Chap 5 - Intro to Diagnosis Flashcards
most common outer ear problem
impacted cerumen
measurable response of electrical activity in brain in response to sound
Auditory evoked potential
four different options for hearing loss type
Conductive, sensorineural, mixed, or retrocochlear
what is the purpose of a hearing eval
Define nature and extent of hearing disorder
two medical things audiologists don’t do
diagnose; prescribe meds
what are six questions audiologists try to answer for themselves when encountering new patient
WMHSPE
what my hedgehog secretly plans in the evening
WHY are they there
MED CONSULT - is it needed
HEARING SENSITIVITY - what is it
SPEECH - how well does patient understand it
PROCESSING - how well do they process info
EFFECTS - how is hearing loss impacting patient
when a client comes in, what are first things to investigate?
referral and case history
what are three patient-reported symptoms that could indicate a tumor
Tumors don’t mess around
Tinnitus
Dizziness
Muffled sounds
what are four test results that could indicate a tumor?
WAAAM
Asymmetrical HL
Acoustic reflex emittance
Word recognition scores
ABR, usually replaced by MRI
when beginning exams or tests, what should audiologists start with?
Otoscopy
what is this?
video otoscope
what is the purpose of an immittance audiometry test
used to test middle ear function
what does an immittance audiometry test do [physics]
Measure extent which energy flows freely through the outer and middle ear
“raise hand when you hear the beep” test is called
pure-tone audiogram
three things that a pure-tone audiogram can determine
hearing loss, type, configuration
with ___ testing techniques, you expect a response from the patient
behavioral
what are the seven degrees of hearing loss
N 4M SP
Normal
Minimal
Mild
Moderate
Moderately severe
Severe
Profound
a significant different between HL in ears
Asymmetry
If suprathreshold levels still don’t get word recognition, HL may be ___ in nature
retrocochlear
Hearing aids ___ help some patients with sensorineural HL
can
the amount of hearing a patient has left
Residual hearing
the only professional that can diagnose APD
audiologist
in an example of this test, one ear gests “base”, the other ear gets “ball”, and the test is if they can combine them
dichotic
When describing HL, describing the changes in structure and function are also known as describing the ___
impairment
When describing HL, the patient’s difficulties doing certain things is called the ___ ___ or __
limit activities; disability
When describing HL, the way the patient’s social situations or activities have changed is called the __ __ or __
participation restriction; handicap
screening tests is a ___-___ system
pass-fail system
T or F: screening tests measure HL
false
three main groups that do hearing screenings
newborns
school-age kids
adults in occupations with loud noise
in a screening, what constitutes a fail?
a missed response at any frequency