MODULE 5 Flashcards
Speech perception testing is called
SPEECH AUDIOMETRY
________ examines the softest sounds that we can hear.
Absolute sensitivity
__________Is our ability to tell the differences between different sounds.
Differential sensitivity
CONVERSATIONAL SPEECH IS centered around WHAT DB HL ? BUT various over a range of ___
50 DB HL RANGE//30 db HL
vowels are primarily in the high or low frequencies?
low frequencies
consonants are primarily in the high or low frequencies?
high & mid
sibilants and fricatives are in the high or low frequencies?
HIGH
Using picture books, toys, or a list of words to tell us what they think they heard would be considered?
Closed set test
Having the patient repeat or write/type what was said is known as?
open set test
Which test gives us a more accurate representation of the patient’s ability to understand speech?
open set test
Which test is easier to score, because there’s no influence from the clinician on what they think they heard.
closed set test
ASHA recommends that live stimuli be used for all speech testing. TRUE OR FALSE
FALSE- recorded material that is calibrated correctly and is appropriate material for a patients age/language abilities….
is the best type of materials to test a patient!
The goal of audiometry testing is to find our patients sensitivity for individual frequencies? true or false
FALSE ::The goal of conducting audiometry testing is to provide our patient with technology and behavioral strategies that will allow our patients with impaired hearing to maximize their communicative abilities in their everyday life.
ONE TOOL THAT AUDIOLOGIST HAVE IN ORDER TO HELP THE PATIENT UNDERSTAND THE RELATIONSHIP BETWEEN PURE TONE THRESHOLD AND SPEECH PERCEPTION . WHICH OF THE FOLLOWING TOOLS MATCHES THE DESCRIPTION:
A) AUDIOGRAM
B) SPEECH BANANA
C) SPEECH TESTING
D) OPEN SET TESTING VS CLOSED SET
If you said the speech banana, that is correct. The speech banana places common phonemes on the audiogram in locations that represent the frequency and amplitude they occur during conversational speech.
WHAT IS THE LOWEST LEVEL AT WHICH THE PATIENT Can detect the presence of speech? (where they simply know that somebody is talking.)
speech detection threshold (SDT)
—>The procedure for an SDT is the same as pure tone thresholds using the up-5 down-10 method, until we find the lowest level at which they respond to two out three times.
What is the lowest level at which the patient can UNDERSTAND speech and real the words?
Speech Recognition Threshold (SRT)
What are spondaic words or spondees and what do we use them for?
Spondaic words are two syllable words used in speech recognition threshold testing… SRT
…Make sure that the client is familiar/can understand the spondaic words
…To find the starting level of the threshold we begin 30-40 db HL above estimated threshold and present one word. We increase by 20 db until they get it right.
…Then we decrease by 10 db and present two words. If the patient gets atlas one of the words correct, we decrease by 10db. We are looking for the patient to get both words incorrect.
…once they get both incorrect, we increase the level by 10 db and that is the starting level for the threshold .
SRT has three stages…really really long stages:
Stage 1: FAMILIARIZE: …Make sure that the client is familiar/can understand the spondaic words
STAGE 2: FIND THE STARTING LEVEL: To find the starting level of the threshold we begin 30-40 db HL above estimated threshold and present one word. We increase by 20 db until they get it right.
…Then we decrease by 10 db and present two words. If the patient gets at least one of the words correct, we decrease by 10db. We are looking for the patient to get both words incorrect.
…once they get both incorrect, we increase the level by 10 db and that is the starting level for the threshold .
STAGE 3: The Threshold search :
We present five words at the starting level that we just found. The patient must get all five of these words correct. We then decrease the presentation level by 5 dB, and present five more words. We must pay careful attention to the first six words that we present. The five at the starting level, and the first word presented at 5 dB below the starting level. If the patient got any of these words incorrect our starting level must be increased by 10 dB, and the thresholds search starts again. If our patient did get the first six words correct, we continue to present five words at each level and decrease by 5 dB steps until our patient misses all five words at any level
The speech perception threshold is the starting level minus the number of words correct plus 2.
=D
How well a patient can understand speech at a level above threshold is known as?
(WRS) WORD RECOGNITION SCORE
(WRS) WORD RECOGNITION SCORE USES :
A) Spondaic words
B) MONOSYLLABIC WORDS
C) DOUBLE SYLLABLE WORDS
d) words with three syllables
B) MONOSYLLABIC WORDS
WRS HELPS DETERMINE ?
THE SITE OF LESION AND HOW SEVERELY THE HEARING LOSS IS AFFECTING THE PATIENTS ABILITY TO UNDERSTAND SPEECH.
WHAT LOOKS AT THE PERCENT OF WORDS CORRECTLY RECALLED FOR DIFFERENT LEVELS OF PRESENTATION?
A PERFORMANCE INTENSITY FUNCTION
____is simply the patient’s optimum performance level.
PB max
For individuals with tumors pressing on the auditory nerve, speech perception improves to a certain intensity level, and then can actually decline as the presentation level increases. This is known as_____.
rollover
