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102 True/False questions

  1. range of HHI score for mild-mod. handicap/hearing aid possibly needed62-100

          

  2. SPEECH AUDIOMETRYtwo-sylable words with equal emphasis on each syllable. common vocab, sound be able to understand and respond to each spondee.

          

  3. The SRT can be used as...a reference point to determine optimal presentation level for suprathreshold word recognition testing

          

  4. ANT (average normal threshold) is the reference point because...pure tones

          

  5. maximum % scoreperformance decreases with increasing intensity of speech... AKA ROLLOVER**

          

  6. Responses needed for pure tone thresholdtwo in the ascending direction

          

  7. thresholds are measured for...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.

          

  8. Familiarizationtesting that the vocab used is familiar to the client.
    determine that client's responses are recognizable to the clinician.

          

  9. y-axis of audiogramINTENSITY of sound from -10 to 120 db HL
    --LOUDNESS. soft to loud

          

  10. if there is still no response at 50 dB HL, you...increase the level by 10 dB until there is a response

          

  11. Closed set materialno choices provided, identification required

          

  12. Pure Tone Threshold Measurement ProcedureInstruct 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

          

  13. Hearing Thresholdlowest intensity level at which the listener can detect a sound

          

  14. Threshold Measurement FamiliarizationdB HL

          

  15. If the earphones are too loose...there's an increase in low-frequency thresholds

          

  16. Suprathreshold speech recognition gives you the...Word Recognition Score; WRS

          

  17. Procedure of Speech Recognition Testingmode of presentation (MLV v. recorded speech)

          

  18. dB SLperformance decreases with increasing intensity of speech... AKA ROLLOVER**

          

  19. Threshold that reflects the integrity of the total peripheral auditory mechanismAir conduction threshold

          

  20. The audiometer should be have Biological Calibration how often?daily

          

  21. if there is no response at 30 dB HL during Threshold Measurement Familiarization, you...increase the level by 20 dB (to 50 dB HL)

          

  22. Modifications for SRT Threshold Determinationsimilar 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)

          

  23. Clinical decisions in the word recognition testingmode of presentation (MLV v. recorded speech)

          

  24. Normal PI (performance-intensity function)suprathreshold performance

          

  25. responses needed for SRT Thresholdthree in either ascending or descending directions

          

  26. **Pure Tone AverageCalculation of the average (mean) loss of hearing for the pure tone thresholds at 500, 1000, and 2000 Hz.

          

  27. range of HHI score for no handicap/no hearing aid necessary62-100

          

  28. sloping configuration may require ____ dB SL for optimal speech recognitionhigher

          

  29. the audiometer should have electronic calibration how often?yearly (at least)

          

  30. Factors that Influence Thresholdlowest intensity level at which the listener can detect a sound

          

  31. minimum hearing level (dB HL) at which an individual can just detect the presence of speech material.Speech Detection Threshold (SDT)

          

  32. Test-retest reliability for Pure Tone Frequency Sequence should be within...+ or - 5 dB

          

  33. after threshold determination...you repeat the familiarization and threshold determination processes at different frequencies

          

  34. Air-bone gaps=intervals of pure tones that stimulate specific places in the cochlea
    -250, 500, 1000, 2000, 4000, 8000

          

  35. Material for SDTnot important because recognition is not required.

          

  36. one frequency of vibrationpure tone

          

  37. Procedure for SDTusually presented via monitored live voice.
    Use procedure similar to pure tones.
    Ascending procedure may also be used.

          

  38. What mode of presentatin is preferred for Word Recognition Testing?Oral- repitition of word
    can be written or point to pictures

          

  39. range of HHI score for severe handicap; hearing aid needed62-100

          

  40. Acoustic immittance audiometry includes...a technique designed to assess a person's ability to hear and understand speech

          

  41. If standing waves are present because of earphone placement...client may have very poor word recognition ability

          

  42. Presentation level for Word Recognition Testing for liesteners withs sloping hearing lossGreater SL needed

          

  43. what kind of response is required for a hearing threshold?three in either ascending or descending directions

          

  44. TWO QUESTIONS FOR DETERMINING TYPE OF LOSSsimilar 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)

          

  45. Conductive systemouter and middle ear, determined by air conduction

          

  46. suprathreshold performance/Word recognition measures...ability to identify speech material at intensity levels above the threshold.

          

  47. The SDT is used when..a reference point to determine optimal presentation level for suprathreshold word recognition testing

          

  48. for an adult with hearing loss with relatively flat configuration, what is the optimal presentation level?40 dB
    -will result in optimal word recognition performance

          

  49. Method of obtaining SRTfamiliarization then threshold determination

          

  50. Octave intervalsintervals of pure tones that stimulate specific places in the cochlea
    -250, 500, 1000, 2000, 4000, 8000

          

  51. Response required for Word Recognition Testing?mode of presentation (MLV v. recorded speech)

          

  52. Speech Audiometry includes...Threshold measurement for speech.
    suprathreshold speech recognition.

          

  53. passes through entire auditory systeminner ear, auditory nerve and auditory cortex; determined by bone conduction

          

  54. Threshold DeterminationdB HL

          

  55. Sensorineural systeminner ear, auditory nerve and auditory cortex; determined by bone conduction

          

  56. Word Recognition testing Materialmultiple choice

          

  57. Speech Audiometry definition...

          

  58. Presentation level for Word Recognition Testing for listeners with normal or flat hearing losses?at least 40 dB SL above the PTA or SRT

          

  59. Spondaic Wordsusually presented via monitored live voice.
    Use procedure similar to pure tones.
    Ascending procedure may also be used.

          

  60. What is an example of a Functional Assessment?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.

          

  61. SRT Familiarization Proceduresimilar 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. part of the audiological evaluation that describes the impact of hearing loss on daily function?Functional Assessment

          

  63. Speech Recognition Thresholdsuprathreshold performance

          

  64. Pure Tone Frequency Sequence:Calculation of the average (mean) loss of hearing for the pure tone thresholds at 500, 1000, and 2000 Hz.

          

  65. Scoring for HHI13 emotional questions and 12 social questions
    0 for no
    2 for sometimes
    4 for yes

          

  66. questionnaire completed by adult patients that assesses their perception of their level of communication difficulty related to hearingHearing Handicap Inventory (HHI)

          

  67. x-axis of audiogramFREQUENCIES from 125 to 8000 Hz
    --low to high PITCH

          

  68. humans are not equally sensitive to all...frequencies (pitches of sound)

          

  69. Determining Degree of hearing lossdescribe as the best to worst threshold.

          

  70. if the SRT is much worse than the PTA...client may have very poor word recognition ability

          

  71. Sensorineural LossBC abnormal; greater than 15 dB HL
    no air bone-gaps; AC and BC thresholds approximately the same at all test frequencies.

          

  72. determines sensorineural sensitivitybone conduction

          

  73. Conventional Speech Audiometry includes...Threshold measurement for speech.
    suprathreshold speech recognition.

          

  74. recognition task where the listener selects the test item from a closed set of choicesSRT

          

  75. If a person's Air conduction thresholds are normal in both ears, bone conduction is usually...1000, 2000, 4000, 500, 250 Hz
    (different from air conduction)

          

  76. Response Required for Speech Recognition ThresholdOral- repitition of word
    can be written or point to pictures

          

  77. Maximum intensity limit is _____ for bone conductionlower than air conduction

          

  78. Speech threshold measurementsdifferent pure-tone stimuli transmitted through earphones one ear at a time
    can also be conducted in the sound field

          

  79. Hearing Loss Configurationtesting that the vocab used is familiar to the client.
    determine that client's responses are recognizable to the clinician.

          

  80. REPRESENTS SENSITIVITY OF THE SENSORINEURAL SYSTEMair conduction

          

  81. threshold that is not ear-specific unless masking is usedBone conduction
    (b/c vibration of the skull reaches both cochleas)

          

  82. threshold unit for audiogramdB HL

          

  83. Test interoctaves If the Test-retest reliability for Pure Tone Frequency Sequence is over...two in the ascending direction

          

  84. Mixed Hearing LossBone conduction abnormal (>15 dB HL)
    Air-Bone Gaps present (>10 dB HL)

          

  85. what is the mode of presentation for SRT?Hearing Handicap Inventory

          

  86. what is the very first step of Threshold Measurement Familiarizationpresent the pure tone at 30 dB HL

          

  87. Air Conduction measurementouter and middle ear, determined by air conduction

          

  88. Conductive LossBone conduction normal (under 20 dB HL)
    Air-bone gaps present (greater than 10 dB HL)

          

  89. Open set materialno choices provided, identification required

          

  90. SRT correspondence to Pure Tone resultsSRT should be within + or - 10 dB of the Pure Tone Average

          

  91. SRT Materialmultiple choice

          

  92. records hearing thresholdsaudiogram

          

  93. Abnormal PIspondaic words; at least 20

          

  94. Humans are MOST sensitive to frequencies betweenSRT should be within + or - 10 dB of the Pure Tone Average

          

  95. if there is a response after first presenting the pure tone at 30 dB HL...the listener may be exaggerating hearing loss

          

  96. SRT Threshold Determination Proceduresimilar 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)

          

  97. Frequencies tested for bone conduction1000, 2000, 4000, 500, 250 Hz
    (different from air conduction)

          

  98. Threshold determination procedures for Bone conduction the same as for air conduction except for a few differences...

          

  99. passes through entire auditory EXCEPT for outer and middle earbone conduction

          

  100. youcan present the Word Recognition Testing Level at a high intensity for......

          

  101. if the SRT is much better than the PTA...the listener may be exaggerating hearing loss

          

  102. Word Recognition testingSRT
    minimum hearing level for speech at which an individual can identify simple speech materials approximately 50% of the time