Hearing Practicum Study Guide

Question 1

Can patient talk through otoscopy / tympanometry/ hearing screening?

Answer 1

Otoscopy- sure

But not during tympanometry and hearing screening

Question 2

Before starting the first audiogram of the day, what do you need to check?

Answer 2

Calibrate and ambient noise check

Question 3

What volume level and frequency do you start at when testing threshold?

Answer 3

30 dB @ 1000 Hz

Question 4

How do you describe the hearing test/ tympanometry /otoscopic exam to your client?

Answer 4

kEEP IT VERY SIMPLE IM GOING TO CHECK YOUR HEARING

Question 5

What are the norms for tympanometry?

Answer 5

Ear canal Volume: 0.3-2.0 mL
Pressure: -100 - +100 daPa
Compliance: > 0.2 mL
Gradient: < 250 daPa

Question 6

Which norms of tympanometry are not apart of referral criteria?

Answer 6

Pressure

Question 7

What does Volume measure

Answer 7

Estimate of Ear Canal Volume

Space between resting TM & outside tympanometer

Question 8

What does gradient measure

Answer 8

How fast/slow TM is moving

Question 9

what does Compliance measure

Answer 9

How much TM is moving (mobility/flexibility of TM)

Question 10

what does Pressure measure

Answer 10

How much air pressure is needed to get TM to move the most

Question 11

How could you identify pressure, compliance, gradient on the graph?

Answer 11

compliance: highest peak on y axis
pressure: max peak on x axis
gradient: with of tymp graph at half the height

Question 12

How could you identify pressure, compliance, gradient on the graph?

Answer 12

compliance: highest peak on y axis
pressure: max peak on x axis
gradient: with of tymp graph at half the height

Question 13

If patient has ear infection, what could you see on your tymp?

Answer 13

Compliance: Low
Gradient:Slow

or

Normal volume, everything else is none (flat line)

Question 14

What would you expect on a tympanogram if the patient had perforation/occluded ear wax

Answer 14

Volume is small, the rest is flat lined

Question 15

How many responses are necessary during school/adult regular scrrening? Threshold screening?

Answer 15

Screenings:
Pediatrics: present twice @ each frequency
Adults: 2 responses

Thresholds: 2/3 on ascending trials

Question 16

How many responses are necessary during school/adult regular scerening? Threshold screening?

Answer 16

Screenings:
Pediatrics: present twice @ each frequency
Adults: 2 responses

Thresholds: 2/3 on ascending trials

Question 17

Referall recommendation:

Hearing WNL, no history (family, noise)

Answer 17

RESCREEN WHEN THEY HAVE CONCERN

Question 18

Referral recommendation: Hearing WNL, positive noise exposure OR family history

Answer 18

Rescreen in 5 years

Question 19

How many responses are necessary during school/adult regular scerening? Threshold screening?

Answer 19

Screenings:
Pediatrics: present twice @ each frequency
Adults: 2 responses each ear

Thresholds: 2/3 on ascending trials

Question 20

Referral recommendation:

Tinnitus complaints but otherwise WNL

Answer 20

Refer to AuD

Question 21

Referral recommendation; Atypical otoscopy

Answer 21

Refer to MD

Question 22

Impacted cerumen* completely fills the ear canal. Cerumen may be yellow, brown, or red. It may be dry and flaky or viscous.

who do you refer to?

Answer 22

MD, nurse practitioner, physician assistant, or audiologist

Question 23

Foreign body in ear canal
Perforation of TM
Blood in ear canal

Answer 23

refer to MD