Final Flashcards
Airconduction findings cannot:
Locate the specific site of damage
The results of air and bone conduction give information about the:
Type & severity of hearing los
The hearing thresholds obtained during testing represent the softest sound the patient is able to hear.TRUE OR FASLE
TREU
Phonemically balanced lists are composed of:
Monosyllablic words
The ____is often used
during hearing aid fitting and adjustment.
Most comfortable;e listening level
____ should be performed at 35-40 dB above the SRT.
WDT
Masking is needed to -
Prevent the better ear from compensating for the poorer ear
What masking noise is used for air and bone conduction?
Narrowband noise
What type of masking noise is used speech testing?
White noise
Masking is needed to test each ear independently. Treu or false
Treu
Which tympanogram is associated with middle ear fluid?
Type b
Otoacoustic emissions are a direct measurement of hearing sensitivity. Treu or false
True
Type C tympanogram is associated with negative middle ear pressure.
Treu
A measureable auditory brainstem response can determine hearing sensitivity.
Treu
Which of the following is a nonbehavioral test of middle ear function?
A) Otoscopy
B) Pure tone air conduction screening
C) Otoacoustic emissions screening
D) Tympanometry screening
D
Before conducting a hearing evaluation, an SLP or audiologist must check that the equipment:
Has been calibrated
of the following is another term for swimmers ear
Otitis external
Eustachian tube dysfunction is often revealed by a:
Type c tympanogram
benign bony growth in the external ear canal is called a fistula true or false
False. Osteoma
Eustachian tube dysfunction is most commonly associated with:
Otitis media
Your client has a hearing loss that is believed to be the sole result of noise exposure.
Which of the following would most accurately describe his/ her loss?
Sensorineural
2 fluids found within the inner ear are
endolymph, perilymph
The portion of the inner ear responsible for equilibrium is called the __ and the portion responsible for hearing is called the
Vestibule, cochlear
The three fluid-containing channels of the inner ear are
scala tympani, scala vestibuli, scala media
Noise inducted hearing loss is generally caused by damage to the _____ and frequently results in a notch in the___ Hz range on the audiogram.
Cochlear; 4000
Heating losses arising from cochlear damage would be classified as
Sensory hearing loss
disorder characterized by aural fullness, vertigo, tinnitus, vomiting and most often Unilateral hearing loss is
Menderes disease
Vestibular disorders in the pediatric population:
a. Are extremely rare
b. May affect as many as one in five children in the United States
c. Affect one in 200 children in the United States
d. Affect one in 200 children world wide
B
Cochlear implants are usually considered for people with ____hearing losses
Profound
In order for a cochlear implant to be practicable, the ____ must be undamaged.
Auditory nerve
Possibly the greatest
indicator of an adult patient’s success with amplification is
Motivation to use the hearing aids
The gain of a hearing aid is
The difference in decibels between the input signal and the output signal
Most difficult to speech read are
Vowels
A good candidate for HA has…
Mild/ moderate bilateral HL
a good candidate for cochlear implants has…
Profound HL bilaterally and would not benefit from HA
What information is most valuable in tympanometry to determine if there is a perpetration in the eardrum?
Ear canal volume
Classify the type of hearing loss that refers to hearing loss with an air bone gap between 0 and 10dB
Sensorineural hearing loss
Classify the type of hearing loss that refers to the hearing thresholds in a hearing loss range but then bone conduction is all within the normal range.
Conducive HL
Otoacoustic Emissions Test the —-
Inner ear, outer hair cells a
Auditory Brainstem Response
Inner ear, inner hair cells, 8th cranial nerve, brainstem
Which of the following statements most accurately describes the outer and inner hair cells?
3 rows of outer hair cells attach to the tectorial membrane and 1 row of inner hair cells detach to tectorial membrane
Tympanic membrane
landmarks that can be visual:
Cone of light, malleus, incus
Adult cochlea implant candidacy includes all the following except:
No use of hearing aids (it involves HA)
The change in sound energy from the outer ear to the middle ear to the inner ear is:
Accostic to mechanicals to hydraulic to chemical to electrical to neural
masking noise used for pure tone air and bone conduction is
Narrowband noise
Speech noise is used for-
Speech auditory
When testing by AIR conduction the entire pathway is being tested (from outer ear through middle ear to the inner ear and then the auditory nerve)
when testing with bone
conduction, thresholds represent the acuity of ONLY the - and - (outer ear and middle ear are bypasssed
type of hearing loss is considered a “corner” audiogram because you can see only thresholds on the corner of the audiogram, the rest are “no responses” meaning the patient did not respond to any of those frequencies. What is the degree, type and configuration of hearing loss?
Bilateral profound sensorineural healing loss
tthe raditional pure tone average is based on hearing thresholds for 3 frequencies which are:
500 1000 2000
This audiogram configuration always reflects a profound hearing loss that has a major impact on communication.
Corner hearing loss
Masking is necessary in any hearing test procedure when there is a chance of -
Cross-hearing
primary function of the eustachian tube is
Pressure equalization
“th” is a ____ frequency sound
“th” is a high frequency sound
b). ___ and ___ have a similar frequency and intensity
b)n and g have a similar frequency and intensity
c) most of the energy for vowel sounds are in the ____ and ____ frequency range
c) most of the energy for vowel sounds are in the low and mid frequency range
conductive hearing loss is characterized by:
A. normal air conduction and normal bone conduction
B. normal air conduction and abnormal bone conduction
C. abnormal air conduction and equally abnormal bone conduction
D. abnormal air conduction and normal bone conduction
D
sensorineural hearing loss is characterized by
A. normal air conduction and normal bone conduction
B. normal air conduction and abnormal bone conduction
C. abnormal air conduction and equally abnormal bone conduction
D. abnormal air conduction and normal bone conduction
C
client with a unilateral asymmetrical hearing loss is having his hearing tested. Priof t to the introduction of masking, their air conduction results for the poorer ear will show a pattern known as a:
A. high frequency hearing loss
B. reverse curve configuration
C. shadow curve
D. none of these is correct
C
of the following types of hearing loss would most likely be characterized by is distortions of (only) the vowel sounds?
A. High frequency hearing loss
B. Noise notch
C. Precipitously sloping
D. Reverse curve
D
A normal type A tympanogram may be seen in all the cases listed, except:
A. normal hearing
B. mild hearing loss, secondary to noise exposure
C. severe hearing loss, secondary to ototoxic drug intake
D. moderate hearing loss, secondary to otitis media
D
Low frequency include vowels or constants
Vowels
High frequency include vowels or constants
Constants
a healthy ear, in which TM quadrant will you see the cone of light?
Anterior inferior
of the following hearing related services do speech language pathologists provide?
A. diagnostic auditory brainstem response
B. Education about hearing loss risk factors
C. Hearing screenings
D. Auditory rehabilitation
E. Hearing aid fittings
ABCDE
is a two syllable word used in speech audiometry that has equal stress on both syllables?
Sponsee
are the primary functions of the outer ear?
Select all that apply.
A. Assist in sound localization
B. Boost frequencies important for speech
C. Protect TM from trauma
D. Impedance matching
ABC
of the following are functions of the outer ear?
A. Protect the tympanic membrane from trauma
B. Funnel sound into the ear canal
C. Resonator for frequencies between 2000 and 7000 Hz
D. Sound localization
E. All the above
E
Which of the following are hearing air styles?
A. In the concha
B. Completely in the canal
C. Receiver in the canal
D. Below the ear
E. Body warn
BCE
According to the speech banana, higher frequencies provide information about
Constant place of articulation
part of the cochlea encodes low- frequency sounds?
Apex
The speech banana shows fricatives and vowels have more energy in
High and low frequency regions, respectively
is the level at which a tone is barely audible. it is so soft that a patient may only
respond to it 50% of the time
Threshold
Number of turns in the cochlea is
2 1/2
Patient must be still and quiet but not asleep, present AE=very little or no conductive hearing loss, absent OAE=could be conductive or sensorineural loss
OAE
Child must be asleep, uses electrodes, click or toneburst, toneburst is frequency specific but click is not
ABR
__ sounds are
processed at the base of the cochlea
High frequency
___ words are
utilized for Speech Reception Threshold (SRT) testing.
Sponsee
Word Recognition Scores are attained with -
are
Phonetically Balanced Monosyllabic Words
Represents the approximate frequency and intensity of most common speech sounds
A. speech banana audiogram
B. Sound field testing
C. Functional sounds audiogram
D.Speech audiometry
A
What type of word would you use in an SRT?
Sponsee
What types of words do you use with a word recognition test (WRT)?
monosyllabic words
Which of the following group of sounds below comprise the loudest sounds?
Vowels, nasals, liquids
The “S” on the phonetic audiogram falls around the
6000 Hz range.
Treu
THE vowel sounds are____ in intensity than consonant soUnds
LOUDER
250Hz required to identify nasal sounds (m, n, gn)
500Hz required to detect plosive burst for /b/ and /d/
2000Hz is required to discriminate /r/ and //, hear plosive burst /p/ and /k/, affricate bursts /ch/and /j/, fricative noise /sh/ and /zh/
___ is required to identify /f/, /s/, /e/
4000 he
With access to frequencies between 250-1000Hz -> all _)____ can be detected
That is because the first formant of all is _____
access to frequencies between 250-1000Hz -> all vowels can be detected
That is because the first formant of all vowels is low frequency.
With access to frequencies between 250-3000Hz -> all vowels can be identified
That is because the human brain need the hear the 2 first formants to identify a vowel sound.
Ling 6 sounds cover the main frequencies relevant for speech identification: mm ss sh ah ii oo
Electrode array implanted via surgery in the cochlea to replace the function of the hair cells and stimulate the auditory nerve.
Ci
When cross-hearing is still occurring in the non-test ear. The tone (by cross-hearing) continues to be heard in the masked ear despite the noise since the tone level is below the threshold of the test ear.
Under masking
The tone (by cross-hearing) continues to be heard in the masked ear despite the noise since the tone level is below the threshold of the test ear.
Overmasking
WORDS ARE
ONLY FOR ____ (looking for a threshold)
MONOSYLLABLIC WORDS
USED FOR ____(not looking for a threshold)
SST; WRT
___= Uses spondees
___= cold running speech
___= Uses phonetically
balanced word testing
SRT; SDT;WRT
