FEHL Flashcards
1
Q
Most common malingerer?
A
Females 2:1 Bilateral Lower/Normal IQ Poor school performance Serve internal intentional need
2
Q
Audio Clues to a malingerer are…
A
Vague, inconsistent case history Variability at 1kHz Poor pure tone vs speech agreement WNL Acoustic Reflex WNL OAE (but present in ANSD) SRT should match Audio threshold Communication inconsistent with loss Never give false positive Flat or cookie bit configuration Stenger test with unilateral/assymetrical by 40dB
3
Q
Behavioural clues to a malingerer…
A
Exaggerated straining Delayed response Use rhyming words or repetitive error pattern Say I can't hear you Nervousness
4
Q
Tricks to catch them not audio and techniques
A
Ask office staff re behaviour
Begin with tymps, AR and OAE. State these look normal.
Reinforce a flicker of response.
Start low and continue ascending so they cannot establish loudness level.
Ask children to say yes when they heard or no when they didn’t.
5
Q
Ways to let them know you are onto them
A
Avoid confrontation.
Say you may misunderstood my directions
You may be feeling unwell/tired
Maybe headphone not fitting, need to go to inserts.
