Assessment Flashcards
Air conduction audiometry answers two questions:
- Does a hearing loss exist?
- If yes, how much? (degree)
In AC audiometry, the sound travels through air and reaches our outer ear and must travel through entire system. True/False, why do we care about this?
TRUE
- Any break in the chain of hearing from outer, middle, inner and central will cause air conduction results to be abnormal.
What is the main point of AC audiometry?
To assess the integrity of the entire auditory pathway.
True/False: Pure Tone audiometry is the gold standard for diagnostics
TRUE
Is Purre Tone Audiometry a subjective or objective test?
Subjective, it is a behavioral test
True/False: You can only test PTA with insert earphones.
FALSE
- You can use a soundfield, insert earphone, or headphones.
In PTA Daignostic testing, you are looking at…
- Thresholds
- The full battery of testing for confirmation of AC results.
What are thresholds?
The softests sound they can hear, 50% of the time.
What is an Audiogram?
A graphical representation of results
- A “picture” of your hearing
PTA: Humans hear much more than the audiogram displaus (20 Hz to 20,000 Hz), from..
Base to apex
In PTAs…
Shows:
It’s an average of:
They should match up with:
They only test:
- Shows speech frequencies
- PTA is just an average of speech frequencies
- They should match up with SRTs (within + or - 10dB
- Only tests certain frequencies because it’s where speech falls
Give Degree of Normal
0-25dB
What does Bone Conduction Audiometry answer?
- What type of hearing loss is present
- Integrity of the cochlea (inner ear)
True/False: In Bone conduction audiometry, the better cochlea is the one that responds.
TRUE
True/False: In BCA, we hope that BC is within 15 dB of AC
FALSE
- Within 10 dB
Is BCA an objective or subjective test?
Subjective- it is a behavioral test
When it comes to assessment, it is not necessary to provide the instructions to the patient.
FALSE
- INSTRUCTIONS ARE IMPORTANT
List the characteristics of NHL
AC < 25
BC < 25
Type A tympanograms
No occlusion
No ABG
AC vs. BC
- If there is not a difference of > 10 dBHL, the result is
SNHL or Normal
AC vs. BC
- If there is a difference of >10 dBHL, the result is…
CHL of MIXED
- If BC thresholds are normal = CHL
- If BC thresholds are not normal = MIXED
List the characteristics of SNHL
AC > 25
BC > 25
Type A
Clear
No ABG
What is the most important result in an audiogram? Why?
The:
Because our daily acitivity of..
The Speech Audiometry
- Allows us to analyze
- Because our daily activity of listening is not composed merely of beeps, but is a complex neurological process called speech perception
Speech audiometry provides…
A tool for identifying the impact hearing loss has for a person’s communication
- You are looking for consistency.
What are the stimuli in speech audiometry?
MAIN: Phonetically Balanced Words
- Spondee words
- Sentences
Nonsense-words