Hearing

Question 0

ECV

Answer 0

Typical range = .3-2 cm3

<.3 cm3: Prefer for rescreening six – eight week
* But this child doesn’t pass hearing test either refer to MD Then audiology

Question 1

dB hearing loss thresholds

Answer 1

Mild 25-45
Mod 45-65
Sev 65-85
Prof 85

Question 2

Peak height

Answer 2

-Mobility of eardrum
» High # –More mobile
» Low #– Less mobile possible ME problem

<.3 cm3: Prefer for rescreening six – eight week

• But this child doesn’t pass hearing test either refer to MD Then audiology
• NP= Did not detect any movement in response to pressure change

Question 3

Peak pressure

Answer 3

Lower right of tymp

• ME pressure related to atmosphere
• ~0. E tube function is normal (equalized near atmospheric pressure)

Question 4

Gradient

Answer 4

With of peak (1/2 Of it’s height)
- Eardrums response to pressure change
>200 daPa: Referred for rescreening 6-8 was

Question 5

Refer to audiology

Answer 5

• Passed outer/ middle ear screening

- Did not pass hearing screening (One or both ears)

Question 6

Referred to medical practitioner

Answer 6

• Impacted Cerumen

passed hearing screening for both ears

Question 7

Rescreened in 6-8

Answer 7

Passed hearing screening but did not pass tymp (1 or both)

Question 8

Refer to Dr. then to audiologist

Answer 8

Did not pass hearing
and did not pass tymps/
or did not pass a rescreen

Question 9

Mild HL

Answer 9

25-45, ~20

20

Question 10

Normal hearing

Answer 10

0-20

15-20 is pushing it

Question 11

Moderate HL

Answer 11

45-65

20

Question 12

Severe HL

Answer 12

65-85

20

Question 13

Profound HL

Answer 13

> 85

Question 14

How to interpret audiogram

Answer 14

“Bilateral symmetrical sloping sensorineural hearing loss”

“Mild to moderate flat bilateral conductive hearing loss”

Question 15

Speech discrimination results

Answer 15

Excellent: >84%

Good: 72-84%

Fair: 64-72%

Poor: <50%

Question 16

Speech reception thresholds

SRT

Answer 16

Softest level Pt can repeat 50 to 75% words

Question 17

Speech awareness threshold

SAT

Answer 17

Similar to SRT but use when client is unable to repeat words (Too young ex)

Question 18

Conversational speech level

Answer 18

20-50 dBHL

250-6000 hz

Question 19

Audiogram symbols

RIGHT

Answer 19

AC=
O (unmasked).
Triangle (masked)

BC=
< (unmasked).
[ (masked)

Question 20

Audiogram symbols

LEFT

Answer 20

AC=
X (unmasked).
Square (masked)

BC=
> (unmasked).
] (masked)
(Lines are to the left)

Question 21

AR

Answer 21

1. Self advocacy
2. Negative practice maladaptive comm strat
3. Modify comm environment
4. Role play informing comm partner of HL
5. Rp informing cp best way to comm
6. Comm repair strat
7. Generalize c journal
8. Generalize to familiar,unfamiliar cp

Question 22

Receptive communication repair strategies

Answer 22

1. Rephrase (Could you say it in another way?)
2. Elaborating (Tell me more I didn’t get it)
3. Request topic (What were you talking about?)
4. Confirm info (Did you say–?)
5. Nonspecific (what? huh?)

Question 23

Expressive communication repair strategy

Answer 23

1. Reading facial expressions
2. Repeating the message
3. Providing new information
4. Changing the rate of speech
5. Using gestures

Question 24

Speech reading

Answer 24

• Kids with mild to profound HL
• Adults except late onset mild loss
• visemes: Sounds are different but look the same (Start with bilabial group, Practice differentiating stimuli and different viseme groups

Question 25

Basic principles of AR

WATCH

Answer 25

Watch the talkers mouth
Ask for
Talk about your HL
Change the situation
Healthcare knowledge/helpful gestures

Question 26

School age aural rehab strategies

Answer 26

-Brainstorm why self advocacy is important
-Practice maladaptive strategies
- Modify communication environment
- Role-play informing listener about HL/ Best way to communicate
-Journal, picture sorting
- Generalize to familiar, unfamiliar listener
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