Past Questions Flashcards
You begin testing a toddler in the soundfield using VRA at 30 db but there was no response. Your next step is what?
Increase level by 20db and try again
You are testing a 14month- old baby VRA. The child has been cooperative and you have obtained results listed below. Assuming that the next threshold will be the last one you can obtain. What would your next steps be?
Measure threshold at 1,000hz in the left ear
Becuase…
obtain 500 and 2,000 Hz first then
- If thresholds at both 500 and 2,000 Hz are normal, it would be more important to obtain a threshold at 4,000 Hz than at 1,000 Hz.
- If hearing at 500 Hz is at 30 dB HL and hearing at 2,000 Hz is at 70 dB HL, it would be very important to know what hearing is at 1,000 Hz.
You are testing a 14month- old baby VRA. The child has been cooperative and you have obtained results listed below. Assuming that the next threshold will be the last one you can obtain. What would your next steps be?
Measure threshold at 1,000hz in the left ear
Becuase…
obtain 500 and 2,000 Hz first then
- If thresholds at both 500 and 2,000 Hz are normal, it would be more important to obtain a threshold at 4,000 Hz than at 1,000 Hz.
- If hearing at 500 Hz is at 30 dB HL and hearing at 2,000 Hz is at 70 dB HL, it would be very important to know what hearing is at 1,000 Hz.
List true advantages of BOA procedure
- It allows the audiologist to obtain valuable behavioral responses in infants, supporting the cross check principal
- it can be conducted in sound field, with headphones, bone oscillator, hearing aids, or cochlear implant
- it can be used to verify access to speech sounds with amplification
To obtain a more realistic assessment of the child’s ability to perceive speech in every day situations, what speech test would you select for a six year-old child with an auditory language of 3.9 years?
NU-CHIPS, Closed Set
Because Age: 3 - 5
When testing a 13 month old baby, which of the following stimuli would provide more frequencies specific information?
- Speech
- music
- Ling-6 sounds
- BBN
Ling 6 Sounds
Because ….. It provides frequency specific information that tells us how a person can be expected to perceive speech stimuli across the frequency range needed for speech.
It can be compared directly to pure tone thresholds
An infant with severe to profound hearing loss will exhibit less babbling as he or she grows older due to what?
Lack of auditory feedback
Children with minimal to mild hearing loss may benefit from what?
Preferential seating
Personal FM system
Hearing aids
The first time parents of a two month old infant are concerned that their baby may have a hearing loss because she does not turn her head when they enter the room or call out her name. You should do what?q
Preform an audiologic assessment using OAE and diagnostic ABR; cancel the parents that children younger than three months generally are unable to localize, but do not minimize the parents concerns
Your patient is a nine month old baby boy who is accompanied by his mother in the case history it was reported that he was born eight weeks premature all developmental milestones are delayed. What is his corrected age?
Seven months
8wk-2mos
2mos-9mos=7mos
You have identified a five year old as having severe unilateral sensory neural hearing loss as you discussed the potential impact of the hearing loss on the child educational development. What would you tell the parents?
A much higher risk for educational difficulties exist for this child in comparison for children with two normal hearing ears
Since many children do not respond at threshold during auditory tests their responses are often referred to as what
Minimum response levels
Define minimum response levels
Had lateral turn towards the sound source are expected in infants by what age?
4 to 7 months
Language and speech will not develop spontaneously when very young children have what type of hearing loss?
Severe sensory neural hearing loss
KJ is an 18 month old baby girl who was brought to the clinic by her mom who is concerned about the possibility of hearing loss which of the following in her case is not considered a red flag?
- Apgar score of 3 at 1 minute and 5 at 5 minute
- KJ Can only say three words; mama, baba,dada
- KJ did not start babbling until she turned seven months
- KJ consistently reacts to loud sounds but less often to softer levels
- KJ did not start babbling until she turned seven months is NOT a red flag; Babbling occurs between 4-7 months (typically 6mos)
RED FLAGS becuase…
- Apgar; Risk below 5 at 1 minute or less than 6 at 5 minutes
- at 18 months = 50 words
- little to no reaction to soft sounds could be because shes not audible in that db (hearing loss)
When using the sucking response method as the primary procedure for behavioral observation audiometry what can be accepted as a response?
- Stop sucking,
- increased sucking rate,
- Responding only at stimulus offset
techniques included observation for quieting, eye shifting, head orienting, arousal, limb movement, respiration changes
If a significant sensory neural hearing loss is suspected behavioral testing, and invent should begin with____hz; otherwise it is reasonable to start at_____ hz
500 Hz; 2000 Hz
** If SNHL - begins at 500hz**
If Normal - begin at 2,000hz
If CHL or ME pathology - Begin at 2,000hz
A four week old, infant startle response or moro reflex to a loud sound in the sound may indicate what?
Normal hearing in both ears
Normal hearing in one ear
A unilateral, moderate hearing loss in the better ear
A mild hearing loss in both ears
(Because not ear specific & obtained at supra threshold)
Which of the following should not be included in the test protocol when evaluating infants younger than six months?
- Case history
- visual reinforcement audiometry
- OAEs
- ABR
- visual reinforcement audiometry should not be included
VRA ages 5 - 36 months
What is recommended when counseling parents on strategies to encourage language development and children with hearing impairment?
- using infant directed speech that incorporates high pitch varied into nation and simple concrete words
- Regularly speaking and reading to the invent to promote language development
- Provide consistent, emotional and physical support to boost the infants motivation to communicate
- frequently naming objects during interaction to aid vocabulary development
Jamie, an eight-year-old boy has recently been diagnosed with mild hearing loss. His parents are hesitant about using hearing aids concerned that such a mild loss will not warrant the use of these devices given Jamie’s condition and his parents concerns. What recommendations would you provide to Best explain the impact of his hearing loss on his ability to participate in classroom activities?
I would explain to the parents that mild hearing loss can pose substantial challenges in noisy environments (children need higher SNR than adults, but children with hearing loss need even more SNR) , and that hearing aids can help Jamie better follow classroom discussions, and alleviate his frustrations
You are reviewing the case, history of a three month old infant brought in after failing the newborn hearing screening. Alex was born full-term via C-section after prolonged labor. The birthweight was 3.2kg (7.05lbs) and the Apgar scores were 7 at 1 minute and 8 at 5 minutes. Post delivery, Alex developed, mild respiratory distress and spent 48 hours in the NICU for observation, but required no mechanical ventilation. The initial newborn hearing screening was inconclusive.. Alex’s parents noted that they are concerned because alex does not startle at loud noises and seems not to respond to their voices consistently which of the following is not a wrist factor for hearing loss in this case?
- stay in the NICU
- Lack of startling noise
- Apgar scores
- Failing initial newborn hearing screening
- None of the above
- the Apgar scores are NOT a red flag;
- Only red flag when scores below 5 at 1 minute or less than 6 at 5 minutes
What speech test would you use for a 6-year-old child with an auditory language age equivalent to 4 years
NU-CHIPS, Closed set
- Age: 3-5
- Open should be attempted at age 5- cognitive is not age 5
Sylvia a five-year-old is being evaluated. By case history report, Sylvia started kindergarten this year. She is in the process of having her speech and language evaluated by the school speech language pathologist. According to her parents, they can understand approximately half of Sylvia‘s speech. The parents feel she understands them when they talk to her. You find a mild bilateral neural hearing loss you now want to test word recognition for Sylvia? What test is the best option?
WIPI; Closed set
Age: 5 -8
Set: Closed because language understand is bad
- she is 5 so open could be used IF she didnt have speech articulation problems. Closed needs to be used so the tester can have a better idea of what she is saying for scoring purposes
The auro- palpebral reflex and Moro reflex are unconditioned responses observed in infants younger than 6mos in reponse to sounds. Which of the following is a limitation of using the auro- palpebral reflex and Moro reflex for determining auditory thresholds in infants?
- Responses are obtained at supra thresholds
- Responses are repeatable
- Infants can habituate to stimulus fast
- They do not provide frequency specific information
- All of the above
- All of the above
Mia is a four-year-old child undergoing a hearing assessment with play audiometry. The Audiologist assistant trains me to Place blocks in the basket whenever she hears a tone despite multiple training trials and attempts at reinforcement Mia consistently hesitates and wait for visual prompts before completing the task instead of independently responding to the auditory stimulus she frequently looks up at the Audiologist for approval before proceeding, what type of responder is Mia?
Mia is a reluctant responder
What are the middle ear pressure and compliance indicated by this tympanogram?
0 daPa
1.4 cm3
What are the middle ear pressure and compliance indicated by this tympanogram?
0 daPa
1.4 cm3
What is the admittance for the tympanogram shown below?
0.4mmho
peak - tail = admittance
peak-1.8
tail- 1.4
1.8-1.4=0.4
You are performing tympanometry on a one-week-old infant and you obtained the below tympanogram. Results suggest that the infant has a _______.
Collapse ear canal
