Chapter 9 - Measurement of Hearing Loss Flashcards
According to Reid Protocol progressive treatment, the case history is a process used to determine the following:
A. Symptoms of hearing loss and dissatisfaction [if the persons is already a hearing instrument user].
B. Attitudes toward hearing loss.
C. Circumstances surrounding the impact of uncorrected or poorly corrected hearing loss.
D. How much the family can spend on hearing instruments.
E. Whether the family has hearing insurance.
F. A, B, and C.
F. A, B, and C.
The federal red flags are in which category?
A. Symptoms.
B. Attitudes.
C. Circumstances.
D. All.
E. None of the above.
A. Symptoms.
How many red flags are there?
A. 4.
B. 6.
C. 8
D. 10.
E. 12.
C. 8
Which red flag must be determined by conducting an audiometric test battery?
A. Pain in the ear.
B. Sudden onset of HL.
C. History of loud noises.
D. Air/bone gap.
E. Otorrhea.
F. Otitis media.
D. Air/bone gap.
What else do you hope to learn from taking a case history according to Reid Protocol?
A. Family supportive issues.
B. Medication list.
C. Potential ototoxins.
D. Name of PCP.
E. All of the above.
F. C.
E. All of the above.
The first form to be filled out by the patient and family will include which of the following? (check all that apply)
A. General contact information.
B. Financial information.
C. Physician contact information.
D. List of medications.
E. None of the above.
A, C, and D
Once the cae history is complete, your next function is to perform an _____.
A. Air conduction screen.
B. Bone conduction test.
C. Air conduction test.
D. Otoscopic exam.
E. Masked air exam.
D. Otoscopic exam.
Before you perform an otoscopic exam, you should have a strong idea about the patient’s:
A. Fears.
B. Hopes.
C. Expectations.
D. Areas of concern.
E. Predominant acoustical environments.
F. All of the above.
F. All of the above.
Your first step in otoscopy is to:
A. Explain what you are going to look for.
B. Explain how hearing instruments work.
C. Explain how much hearing instruments cost.
D. Explain the medical red flags.
D. Explain the medical red flags.
Your second step otoscopy is to:
A. Wash and disinfect your hands.
B. Put a new speculum on the otoscope.
C. Explain bridging.
D. Position the patient’s head.
A. Wash and disinfect your hands.
The rule of thumb in a medical/health procedure is to:
A. Tell the patient what you are going to do.
B. Tell the patient what you are doing.
C. Tell the patient what you just did and what the results mean.
D. A, B, and C.
E. A and C.
D. A, B, and C.
Bridging is employed to:
A. Maintain a firm control of the otoscope.
B. Prevent flinching-related damage to the ear canal.
C. Prevent flinching-related damage to the tympanic membrane.
D. All of the above.
E. A and B.
E. A and B.
When performing the canal and tympanic membrane inspection, you lift the pinna so that you have a straighter view of the external auditory meatus.
A. True.
B. False.
A. True.
If the ear canal _____ the tympanic membrane, you must refer the patient to a physician.
A. has a little dry, yellow cerumen,
B. is narrow,
C. is bloody,
D. has active drainage,
E. totally blocks,
F. C, D, and E.
F. C, D, and E.
You can only proceed to test the patient if:
A. The tympanic membrane is visible.
B. The tympanic membrane is healthy.
C. There is no active drainage.
D. There is no dried blood in the canal.
E. The cerumen doesn’t block the canal.
F. A, B, C, and E.
F. A, B, C, and E.
Using your otoscope, examine the _____. (check all that apply)
A. Second bend.
B. Tympanic membrane, making sure it’s light gray, smooth, and translucent.
C. Circumstances surrounding the impact of uncorrected or poorly corrected hearing loss.
D. Quantity of cerumen.
E. Canal for a foreign body.
F. A, B, and C.
A,B,C,D,E
It is acceptable to continue with the procedure without making any notes on your patient history chart and wait until you are finished.
A. True.
B. False.
C. False. Make your notes as you complete each objective.
C. False. Make your notes as you complete each objective.
The next equipment that you will use will be the _____.
A. Bone conduction band.
B. Tympanometer.
C. Audiometer.
D. Impression gun.
E. Earlight
C. Audiometer.
Why do you position the persons being tested so that you are not visible?
A. So they cannot see what you are doing.
B. So they cannot predict when you provide a signal.
C. So they can’t see their audiogram.
B. So they cannot predict when you provide a signal.
The first tone is set at 1,000 Hz. Select the initial intensity so that _____.
A. The sound will be loud.
B. The sound will be faint.
C. The sound can easily be heard.
C. The sound can easily be heard.
The Red earphone is placed on the _____ ear.
A. Left.
B. Right.
C. Better.
D. Poorer.
B. Right.
Depress the pulse tone button for _____.
A. Half a second.
B. As long as it takes to get a response.
C. One to two seconds.
C. One to two seconds.
The intervals between tones must be _____.
A. Predictable.
B. The same between tones.
C. One to two seconds.
D. Random.
D. Random.
Once you introduce a tone below the patient’s threshold, you increase the intensity (dB) by _____ dBs.
A. 5
B. 10
C. 15
D. 20
E. Back to the original tone.
F. A, B, and C.
A. 5
When a positive response is heard, you reduce the intensity by _____ dBs.
A. 5.
B. 10.
C. 15.
D. 20.
E. 25.
B. 10.
The rule of thumb is down by _____, up by _____ dBs.
A. 5, 10.
B. 15, 20.
C. 5, 5.
D. 10, 10.
E. 10, 5.
E. 10, 5.
The threshold for that frequency is the lowest level of intensity that elicits a positive response _____ out of _____ times.
A. 1/2
B. 2/4
C. 3/5
D. 4/6
E. 2/3
E. 2/3
If you use the ascending technique in testing, the next frequency to test after 1,000 Hz is _____.
A. 750.
B. 500.
C. 1500.
D. 2000.
E. 8000.
F. 10,000.
D. 2000.
If you are using the descending technique, the next frequency you test after reaching a threshold at 1,000 Hz is _____ Hz.
A. 125.
B. 250.
C. 5000.
D. 500.
D. 500.
Check the items that you remove from the person being tested. (check all that apply)
A. Purse.
B. Keys.
C. Glasses.
D. Earrings.
E. Hearing aids.
F. Hair from over the ear.
C. Glasses.
D. Earrings.
E. Hearing aids.
F. Hair from over the ear.
