Speech Audiometry Flashcards

1
Q

What are the types of speech audiometry?

A

Speech Recognition
Speech Detection/Awareness
Word Recognition
Pattern Perception

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2
Q

What are the testing considerations for speech audiometry?

A
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3
Q

How do you calibrate the speech audiometer?

A
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4
Q

How do you calibrate the stimuli and transducer?

A
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5
Q

How do you decide your method of presentation?

A

SRT = 15 softer than best AC at 1000 Hz

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6
Q

What is redundancy and uncertainty?

A
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7
Q

Why do we test for speech?

A
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8
Q

What does speech audiometry do that puretone audiometry does not?

A
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9
Q

What are the limitations of speech audiometry?

A
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10
Q

What are the tests for hearing sensitivity?

A

SRT, SAT/SDT

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11
Q

What is the point of SRTs?

A
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12
Q

What are the different threshold levels?

A

MCL - most comfortable level
UCL - most uncomfortable level
LDL - loudness detection level
?? TD - threshold detection???

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13
Q

What is recognition in quiet?

A
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14
Q

What is recognition in noise?

A
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15
Q

What is phonemic regression?

A

Decrease in intelligibility of speech out of proportion to the pure tone hearing loss associated with aging

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16
Q

What is the PI-PB function?

A

Speech recognition performance depends on the intensity of the speech stimulus

Phonetically and Phonemically balanced words are used

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17
Q

What is the PB rollover?

A

Condition where WRS at a level above the PB-max is lower by 20%

Reduction of speech recognition scores that occur above PBmax

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18
Q

How many words should be included in the list - diagnostically?

A
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19
Q

At what intensity level(s) should you present word lists?

A

UCL-5
2OOO Hz rule
40 dB above SRT

20
Q

What are the variables for word recognition testing?

A
21
Q

How do you interpret WRS?

A
22
Q

If patient’s MCL is 105 dB HL and the UCL is at 115 dB HL, you present the WRS stimuli in the right ear at the appropriate level, is masking necessary?

A

Yes

23
Q

The lowest level at which a patient can hear speech

A

SAT/SDT

24
Q

The lowest level at which a patient can correctly identify speech 50% of the time

A

SRT

25
Q

Stimulus is any speech, including random running speech, strings of words, or singing

A

SAT/SDT

26
Q

Stimulus is spondees

A

SRT

27
Q

Stimulus is CVC or other monosyllabic words

A

WRS

28
Q

Familiarization of word list is recommended

A

SRT

29
Q

Corresponds to PTA

A

SRT

30
Q

Corresponds to best threshold

A

SDT/SAT

31
Q

Reported as percentage

A

WRS

32
Q

Reported as dB HL

A

SDT/SAT/SRT

33
Q

Suprathreshold measure

A

WRS

34
Q

T/F: MLV testing yields a lower speech threshold compared to recorded testing

A

False

35
Q

T/F: MLV testing is usually faster than recorded testing

A

True

36
Q

T/F: Audiologist’s face needs to be covered or hidden when obtaining speech thresholds via MLV

A

True

37
Q

What is the purpose of the VU meter?

A

Ensure MLV is neither too loud or too soft

37
Q

“Say the word….” is an example of a ______________

A

carrier phrase

38
Q

Example of WRS word lists

A

NU-6, PB-50, CID, W-22

39
Q

Most WRS word lists are ___________ words in length

A

50

40
Q

What is PBmax?

A

Maximum score on PI-PB function

41
Q

Whenever possible, ___________ should be used to present WRS stimuli

A

recorded words

42
Q

T/F: In general, with WRS testing, the presentation level is positively correlated with performance

A

True

43
Q

T/F: In general, with WRS testing, presentation level has no significant impact on performance

A

False

44
Q

What is PB-max?

A

Highest WRS a person can achieve across all possible presentation levels

45
Q

Suppose Mr. A had a WRS of 80% in the RE and 60% in the LE. Based on Katz table, the difference is ____________

A

Significant only if the full 50 word list was presented

46
Q

What presentation level are you are most likely to achieve PB-max in almost every patient without exceeding their UCL

A

5 dB below the patient’s UCL