Hearing Impairment Flashcards

1
Q

Name the 2 ways to assess hearing.

A

Clinical (not formal)

Audiometric (obective)

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2
Q

Voice test and tuning fork tests are examples of _________ assessment of hearing.

A

clinical.

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3
Q

How is hearing tested objectively?

A

Using pure tone audiometry.

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4
Q

Describe the clinical voice test.

A
stand 2 feet away
-whisper
-conversational voice
-loud voice
If they hear the whisper then we can presume their pure tone threshold is reasonable.
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5
Q

in clinic, how can we effectively mask one ear?

A

Tragal rubbing

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6
Q

Most of _____ is within 0.5-4 Hz.

A

speech.

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7
Q

0-20 dBHL = ___________ hearing.

A

normal.

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8
Q

What would be the quitest sound (dBHL) a person with;

mild hearing loss would hear?

A

20-40 dBHL

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9
Q

What would be the quitest sound (dBHL) a person with;

moderate hearing loss would hear?

A

40-70dBHL

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10
Q

What would be the quitest sound (dBHL) a person with;

severe hearing loss would hear?

A

70-90 dBHL

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11
Q

What would be the quitest sound (dBHL) a person with;

profound hearing loss would hear?

A

90+ dBHL

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12
Q

Why do we do pure-tone audiometry?

A
  • To determine thresholds across frequency for hearing aid prescription
  • Diagnosis of conductive or sensorineural hearing impairment
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13
Q

What is the criteria to have a “Hearing Impairment”?

A

Mean pure-tone threshold (0.5, 1, 2 & 4 kHz) greater than or equal to 25 dBHL.

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14
Q

If the air-bone gap is not greater than 10 dB, what sort of hearing impairment is this?

A

Sensorineural

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15
Q

If the air-bone gap is greater than 10dB, what sort of hearing impairment is this?

A

Conductive or mixed

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16
Q

Sensorineural hearing loss is abnormality in…

A
  • inner ear
  • auditory nerve
  • brain
17
Q

Conductive hearing loss is abnormality in….

A
  • external ear
  • tympanic membrane
  • middle ear
18
Q

In what hearing loss does the patient have near normal bone conduction?

A

Conductive hearing loss.

19
Q

How is a sensorineural impairment managed?

A
  • Hearing Aid ( if problem w/ nerve HA won’t fix it )

- Cochlear Implant

20
Q

How is conductive impairment managed?

A
  • Reconstructive middle ear surgery

- Hearing aids

21
Q

In what impairment is there more benefit with a hearing aid and why?

A

Conductive because all the nerves are working fine :)