MODULE 5

Question 1

Speech perception testing is called

Answer 1

SPEECH AUDIOMETRY

Question 2

________ examines the softest sounds that we can hear.

Answer 2

Absolute sensitivity

Question 3

__________Is our ability to tell the differences between different sounds.

Answer 3

Differential sensitivity

Question 4

CONVERSATIONAL SPEECH IS centered around WHAT DB HL ? BUT various over a range of ___

Answer 4

50 DB HL RANGE//30 db HL

Question 5

vowels are primarily in the high or low frequencies?

Answer 5

low frequencies

Question 6

consonants are primarily in the high or low frequencies?

Answer 6

high & mid

Question 7

sibilants and fricatives are in the high or low frequencies?

Answer 7

HIGH

Question 8

Using picture books, toys, or a list of words to tell us what they think they heard would be considered?

Answer 8

Closed set test

Question 9

Having the patient repeat or write/type what was said is known as?

Answer 9

open set test

Question 10

Which test gives us a more accurate representation of the patient’s ability to understand speech?

Answer 10

open set test

Question 11

Which test is easier to score, because there’s no influence from the clinician on what they think they heard.

Answer 11

closed set test

Question 12

ASHA recommends that live stimuli be used for all speech testing. TRUE OR FALSE

Answer 12

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!

Question 13

The goal of audiometry testing is to find our patients sensitivity for individual frequencies? true or false

Answer 13

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.

Question 14

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

Answer 14

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.

Question 15

WHAT IS THE LOWEST LEVEL AT WHICH THE PATIENT Can detect the presence of speech? (where they simply know that somebody is talking.)

Answer 15

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.

Question 16

What is the lowest level at which the patient can UNDERSTAND speech and real the words?

Answer 16

Speech Recognition Threshold (SRT)

Question 17

What are spondaic words or spondees and what do we use them for?

Answer 17

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 .

Question 18

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.

Answer 18

=D

Question 19

How well a patient can understand speech at a level above threshold is known as?

Answer 19

(WRS) WORD RECOGNITION SCORE

Question 20

(WRS) WORD RECOGNITION SCORE USES :

A) Spondaic words
B) MONOSYLLABIC WORDS
C) DOUBLE SYLLABLE WORDS
d) words with three syllables

Answer 20

B) MONOSYLLABIC WORDS

Question 21

WRS HELPS DETERMINE ?

Answer 21

THE SITE OF LESION AND HOW SEVERELY THE HEARING LOSS IS AFFECTING THE PATIENTS ABILITY TO UNDERSTAND SPEECH.

Question 22

WHAT LOOKS AT THE PERCENT OF WORDS CORRECTLY RECALLED FOR DIFFERENT LEVELS OF PRESENTATION?

Answer 22

A PERFORMANCE INTENSITY FUNCTION

Question 23

____is simply the patient’s optimum performance level.

Answer 23

PB max

Question 24

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_____.

Answer 24

rollover

Question 25

_______ is the level at which the patient would prefer to listen.

Answer 25

The most comfortable level (MCL) 40 -50 DB HL FOR NORMAL HEARING

Question 26

THE LOUDEST LEVEL A PERSON CAN TOLERATE IS CALLED?

Answer 26

the uncomfortable listening level. (UCL) 90-100 DB HL FOR NORMAL HEARING

Question 27

_____________is a rapid growth in the loudness perception of sounds above threshold, or a dramatic reduction in their dynamic range

Answer 27

RECRUITMENT

Question 28

Masking is needed any time the SRT(Speech Recognition Threshold) in the test ear exceeds the bone conduction threshold in the non-test ear by _______ db HL IF USING SUPRAAURAL EARPHONES AND ___ DB HL IS USING INSERT EARPHONES

Answer 28

40 db HL//5 DB HL

Question 29

1) Which of the following tests determines the lowest level at which an individual can understand speech? a) speech detection threshold
b) speech recognition threshold
c) word recognition score
d) speech perception in noise

Answer 29

B

Question 30

Word Recognition testing should be performed at what level?

a) threshold
b) at a comfortably loud level
c) As high as level as the patient can tolerate

Answer 30

Answer: B

Question 31

True or false: For obtaining the SRT using the ASHA method, the starting level for the test phase is the level at which the patient got two consecutive words incorrect at the same level plus 10 db HL

a) true
b) false

Answer 31

Answer: TRUE

Question 32

WHAT HELPS AUDIOLOGIST COMPARE WORDS RECOGNITION SCORES TO PURE TONE THRESHOLDS

Answer 32

COUNT THE DOTS AUDIOGRAM

Question 33

WHAT HELPS US examining the agreement between pure tone thresholds and word recognition scores to check for retrocochlear lesions?

Answer 33

The SPRINT chart

Question 34

True or false– the speech intelligibility index is an estimate of the patient’s word recognition score?

Answer 34

If you said false, that is correct. The SII represents the percentage of the speech signal that the individual has access to.

Question 35

True or false– sensorineural hearing loss decreases the amplitude of sound and adds distortion to the sound signal, making it more difficult to understand speech, even when it is loud enough to hear.

Answer 35

If you said true, that is correct. Because of this, the sensorineural hearing loss results in a lower word recognition score, even when the sound is loud enough to be audible.

Question 36

Choose the correct answer. What is a tool audiologists use when deciding if two WRS are significantly different from one another?

sprint chart
SII
SRT
count the dots audiogram

Answer 36

sprint chart

Question 37

True or false– conductive hearing loss is not easily compensated for.

Answer 37

If you said false, that is correct. We can easily compensate for a conductive hearing loss with amplification, as they are only missing the volume aspect of the signal.