli transmitted through earphones one ear at a time
    can also be conducted in the sound field
  84. increase the level by 20 dB (to 50 dB HL)
  85. a technique designed to assess a person's ability to hear and understand speech
  86. it is in dB SPL, and is set to 0 dB HL
  87. 40 dB
    -will result in optimal word recognition performance
  88. SRT
    minimum hearing level for speech at which an individual can identify simple speech materials approximately 50% of the time
  89. should be noed; children's spondees, selected spondees
  90. outer and middle ear, determined by air conduction
  91. 22-60
  92. Speech Recognition Threshold
    Suprathreshold speech recognition
  93. performance decreases with increasing intensity of speech... AKA ROLLOVER**
  94. bone conduction
  95. bone conduction thresholds
  96. you repeat the familiarization and threshold determination processes at different frequencies
  97. finding a starting intensity level
  98. Greater SL needed
  99. SRT
  100. two in the ascending direction
  101. Calculation of the average (mean) loss of hearing for the pure tone thresholds at 500, 1000, and 2000 Hz.
  102. no choices provided, identification required