Audiology exam 2 Flashcards

1
Q

screening test presentation level for school age children

A

20 dB HL at 1000, 2000, and 4000 Hz

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2
Q

Adult screenings involve what two things

A

otoscopic exam and presentation level of 25 dB HL at 1000, 2000, and 4000 Hz

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3
Q

How well a screening test rules in people who have a disorder

A

sensitivity

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4
Q

how well the test rules out people who do not have the disorder

A

specificity

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5
Q

correctly identifies presence of targeted disorder

A

true positive

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6
Q

incorrectly identifies presence of targeted disorder

A

false positive

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7
Q

incorrectly identifies absence of targeted disorder

A

false negative

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8
Q

correctly identifies absence of targeted disorder

A

true negative

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9
Q

effective screening should be reasonably ______, ________ to ______ and _____-______

A

safe, acceptable to society, and cost-effective

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10
Q

for effective screening, ______ should outweigh ______

A

benefits should outweigh harm

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11
Q

Effective screening should have ________ and ________ follow-up

A

adequate and appropriate

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12
Q

effective screening should have scientific evidence of __________ and _______

A

scientific evidence of effectiveness and benefit

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13
Q

consequences of hearing loss for infants and young children

A

speech/language delay, developmental delay, and educational and psychosocial issues

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14
Q

consequences of hearing loss for adults include negative effects on

A

socialization, healthcare outcomes, increased risk for dementia, and reduced wages

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15
Q

important case history questions for children

A

concerns with hearing, history of recurrent ear infection, did they pass NBHS, problems with pregnancy or birth, normal speech/language development, family history of hearing loss

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16
Q

important case history questions for adults

A

what are symptoms, history of ear surgery or ear trauma, medications (prescription, OTC), other health history, communication difficulties, family history of hearing loss

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17
Q

medical device used to look into ears

A

otoscope

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18
Q

Firmly grasp and gently pull ______ and ________ to straighten the ear canal

A

Firmly grasp and gently pull upwards and backwards to straighten the ear canal

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19
Q

The _______________ is the borderline between the outer and middle ear

A

tympanic membrane

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20
Q

The outer ear is made up of the

A

pinna and EAC (and outer layer of the tympanic membrane)

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21
Q

3 functions of the outer ear

A

protection, amplification, and localization

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22
Q

type of energy in the outer ear

A

acoustic energy

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23
Q

types of testing used for the outer ear

A

otoscopy and pure tone air conduction

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24
Q

Pure tone testing includes what two tests

A

air conduction and bone conduction

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25
Q

_______ conduction tests the entire system

A

air

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26
Q

______ conduction tests the inner ear and auditory nerve

A

bone conduction

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27
Q

Air conduction minus bone conduction equals

A

air bone gap (ABG)

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28
Q

sound presented to the TE is heard in the NTE

A

crossover

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29
Q

a psychoacoustic perception whereby a listener who is presented with a tone or word in both ears simultaneously will only perceive the louder of the two stimuli

A

stenger principle

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30
Q

the lowest level to which a person responds to a stimulus 50% of the time

A

threshold

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31
Q

halfway point between octaves

A

interoctave

32
Q

test for interoctave if there is ____ dB or more difference between octaves

A

20

33
Q

3 Frequency PTA involves finding the:

A

average threshold at 500, 1000, and 2000 Hz

34
Q

Degree of hearing loss: Normal for children

A

-10 – 15 dB HL

35
Q

Degree of hearing loss: Normal for adults; slight for children

A

16-25 dB HL

36
Q

Degree of hearing loss: Mild

A

26 to 40 dB HL

37
Q

Degree of hearing loss: Moderate

A

41 to 55 dB HL

38
Q

Degree of hearing loss: Moderately severe

A

56 to 70 dB HL

39
Q

Degree of hearing loss: severe

A

71 to 90 dB HL

40
Q

Degree of hearing loss: Profound

A

91+ dB HL

41
Q

In bone conduction audiometry, a response to a signal that is perceived by tactile stimulation rather than auditory stimulation

A

vibrotactile response

42
Q

Vibrotactile response: a signal perceived by ______ stimulation rather than ______ stimulation

A

tactile rather than auditory

43
Q

type of transducer used in bone conduction

A

bone oscillator

44
Q

threshold search starting intensity for air conduction in adults

A

30 dB HL

45
Q

threshold search starting intensity for bone conduction in adults

A

10-15 dB HL above AC thresholds

46
Q

If during a threshold search, there is no response to the first tone, the intensity level is increased by ________ until the patient responds

A

20 dB HL

47
Q

if bone thresholds are __________________________, you only have to test one ear

A

within 10 dB HL of air thresholds

48
Q

refers to the amount of hearing loss

A

degree

49
Q

refers to the shape of hearing loss

A

configuration

50
Q

refers to the part of the ear causing hearing loss

A

Type

51
Q

Degree of hearing loss is determined based on

A

AC thresholds

52
Q

The configuration of hearing loss is determined based on

A

AC thresholds

53
Q

the type of hearing loss is determined based on

A

BC thresholds and ABG

54
Q

small hole or cyst just in front of the pinna

A

preauricular pit or sinus

55
Q

a preauricular pit is a _______ malformation

A

congenital

56
Q

a small skin growth just in front of the ear

A

ear tag

57
Q

a preauricular pit or an ear tag may be related to ______ _________

A

kidney abnormalities

58
Q

an ear tag is a _______ malformation

A

congenital

59
Q

abnormally small pinna

A

microtia

60
Q

absence of pinna

A

anotia

61
Q

absence of EAC

A

Atresia

62
Q

narrow EAC

A

Stenosis

63
Q

any object in the ear canal that shouldn’t be there

A

foreign body

64
Q

bony growth in the ear canal due to exposure to cold water and wind

A

exostosis

65
Q

exostosis is also known as

A

Surfer’s ear

66
Q

cough reflex due to stimulation of the glossopharyngeal nerve

A

arnold’s reflex

67
Q

drainage from the ear

A

otorrhea

68
Q

a fealing of pressure in the ear

A

Aural fullness

69
Q

ear pain

A

otalgia

70
Q

present at birth

A

congenital

71
Q

developed after birth in childhood or as an adult

A

acquired

72
Q

sudden onset and short duration

A

acute

73
Q

persistent over a long period

A

chronic

74
Q

comes and goes or recurs often

A

intermittent

75
Q

commons symptoms of ear disorders

A

hearing problems, aural fullness, otalgia, tinnitus, dizziness

76
Q

Infants should have their NBHS by what age

A

1 month