Hearing of Children (M2)

Question 1

What was the result of the Moeller-Early intervention and language development newborn screening test?

Answer 1

1. early enrolled children had vocab similar to normal hearing children
2. early enrolled children had better verbal reasoning compared to late enroll

Question 2

What does the Auditory Brain Response test measure the response of? 1. What is it recorded by? 2. What info does it provide? 3. When is it done? 4

Answer 2

1. inner ear, CN VIII, brainstem
2. electrodes on forehead and earlobes
3. type and degree of hearing loss
4. within first 24 hours or birth

Question 3

What were the major aspects of the American with Disabilities Act?

Answer 3

1. hospitals must provide a way to communicate for patients, family members and visitors
2. may not charge patients for service
3. TTY so can use teletypewriter to communicate on the phone

Question 4

What is the dB range for mild hearing loss? 1. Moderate? 2. Moderately severe? 3. Severe? 4. Profound? 5

Answer 4

1. 20 to 40 dB
2. 41 to 55 dB
3. 56 to 70 dB
4. 71 to 90 dB
5. over 90 dB

Question 5

What individuals use auditory/oral to communicate? 1. How do they communicate? 2

Answer 5

1. residual hearing loss and use amplification devices to assist
2. spoken language

Question 6

What is the difference between auditory/oral and auditory/verbal communication?

Answer 6

auditory/verbal does not use visual techniques to assist (lip reading)

Question 7

What are the clinical pearls for dealing with a hard of hearing patient in the exam room?

Answer 7

1. raise voice volume
2. slow speech speed
3. position yourself accordingly
4. use models and pamphlets
5. ask questions to patient, not interpreter
6. only one person should be speaking at a time

Question 8

What troubles does a moderate hearing loss child have (41 to 55 dB)?

Answer 8

1. 50 to 75% of classroom instruction if 40 to 50dB
2. 80 to 100% of classroom if 50 to 55dB
3. impaired speech production, limited vocab
4. w/o intervention will be two grades behind by 4th grade

Question 9

What does the Tympanometry assess? 1. What does it record? 2

Answer 9

1. function of the ear drum and middle ear bones

2. ear drums response to the change in air pressure

Question 10

What is the time that is the critical period for the development of hearing?

Answer 10

first 6 months

Question 11

What is the term for an individual that has enough hearing to communicate through spoken language (describes individual)?

Answer 11

hard of hearing

Question 12

What is the term for an individual that cannot use own hearing to understand everyday communication (describes hearing level)?

Answer 12

deaf

Question 13

What troubles does a profound hearing loss child have (90+ dB)?

Answer 13

cannot hear speech or environmental noises w/o amp

Question 14

What is the percentage of hearing losses that are congenital and non-syndrome?

Answer 14

35%

Question 15

What is the behavior audiometry performed on older toddlers and school aged children called? 1. What is the procedure? 2

Answer 15

1. conditioned play audiometry

2. child told to drop toy in bucket when hear noise

Question 16

What is the term for an individual that learned to speak a language prior to becoming deaf (describes individual)?

Answer 16

postlingually deaf

Question 17

What are the possible causes of acquired hearing loss?

Answer 17

1. toxoplasmosis
2. other
3. rubella
4. cytomegalovirus
5. herpes simplex virus
6. asphyxiation
7. prematurity
8. ototoxicity
9. meningitis

Question 18

What is the type of hearing loss where sound does not efficiently travel from outer ear to inner ear? 1. How is it corrected? 2. What can it be caused by? 3

Answer 18

1. conductive
2. medically or surgically
3. ear infections

Question 19

What percent of English can be understood with just lip or speech reading?

Answer 19

30%

Question 20

What is the term for an individual that uses ASL to communicate and abides by the culture of values, rules for behavior, tradition and views (describes individual)?

Answer 20

Deaf

Question 21

What is the communication technique that uses signs and spoken words in conjunction to relay the message?

Answer 21

Signed supported English

Question 22

What is the behavior audiometry performed on infants and young toddlers called? 1. What is the procedure? 2

Answer 22

1. visual reinforcement audiometry

2. stimulus presented with toy moved so conditioned to look for toy when hear noise

Question 23

What troubles does a unilateral hearing loss child have?

Answer 23

1. speech in a noisy environment
2. localizing sound
3. greater risk (10x) for academic failure

Question 24

What is the instrument that is similar to the ABR that is used for patients with profound hearing loss? 1. What info does it provide? 2

Answer 24

1. Auditory Steady State Response

2. frequency specific threshold info

Question 25

What are the terms that should never be used to describe a hearing defective person?

Answer 25

1. hearing impaired 2. Deaf and dumb 3. deaf-mute

Question 26

What does the Otoacoustic Emissions assess? 1. What happens if fail this? 2

Answer 26

1. cochlea function | 2. this and ABR then referral

Question 27

What are the different types of congenital syndrome hearing losses (with other part of body affected)?

Answer 27

1. Pendred's (thyroid) 2. Ushers (RP) 3. Waardenburg's (skin pigment)

Question 28

Which children are given hearing aids?

Answer 28

1. all children with hearing loss under the age of 12 months | 2. children over 12 months with better than severe hearing loss in one or both ears

Question 29

What troubles does a mild hearing loss child have (25 to 40 dB)?

Answer 29

1. soft or distant voices 2. 25 to 40% of classroom instruction if 30dB 3. 50% of classroom if 35 to 40dB 4. w/o intervention will be one grade level behind

Question 30

What troubles does a minimal hearing loss child have (15 to 25 dB)?

Answer 30

1. distinguishing soft sounds 2. rapid speech 3. plurals, possessives, past tense 4. miss 10% of classroom instruction w/o amplification

Question 31

What troubles does a severe hearing loss child have (70 to 89 dB)?

Answer 31

1. cannot hear conversational speech w/o amp | 2. spoken language will not develop

Question 32

What does hearing loss contribute to in development?

Answer 32

1. speech 2. language 3. cognitive development

Question 33

What is the normal hearing and speech for a child from 3 to 4 year? 1. From 4 to 5 years? 2. From 5 years and older? 3

Answer 33

1. answer simple questions, speech understandable by strangers, vocab 1000 words 2. understands complex questions, vocab 1500 words 3. knows what happens sequentially, sentence 8 or more word length, creates stories

Question 34

What is the communication technique that uses hand motions, body gestures, and facial expressions to communicate without any speech?

Answer 34

Sign language

Question 35

What is the normal hearing and speech for a child from birth to 5 months? 1. From 6 to 11 months? 2. From 12 to 17 months? 3. From 18 to 23 months? 4. From 2 to 3 years? 5

Answer 35

1. coos, cries, laughs 2. babbles, ma-ma or da-da 3. vocab of 4 to 6 words 4. vocab of 50 words and combine two words 5. three word sentences, simple questions (why?)

Question 36

What is the term for an individual that was born or became deaf prior to learning spoken language (describes individual)?

Answer 36

preligually deaf

Question 37

What troubles does a moderate severe hearing loss child have (56 to 70 dB)?

Answer 37

1. Miss 100% of class instruction 2. delayed language, speech, intelligibility 3. difficult with social interactions

Question 38

What is the type of hearing loss where there is damage to the inner ear or nerve? 1. How is it corrected? 2. What can it be caused by? 3

Answer 38

1. sensorineural 2. cannot be corrected 3. illness, toxicity, trauma, hereditary

Question 39

Which children are given cochlear implants?

Answer 39

1. children over 12 months with bilateral profound hearing loss 2. children over 18 months with bilateral severe or profound hearing loss 3. children who have been amplified without progress