Hearing of Children (M2) Flashcards

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1
Q

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

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

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

A
  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
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3
Q

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

A
  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
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4
Q

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

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

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

A
  1. residual hearing loss and use amplification devices to assist
  2. spoken language
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6
Q

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

A

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

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7
Q

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

A
  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
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8
Q

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

A
  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
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9
Q

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

A
  1. function of the ear drum and middle ear bones

2. ear drums response to the change in air pressure

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10
Q

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

A

first 6 months

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11
Q

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

A

hard of hearing

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12
Q

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

A

deaf

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13
Q

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

A

cannot hear speech or environmental noises w/o amp

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14
Q

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

A

35%

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15
Q

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

A
  1. conditioned play audiometry

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

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16
Q

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

A

postlingually deaf

17
Q

What are the possible causes of acquired hearing loss?

A
  1. toxoplasmosis
  2. other
  3. rubella
  4. cytomegalovirus
  5. herpes simplex virus
  6. asphyxiation
  7. prematurity
  8. ototoxicity
  9. meningitis
18
Q

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

A
  1. conductive
  2. medically or surgically
  3. ear infections
19
Q

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

A

30%

20
Q

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)?

A

Deaf

21
Q

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

A

Signed supported English

22
Q

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

A
  1. visual reinforcement audiometry

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

23
Q

What troubles does a unilateral hearing loss child have?

A
  1. speech in a noisy environment
  2. localizing sound
  3. greater risk (10x) for academic failure
24
Q

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

A
  1. Auditory Steady State Response

2. frequency specific threshold info

25
Q

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

A
  1. hearing impaired
  2. Deaf and dumb
  3. deaf-mute
26
Q

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

A
  1. cochlea function

2. this and ABR then referral

27
Q

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

A
  1. Pendred’s (thyroid)
  2. Ushers (RP)
  3. Waardenburg’s (skin pigment)
28
Q

Which children are given hearing aids?

A
  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

29
Q

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

A
  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
30
Q

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

A
  1. distinguishing soft sounds
  2. rapid speech
  3. plurals, possessives, past tense
  4. miss 10% of classroom instruction w/o amplification
31
Q

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

A
  1. cannot hear conversational speech w/o amp

2. spoken language will not develop

32
Q

What does hearing loss contribute to in development?

A
  1. speech
  2. language
  3. cognitive development
33
Q

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

A
  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
34
Q

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

A

Sign language

35
Q

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

A
  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?)
36
Q

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

A

preligually deaf

37
Q

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

A
  1. Miss 100% of class instruction
  2. delayed language, speech, intelligibility
  3. difficult with social interactions
38
Q

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

A
  1. sensorineural
  2. cannot be corrected
  3. illness, toxicity, trauma, hereditary
39
Q

Which children are given cochlear implants?

A
  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