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167 True/False questions

  1. Programming CIFocus on supporting personal adjustment
    May need to refer to a professional
    We only focus on the HL

          

  2. Traditional Adult CI CandidateProfound bilateral HL
    Receive minimal "benefit" from HA
    Speech recognition < 50% (private insurance) <40% (Medicare)

          

  3. Counseling with ChildrenStereotyping what a response might be
    Transference: Strong reaction possitiveor negative to parent
    Projecitons; Responding ot predicaments as if they were our own
    Implicit Expectation
    Overhelping
    Cheerleading
    Coping
    Denial
    Resistance
    Affermation
    Innegration

          

  4. Expression FactorsHow they are using their body and help add redundancy to message

          

  5. Acquired Hearing LossCI in one ear
    Normal hearing in the other

          

  6. Parts of Internal CIS12=10 mm
    L24=24 mm

          

  7. Older Implanted Children did better on Common Phrase than younger, in Bergerson Explain DiscrepancyNo ties to Deaf Community
    Limited Communication Skills
    Can't Speech Read

          

  8. BimodalCI in one ear
    HA in the other ear, residual hearing is in this ear
    Helps with localization of sound
    Some people may stop wearing their HA

          

  9. Length FactorsLonger the message harder to speech read
    Grammar helps with predicatbility

          

  10. Need this for True Membership in the Deaf CommunityTo be Deaf

          

  11. APHAB10 and older clients
    Tested unaided and aided
    Available in other languages
    Reliability and validity not mentioned
    very realistic
    Easily Administerred

          

  12. Assessing SpeechreadingDo more than just watch lips
    Look at facial expression
    Use residual Hearing
    Linguistic Constraints
    Modify Environment

          

  13. Hybrid CI CandidatesGood hearing at low frequencies
    Poor hearing at high frequencies

          

  14. First FDA Approved CIS12=10 mm
    L24=24 mm

          

  15. Three CI COmpaniesAdvanced Bionics
    Cochlear Corp
    MedEl

          

  16. According to Gifford what Questionnaire is most used for Assessing Auditory Skills Birth-3IT MAIS

          

  17. What is a CIPatient is deaf in both ears
    CI attached to one cochlea

          

  18. AV Integration TheoryPicks up acoustic signal

          

  19. Doyle1964
    Inserted an array of electrode into a cochlea of a totally deaf person
    Patient was able to repeat phrases with lipreading cues

          

  20. Abbreviated Profile of Hearing Aid BenefitAPHAB

          

  21. Reasons people seek help for HLDepends more on clients percpetions of limitations on activities and articipation restrictions than the actual degree of HL
    If they feel like an outcast they will seek help

          

  22. Client Oriented Scale of ImprovementCOSI

          

  23. Bottom-Up CuesSegmental and Suprasegmental
    Auditory Cues
    Visual Cues
    Perceptual

          

  24. Hearing in Noise TestHINT

          

  25. Disadvantage of Two CI'sUnilateral CI and Deaf
    Bilateral CI
    Unilateral CI and HI (Bimodal)
    Unilateral CI and Normal Hearing (SSD)
    Hybrid CI

          

  26. Contralateral Routing of Offside SignalCROS
    HA that transmits sound from bad ear to good ear

          

  27. 1990W-Watch Talker's Mouth
    A-Ask Specific Questions
    T-Talk about HL
    C-Change the situation
    H-Healthcare knowledge
    Use during the HA fitting Process

          

  28. Kubler-RossGrief Cycle, Stages of Grieving
    Often seen as a re-cycling
    Pattern and reaction to loss

          

  29. CNCW-Watch Talker's Mouth
    A-Ask Specific Questions
    T-Talk about HL
    C-Change the situation
    H-Healthcare knowledge
    Use during the HA fitting Process

          

  30. DepressionReality is painful
    Reoccurs at life milestones
    Professional response: Listen quietly
    If severe enough may reffere to professional

          

  31. MicrophonePicks up acoustic signal

          

  32. CounselingFocus on supporting personal adjustment
    May need to refer to a professional
    We only focus on the HL

          

  33. How would a clinician use the self-report measure, the COSI, to help a client during the AR process?Slightly slower speech
    exaggerated lip movement

          

  34. Audiovisual IntegrationUse this and visual cues to help understand speaker

          

  35. Percentage of Speech that is Distinguished Visually50% of Words

          

  36. Imaging for a CIIs the cochlea an abnormal shape
    Is a cochlea present
    Is an auditory nerve present
    Surgical anatomy anomalies

          

  37. VisemeClassify phonemes by place of articulation and shape of mouth
    Not a 1:1 correspondance
    9-12 groups

          

  38. Types of Hybrid CIS12=10 mm
    L24=24 mm

          

  39. Questionnaires EvaluateActivity Limitations posed by HL
    Participation restrictions posed by HL
    Efficacy of AR Groups

          

  40. Adult Simultaneous ImplantationMeet criteria for CI
    Patient has obsolete internal device
    Patient wants benefits of bilateral hearing

          

  41. ProcessorConverts the acoustic signal from the microphone to an electric signal

          

  42. Why Shouldn't we use 70 dB for Presentation Level for Implant CandidacyNot representative for Real World listening Situation
    May inflate Scores
    Exclude people who would benefit from CI

          

  43. Anger12 and Older Clients
    Used for HA and CI
    3-12 Sentences
    Scored by % Correct
    SNR Environment

          

  44. Why the Minimal Auditory Capabilities (MAC) Battery was developedEvaluated the performance n individuals with profound HL

          

  45. Djourno and EyriesNeed to remove internal magnet before MRI because MRI would disrupt internal magnet placement

          

  46. Bilateral Sequential CITwo different surgeries to get two CI's
    Helps with localization of sound
    Insurance may not cover the second CI

          

  47. Most Psychologic Problems Result From2-4 hours

          

  48. Therapy that Emphasizes Speechreading20% of words are recognized through vision alone
    Place is visible
    Voicing and manner are invisible

          

  49. Aging adults may experience greater speech perception difficulties thanNo ties to Deaf Community
    Limited Communication Skills
    Can't Speech Read

          

  50. Impact of Acquired HL1984
    House-3M Single electrode Array for adults

          

  51. Articulatory StyleDenial
    Guilt
    Anger
    Bargaining
    Depression
    Acceptance

          

  52. Family Focused ModelSystem Information: SpEd laws, available services
    General Information: Child's prognosis, treatment options
    Parents role at home
    Family assistance: Counseling network
    Resources: Financial, medical, emotional, respit care

          

  53. International Audiences of CI ResearchCOSI

          

  54. Preminger and Yoo Lacked this Making Them Unable to Conclude their Data12 months of age
    Profound bilateral HL
    Receive minimal benefit from HA

          

  55. The Average Time an Adult with a HL waits before seeing HelpCalifornia Consonant Test is sensitive to speech perception problems for this population

          

  56. Basic Listening SkillsUse minimal encouragers (uh-hh, hmm) keeps person talking
    Paraphrase-this helps lead to solutions without directly acknowledging them
    Acknowledge/ reflect feelings
    HL children don't have feeling vocabulary

          

  57. CI CandidacyGood hearing at low frequencies
    Poor hearing at high frequencies

          

  58. Grief CycleUltimate goal
    First evidence of resolved grief
    Professional Response: Energies and constructive actions of parent can now be more focused on intervention

          

  59. Counseling ProcessHelp Child/parent tell their story
    Help them to clarify their problems
    Help children to take responsibility for listening problems
    Help them establish goals
    Develop an action plan
    Implement the plan
    On going reassesment

          

  60. Factors with Bimodal HearingDon't assume their HA fits
    May need to remove HA to acclimate CI
    Fit independently

          

  61. 4 Subscales of SADLEase of Communication (EC)
    Reverberation (RV)
    Background Noise (BN)
    Aversiveness (AV)

          

  62. Optimal Distance Between Speaker and LIpreader5 feet

          

  63. Consonant Nucleus ConsonantHard to localize sound
    CROS and OI do little to restore binaural auditory processing

          

  64. PresbycusisReality is painful
    Reoccurs at life milestones
    Professional response: Listen quietly
    If severe enough may reffere to professional

          

  65. Talker FactorsArticulatory Style
    Gender
    Facial Expression
    Position

          

  66. Benefits of Acoustic and Electric HearingImproved Speech perception abilities
    Better frequency selectivity
    Helps with background noise
    Helps with music
    Helps with sound localizaiton

          

  67. Implant/ReceiverReceives input from external device and sends it to electrode array

          

  68. Traditional Child CI CandidateAudiologic Evaluation
    Otological Examination
    CT/MRI to see for abnormalities
    For children: Require a 3 month HA trial and Speech/Language Evaluation

          

  69. Visual Cues for SpeechreadingDo more than just watch lips
    Look at facial expression
    Use residual Hearing
    Linguistic Constraints
    Modify Environment

          

  70. Speech Feature Conveyed Best via Speech ReadingSpeaker
    Signal/Code
    Environment
    Speech reader

          

  71. Message FactorsWoman are easier then men
    Facial Hair is an issue because they hide the mouth

          

  72. Educational IssuesAmericans want their child to succeed
    Will my child talk?
    Certain values are more important than others depending on the family

          

  73. Seeing how Others Cope with HL may help othersCope with their HL in an AR Therapy

          

  74. LipreadingOnly attending to position and movement of lips

          

  75. Three Reasons Speech Perception Scores have Improved for CI RecipiantsAdvancement in internal/external Components
    Speech Coding Strategies
    More liberal criteria for who can get a CI

          

  76. Device StimulationInitial fitting 1 month after surgery
    Follow ups 2 weeks after and 1 month after
    Additional follow ups in 3 month intervals for first year
    Then annual visits
    Starts sound signal soft to not scare the patient
    Audiologist slowly increases the sound volume

          

  77. IntegrationMcGurk Effect
    Seen more in females
    Combine auditory and visual cues and get something in the middle

          

  78. Guilt1964
    Inserted an array of electrode into a cochlea of a totally deaf person
    Patient was able to repeat phrases with lipreading cues

          

  79. Gender FactorsLonger the message harder to speech read
    Grammar helps with predicatbility

          

  80. Adult Sequential ImplantationProcess of using hearing and eyes to understand speech
    AV scores are better than A and V alone
    Do not add A and V to get AV

          

  81. Satisfaction of Amplification in Daily LivingDon't assume their HA fits
    May need to remove HA to acclimate CI
    Fit independently

          

  82. Bilateral CI vs Unilateral CIImplant/Receiver
    Electrode Array

          

  83. CI's and MRIs1957
    Implanted the VIIIth Nerve stump in a patient with bilateral temporal bone resection
    Patient could differentiate between high and low frequencies

          

  84. Why have 2 CI'sA prosthesis that provides direct electrical stimulation to auditory never
    Bypasses the ME
    Used with individuals who have severe to profound HL who receive little benefit from HA

          

  85. Members of a CI TeamUnilateral CI and Deaf
    Bilateral CI
    Unilateral CI and HI (Bimodal)
    Unilateral CI and Normal Hearing (SSD)
    Hybrid CI

          

  86. Alessandro VoltaPicks up acoustic signal

          

  87. CI Criteria for Children 2-18 for Aided Speech30% or Less W0rd Recognition Measures

          

  88. Integration and Age of ImplantationEarly implanted children do better at A-only and AV
    Later implanted children do better at V only
    If child gets implanted 2.5 years or later they are more reliant on visual cues

          

  89. FalseSNR of -10 dB to begin and adjust until client gets 100% correct
    Surrounded by speakers and locate the sound
    Recorded, Reliable, Valid
    Expensive
    Multilingual

          

  90. Self-ConceptUltimate goal
    First evidence of resolved grief
    Professional Response: Energies and constructive actions of parent can now be more focused on intervention

          

  91. How to Talk to a Person Needing SPeechreadingAuditory Oral

          

  92. Counseling PitfallsStereotyping what a response might be
    Transference: Strong reaction possitiveor negative to parent
    Projecitons; Responding ot predicaments as if they were our own
    Implicit Expectation
    Overhelping
    Cheerleading
    Coping
    Denial
    Resistance
    Affermation
    Innegration

          

  93. When conducting consonant recognition training, when whould the AR therapist provide feedback?Immediately after the client's response

          

  94. Four Factors of Speech Reading20% of words are recognized through vision alone
    Place is visible
    Voicing and manner are invisible

          

  95. DenialInitial reaction, helps them mobilize
    HL is invisible
    Professional Response: Accept and offer service to child and family

          

  96. Semantic FactorsWords relate to each other if we have a good vocabulary it is easier to fill in the blanks

          

  97. Sound Delivered in Hybrid CIAudiologic Evaluation
    Otological Examination
    CT/MRI to see for abnormalities
    For children: Require a 3 month HA trial and Speech/Language Evaluation

          

  98. AcceptanceUltimate goal
    First evidence of resolved grief
    Professional Response: Energies and constructive actions of parent can now be more focused on intervention

          

  99. Audiologic Evaluation for CIDetermined by an array of exams
    ABR
    OAE
    Audiometry
    Steady state evoked potential
    More test on children to see if they have residual hearing

          

  100. In Preminger and Yoo's Study this Group had the Best Quality of LifeCommunication Stratagies and Psychosocial training Group

          

  101. Monosyllabic word listsGood for children
    Bad for Adults it doesn't test thier everyday listening

          

  102. Conclusion of SSDCognitive/Linguistic Information
    lexicon
    Context

          

  103. Evaluation for a CIHow they are using their body and help add redundancy to message

          

  104. Subtests of APHABEase of Communication (EC)
    Reverberation (RV)
    Background Noise (BN)
    Aversiveness (AV)

          

  105. SpeechreadingDo more than just watch lips
    Look at facial expression
    Use residual Hearing
    Linguistic Constraints
    Modify Environment

          

  106. Speechreading in ARNot much current research because of technology

          

  107. Bilateral Simultaneous CIPerception of sound through CI differs from acoustic hearing
    People report a tactile sensation rather than hearing initially
    People need time to adjust to CI

          

  108. LutermanMost central aspect of counseling is listening
    Delay Judgement
    Accept what the client has to say

          

  109. BargainingOnly attending to position and movement of lips

          

  110. Environmental FactorsWoman are easier then men
    Facial Hair is an issue because they hide the mouth

          

  111. AzBio1964
    Inserted an array of electrode into a cochlea of a totally deaf person
    Patient was able to repeat phrases with lipreading cues

          

  112. Counseling Basics by WallaceHelp Child/parent tell their story
    Help them to clarify their problems
    Help children to take responsibility for listening problems
    Help them establish goals
    Develop an action plan
    Implement the plan
    On going reassesment

          

  113. Context FactorsFacial Expression and events help you predict what is being said

          

  114. Unilateral CIPatient is deaf in both ears
    CI attached to one cochlea

          

  115. Kricos wanted Clients to do thisCNC

          

  116. Risks of CI SurgeryUnilateral CI and Deaf
    Bilateral CI
    Unilateral CI and HI (Bimodal)
    Unilateral CI and Normal Hearing (SSD)
    Hybrid CI

          

  117. Advantages of Bimodal Hearing (CI+HA)Auditory stimulation might prevent deterioration of auditory pathways on non implanted ear
    Helps with localization
    Increases SNR

          

  118. Benefits of Binaural HearingQuality of sound
    Speech in noise
    Directional Hearing
    Natural Hearing Experience
    Ease of listening
    Still have functioning ear if one device breaks down
    Helps avoid auditory deprivation

          

  119. SADLQuestionnaire
    Elderly
    Results may change over time

          

  120. WATCHW-Watch Talker's Mouth
    A-Ask Specific Questions
    T-Talk about HL
    C-Change the situation
    H-Healthcare knowledge
    Use during the HA fitting Process

          

  121. McGurk EffectSomething they/you did caused the problem
    Multicultural differences: Religious, cultural
    Punishment for transgression
    Don't condeme, provide scientific rationale

          

  122. 1998FDA lowers age to 18 months

          

  123. CoarticulationMcGurk Effect
    Seen more in females
    Combine auditory and visual cues and get something in the middle

          

  124. Auditory Visual Speech RecognitionPerception of sound through CI differs from acoustic hearing
    People report a tactile sensation rather than hearing initially
    People need time to adjust to CI

          

  125. 1985Ci's introduced in clinical trials
    Only implant post-lingual adults
    Bilateral profound SNHL and 0% speech perception
    Received 1 CI

          

  126. Adults who are deafened face these challengesNo ties to Deaf Community
    Limited Communication Skills
    Can't Speech Read

          

  127. 2000FDA lowers age to 12 months

          

  128. Cochlear Implant SurgeryUltimate goal
    First evidence of resolved grief
    Professional Response: Energies and constructive actions of parent can now be more focused on intervention

          

  129. HINT3 Major Sections, including specific needs degree of change, and final ability
    Reliable, Normed, Valid

          

  130. Hybrid CIOnly attending to position and movement of lips

          

  131. CI Criteria for Adults of Aided Speech Perception50% or less in implanted ear
    60% or better in unimplanted ear

          

  132. People with HL May Have Difficulty Understanding SpeechPerception with auditory or visual stimuli
    Integrate auditory and visual cues
    Applying cognitive and linguistic constraints
    Working memory
    Enironment

          

  133. Conclusion of Modal HearingSpeech perception performance in quiet and noisey is similar with CI and CI
    Localizaiton is better with CI-CI

          

  134. Electrode ArrayCI in one ear
    HA in the other ear, residual hearing is in this ear
    Helps with localization of sound
    Some people may stop wearing their HA

          

  135. Transmitter CoilSends the electric signal from the external device to the internal device

          

  136. Most effective way to use research to demonstrate that aural rehabilitation program worksRandomized Controlled Trial

          

  137. Parents often Find that They change this with their HL ChildChange their own verbal behavior

          

  138. Types of CI UsersUnilateral CI and Deaf
    Bilateral CI
    Unilateral CI and HI (Bimodal)
    Unilateral CI and Normal Hearing (SSD)
    Hybrid CI

          

  139. What is the Limitation Bergeson DescribedCeiling Effects

          

  140. Telemetry1964
    Inserted an array of electrode into a cochlea of a totally deaf person
    Patient was able to repeat phrases with lipreading cues

          

  141. Residual HearingUse this and visual cues to help understand speaker

          

  142. Importance of No Ceiling Effect for TestsIf client gets 100% you don't know what they have difficulty with

          

  143. Arizona BioindustryAzBio

          

  144. Single Sided DeafnessCI in one ear
    Normal hearing in the other

          

  145. How long a CI procedure takesLonger the message harder to speech read
    Grammar helps with predicatbility

          

  146. Absence of VIIIth NerveLoss of residual hearing in implanted ear
    Risk associated with every surgery

          

  147. Bergeson said these kids best1957
    Implanted the VIIIth Nerve stump in a patient with bilateral temporal bone resection
    Patient could differentiate between high and low frequencies

          

  148. Types of copping behaviors demonstrated by adults with HLControlling the social scene
    Avoiding the social scene

          

  149. Problems with BAHAsDoesn't restore binaural hearing
    Provide no improvement in sound localization
    Modest improvement in SNR
    CI is only method to restore auditory perception to deafened ear

          

  150. Intended Benefits of CIElderly make up majority of people with HL
    Accidents, Illness, Age factors of HL

          

  151. Parts of External CISpeech Processor
    Microphone
    Transmitter Coil

          

  152. Infants and IntegrationPresent ~20 weeks old
    Prefer when auditory matches visual cues

          

  153. Top-Down CuesCognitive/Linguistic Information
    lexicon
    Context

          

  154. Position FactorsHow they are using their body and help add redundancy to message

          

  155. Auditory Stimulation by CIPerception of sound through CI differs from acoustic hearing
    People report a tactile sensation rather than hearing initially
    People need time to adjust to CI

          

  156. Benefits of self-report questionnairs in AREasy to administer
    Inexpensive
    Non-invasive

          

  157. Condition that Improved Slowest Over Time in Bergeson StudyEarly implanted children do better at A-only and AV
    Later implanted children do better at V only
    If child gets implanted 2.5 years or later they are more reliant on visual cues

          

  158. Skills Kids with HL Struggle WithMaintaining Positive relationships
    Self Control
    Flexibility
    Knowing the Feelings of Others

          

  159. Post-Lingual Bimodal AdultsCI in one ear
    Normal hearing in the other

          

  160. COSI3 Major Sections, including specific needs degree of change, and final ability
    Reliable, Normed, Valid

          

  161. Homophenes1964
    Inserted an array of electrode into a cochlea of a totally deaf person
    Patient was able to repeat phrases with lipreading cues

          

  162. Prelingually deaf Bimodal CHildrenEncourage HA use for maximum language exposure
    Want to keep ear stimulated for future technology

          

  163. Where should Talker be Located for a SpeechreaderFace-to-Face or 45 degree angle
    to the speakers right is prefered

          

  164. How you know a Parent Trusts YouIf the patient follows their recommendation

          

  165. Osseointegrated ImplantsBone Anchored Hearing AId
    Called this for insurance reasons

          

  166. Adults with high frequency hearing LossCalifornia Consonant Test is sensitive to speech perception problems for this population

          

  167. Emotional DevelopmentUse this and visual cues to help understand speaker