lec 12 Flashcards

1
Q

0 dB HL= ___dB SPL @ 1000 Hz

A

20

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2
Q

Speech from a close distance in quiet: ____ dB HL or ____ dB SPL

A
  • 40-45
  • 60-65
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3
Q

what is the purpose of Speech Recognition Threshold (SRT) vs Word Recognition Score (WRS) ?

A
  • SRT: acuity
  • WRS: clarity
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4
Q

what are the stimuli of SRT vs WRS?

A
  • SRT: spondees (2 syllables, equal emphasis)
  • WRS: monosyllabic words
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5
Q

what is the testing level of SRT vs WRS?

A
  • SRT: threshold
  • WRS: suprathreshold
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6
Q

what does SRT evaluate the accuracy of?

A
  • pure tone average
  • should be within 10dB of PTA at 500, 1000, 2000Hz
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7
Q

T or F: for SRT we familiarize the person with the stimuli before the test

A

true!

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8
Q

what is the SRT technique? (3)

A
  1. familiarize with 8 spondees
  2. 10 down 5 up
  3. SRT = lowest intensity with 2 positive responses (do not have to be upon ascent)
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9
Q

what is a false positive vs false negative for SRT?

A
  • false positive: patient responds when there is no stimulus (highly unusual for speech stimuli).
  • false negative: patient does not respond when the stimulus was heard.
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10
Q

when do we mask for SRT?

A

when: SRTte - IA ≥ any* BCnte

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11
Q

what kind of stimuli does WRS use? what % difference between ears is significant?

A
  • phonetically balanced (PB) words
  • 8% (for 50 words)
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12
Q

what % difference between ears is significant for WRS for 25-word lists?

A

12%

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13
Q

what % difference between ears is significant for WRS for 10-word lists?

A
  • 100%
  • if anything less, need to redo with 25 or 50-word list
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14
Q

how do you test WRS? (3)

A
  1. find a comfortably audible intensity level (40 or 45 dB HL for typical hearing).
  2. present a list of 50 words.
  3. get a percentage score for each ear.
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15
Q

why are steeply slopping losses difficult for WRS?

A

difficult to determine a presentation level

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16
Q

what happens during WRS when the person reaches 100%? what kind of hearing does this apply to?

A
  • stays there even if you increase dB
  • typical and conductive loss
17
Q

when do you determine masking for WRS? how?

A
  • before test
  • Presentation levelTE - IA ≥ any* BCnte
18
Q

why is the danger of cross-hearing greater for WRS than for SRT testing?

A

because WRS is louder – suprathreshold

19
Q

diff bw how SRT vs WRS is recorded?

A
  • SRT: one score per ear in dB HL
  • WRS: one percentage
20
Q

whats significant about acquired sensorineural losses greater than 60 dB HL?

A
  • suggests OHC and IHC damage = clarity issue, which amplification cannot restore
21
Q

U-shaped sensorineural audiogram suggests…

A

congenital