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Audiology > aural rehab > Flashcards

aural rehab Flashcards

1
Q

Name the most reliable verification method that assists audiologists in making sure the child has appropriate amount of gain for soft and average speech and that loud sounds are loud but not uncomfortable.

A

probe microphone measures

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2
Q

follow-up visits are more frequent for (a) children or (b) adults

A

children

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3
Q

What kind of procedures include the following measures: parental counseling, follow-up visits, monitor the need for hearing aid adjustments, monitor earmold fit, routine hearing aid maintenance are called

A

post fitting procedures

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4
Q

List the typical features of regular classroom acoustics.

A

children talking and/or coughing, squeaky chairs, fan motors, feet shuffling

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5
Q

List the disadvantages of a hearing-impaired child wearing personal hearing aids in a typical classroom environment.

A

(1) amplification of background noise
(2) poor speech intelligibility
(3) softer speech signal over greater distances
(4) lost opportunities for learning through the auditory channel

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6
Q

Give three negative conditions for hearing-impaired child wearing conventional hearing aids

A

(1) background noise- poor signal to noise ratio
(2) distance from speaker- increase in distance means decrease in intensity of speaker’s voice
(3) reverberation- echo effect of sounds reflecting off hard surfaces affects speech intelligibility

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7
Q

List advantages of FM systems w/ regard to negative conditions for hearing

A

(1) achieve optimal signal to noise ratio (S/N ratio)
(2) distance between speaker and child remains constant
(3) eliminates problem with room reverberation

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8
Q

What is the name given to a wireless system that is frequency-modulated?

A

FM system

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9
Q

What is the range of distance the FM system transmits sound?

A

50-150 feet

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10
Q

Name the component of an FM system that is worn by the speaker, usually clipped on clothing

A

transmitter

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11
Q

Name the component of an FM system connected to the transmitter, plugged into mic/ant jack that is placed below the chin

A

microphone

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12
Q

Name the component of an FM system worn by the listener

A

receiver

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13
Q

List ways to configure ‘sound pickup’ from an FM receiver.

A

(1) attach to personal hearing aids
(2) build into hearing aids
(3) use with earbuds

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14
Q

List advantages of the FM system.

A

(1) wireless transmission
(2) high-quality signal
(3) flexible system
(4) choice of several types of receivers
(5) can be used indoors or outdoors
(6) no electromagnetic interference
(7) receiver does not have to be in line with receiver
(8) no interference if used in adjacent rooms
(9) portable

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15
Q

List disadvantages of the FM system.

A

(1) potential outside interference from fire call boxes and paging systems, as well as radio stations
(2) potential for interference from transmitters on the the same frequency in close proximity
(3) expensive system that requires expensive care and maintenance

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16
Q

List causes of feedback associated with hearing aids.

A

(1) earmold or hearing is positioned incorrectly
(2) eamold tubing is torn or has a hole
(3) cerumen impaction
(4) volume is turned up all the way

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17
Q

List causes of no sound from hearing aid

A

(1) hearing aid is dead
(2) battery is dead
(3) no battery
(4) earmold or wax guard is clogged with wax

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18
Q

List reasons why hearing aid may need repair

A

(1) intermittency
(2) distortion
(3) dead hearing aid

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19
Q

Name the FM system for group use.

A

Soundfield System

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20
Q

Give an example of a vibratory alerting device.

A

alarm clock (e.g., Shake Awake)

21
Q

Give an example of a visual alerting device.

A

a smoke alarm that flashes

22
Q

Give an example of an auditory alerting device.

A

doorbells that ring louder

23
Q

Name an electronic device that stimulates the auditory nerve to provide sound information and benefits hearing-impaired pop. with severe to profound SNHL bilaterally.

A

cochlear implants

24
Q

Where is the incision for CI implantation made on patient?

A

behind the ear on the mastoid

25
Q

What does the surgeon place under the skin to which electrodes are then inserted into the scala tympani?

A

a receiver stimulator

26
Q

Name 3 types of telephone assistive devices.

A

amplified telephones; CapTel; Automatic T-coil

27
Q

Name 3 types of television amplification devices.

A

FM; Bluetooth; infrared technology

28
Q

Name 3 assistive device features of cellphones.

A

volume controls; Bluetooth; texting

29
Q

What professionals are included in the “team approach” for patients with CI?

A

(1) surgeon - otologists implant CI
(2) AuD
(3) SLP
(4) Educators
(5) Psychologists
(6) Parents

30
Q

What is the amount of HL a child must exhibit to qualify for CI?

A

90dB loss or greater

31
Q

What is the amount of HL an adult must exhibit to qualify for CI?

A

70dB loss or greater

32
Q

Who dictates the guidelines for cochlear implants?

A

the FDA

33
Q

Name some risks associated with CIs.

A

(1) death from anesthesia
(2) infection
(3) injury to facial nerve
(4) dizziness
(5) increased tinnitus
(6) neck pain

34
Q

What is the critical period for children to attain speech and language skills?

A

0-3yrs

35
Q

What range of bandwidth does the FCC allow for FM system?

A

72-76MHz

36
Q

Name the technique the speech processor of a CI uses to translate pitch, loudness, and timing of sound into electrical impulses.

A

speech coding strategy

37
Q

When is the patient hooked up to CI and program?

A

3-4 weeks post op

38
Q

What is the benefit of bilateral CIs?

A

improved localization ability and ability to understand speech in noise

39
Q

Why don’t children benefit from bilateral CIs right away?

A

They haven’t acquired speech and language skills yet.

40
Q

When is implantation in unilateral HL allowed?

A

patient has one normal ear and the other is severe to profound; however; the implant will be an annoyance

41
Q

Name the audiologic rehabilitation curriculum given to adults with CIs.

A

Learning to Hear Again

42
Q

Name the CD-ROM with self-paced modules to improve understanding of vowels, consonants, and sentences used primarily for adults and teens with CIs.

A

Sound and Way Beyond

43
Q

List the 4 steps to Erber’s Hierarchy of Auditory Skills.

A

(1) Detection of sound
(2) Discrimination of similar and differing sounds
(3) Identification of what was heard
(4) Comprehension of auditory message

44
Q

Name the treatment for building listening skills used in schools.

A

DASL, Developmental Approach to Successful Listening

45
Q

Name the language based program that integrates auditory learning experiences into activities that target language development and communication (e.g., Sunshine Cottage)

A

Auditory-Verbal therapy

46
Q

Give 2 characterizations of Deaf culture.

A

Deafness is not a handicap and ASL is the Deaf culture language

47
Q

What are the claims against CIs?

A

(1) resent those trying to “fix” a Deaf child
(2) CIs try to shape Deaf child into being hearing
(3) fear Deaf culture will be extinguished (Deaf Holocaust)

48
Q

What can doctors and AuD do to give Deaf children a non-biased approach to making an informed decision?

A

Give information about cochlear implants, as well as Deaf culture with the option to use sign language; respect the decision made by the parents or individual considering CIs

Audiology (5 decks)

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