exam 2

Question 1

when is otoscopy used?

Answer 1

• detect collapsing canals
• examine pinna for malformations
• visualize tympanic membrane
• make sure the canals are not stuck with ear wax

Question 2

what is seen in an otoscopy?

Answer 2

tympanic membrane structures

Question 3

what kind of questions do you ask an adult patient? give some examples

Answer 3

open ended questions
what brings you in today?
what is your family history?
medications you take?
how long has this been bothering you?

Question 4

what are some examples of questions you would ask parents of children?

Answer 4

is there history of ear infections?
general developmental milestones?
family history?
specific questions for: tinnitus, vertigo, hearing loss

Question 5

what are the types of hearing testing for kids?

Answer 5

conditional play audiometry
visual reinforcement audiometry

Question 6

threshold

Answer 6

the lowest sound a person can reliably respond to 50% of the time

Question 6

conditional play audiometry

Answer 6

2-4 years
use different toys and stimuli
positive reinforcement & enthusiasm

Question 7

what is the purpose of audiometry?

Answer 7

to find hearing threshold

Question 7

pure tone AC testing

Answer 7

250-8000 Hz

Question 7

visual reinforcement audiometry

Answer 7

6 months - 2 years
use warable, narrow band noise
use lighs/toys/videos
placed at 45-90 degrees from the child’s forward facing position

Question 8

pure tone BC testing

Answer 8

250-4000 Hz

Question 9

when do you test for interoctaves?

Answer 9

if there is a gap of 20 dB or more

Question 10

what is the frequency presentation?

Answer 10

1000, 2000, 4000, 8000, 1000 (retest), 500, 250

Question 11

what does the weber fork determine?

Answer 11

conductive or sensorineural hearing loss
placed on forehead

Question 12

what does the rinne tuning fork test?

Answer 12

air vs bone conduction
placed on mastoid bone

Question 13

audiogram interpretation

Answer 13

degree: normal, mild, moderate, etc
configuration: sloping/notch etc.
type of hearing loss
- conductive
- sensorineural
- mixed

Question 14

conductive hearing loss

Answer 14

abnormal AC
normal BC
gap >10 dB HL

Question 15

sensorineural

Answer 15

abnormal AC
abnormal BC
gap is 10 dB or less

Question 16

mixed

Answer 16

abnormal AC
abnormal BC
gap is >10 dB HL

Question 17

normal hearing loss

Answer 17

0-25 dB

Question 18

slight hearing loss (children)

Answer 18

16-25 dB

Question 19

mild hearing loss

Answer 19

26-40 dB

Question 20

moderate hearing loss

Answer 20

41-55 dB

Question 21

moderately-severe hearing loss

Answer 21

56-70 dB

Question 22

severe hearing loss

Answer 22

71-90 dB

Question 23

profound hearing loss

Answer 23

91+ dB

Question 24

headphone interaural attenuation

Answer 24

40 dB

Question 25

insert interaural attenuation what are they best used for?

Answer 25

55 dB
collapsing canals

Question 26

bone conduction interaural attenuation

Answer 26

0 dB

Question 27

air conduction masking equation

Answer 27

(test ear AC) - (non test ear BC) > or equal to IA (40 or 55 depending on IA)

Question 28

bone conduction masking equation

Answer 28

(test ear AC) - (test ear BC) >10dB

Question 29

threshold test

Answer 29

lowest level a patient can accurately respond to stimulus
tested with spondee words (baseball, airplane, oatmeal)
2/4 words

Question 30

pure tone average (PTA)

Answer 30

average thresholds of each ear individually
500, 1000, 2000 Hz

Question 31

word recognition score (WRS)

Answer 31

supra threshold test, 40 dB SL to the SRT