Speech audiometry (final exam)

Question 1

Where is testing for speech audiometry done?

Answer 1

In a sound treated room

Question 2

What type of audiometer is used for speech audiometry?

Answer 2

Diagnostic audiometer

Question 3

What is the stimuli for speech audiometry?

Answer 3

Speech

Question 4

How can the stimuli for speech audiometry be presented?

Answer 4

Live voice or recorded

Question 5

Which stimuli presentation is more standardized and more easily compared?

Answer 5

Recorded

Question 6

Which stimuli presentation allows for more flexibility?

Answer 6

live voice

Question 7

How is live voice stimuli presented?

Answer 7

The audiologist wears headphones and presents the words through a microphone

Question 8

In what scenario is recorded stimuli not the best option?

Answer 8

Geriatrics or kids. You do not have flexibility with time so anyone with a processing delay will struggle.

Question 9

Describe giving the patient instructions before testing.

Answer 9

Be specific as to what you want the patient to do

Can be verbal or written instructions

use hearing aids when you are giving instructions and remove for testing

Gestures can be used during instructions

Question 10

What are 3 ways a patient can respond during testing?

Answer 10

Verbal, written, or gesture/point to a picture

Question 11

What is an advantage and dis advantage of verbal responses?

Answer 11

Advantage- quick

Disadvantage- variations/accents

Question 12

What is a disadvantage to written responses?

Answer 12

prolongs the test

Question 13

What is an advantage and disadvantage of gesture/point responses?

Answer 13

Advantage- good for people who are non-verbal

Disadvantage - prolongs the test

Question 14

What does SRT stand for and what is it?

Answer 14

Speech recognition threshold

lowest intensity where spondaic words can be understood 50% of the time they are presented

Question 15

What is a carrier phrase?

Answer 15

Let’s the client know to focus/ that the word is coming

“Say the word…”
“Can you say…”
“You will say…”

Question 16

When doing SRT testing, what should you do if the client can see you? Why?

Answer 16

Cover your mouth

Someone with HL can probably read lips well

They may be looking for cues to see if they are right or wrong

Question 17

What is the recommended SRT procedure?

Answer 17

Start at 30dbHL, present a spondaic word with the carrier phrase, if the person repeats correctly you will decrease by 10dbHL, present another spondaic word with carrier phrase, if they get it correct decrease by 10, if they get it wrong, increase by 5dbHL, you want 2 correct responses at a certain dbHL level

Question 18

How can you check for intertest reliability?

Answer 18

If SRT and PTA are within 10dbHL then there is intertest reliability.

Question 19

What does SDT stand for? What is it?

Answer 19

Speech detection threshold

The lowest intensity level where speech is barely detected as speech; patient recognizes the stimulus as speech

Done in discourse rather than single words

Question 20

Which is lower in intensity? SDT or SRT? why?

Answer 20

SDT because the person just has to recognize that it is speech, they don’t have to repeat back a word

Question 21

Why is bone conduction SRT beneficial?

Answer 21

A child will not participate in pure tone testing

Verify or rule out middle ear involvement

With bone conduction, the better ear is responding

Question 22

What does MCL stand for? What is it used for?

Answer 22

Most comfortable loudness

It is used to fit hearing aids

Question 23

What does UCL stand for? How is it presented?

Answer 23

Uncomfortable loudness level

Running discourse is used “Hows my voice sound here?” fine.. increase by 5dbHL. Continue until they say stop

Question 24

How do you find range of comfortable loudness?

Answer 24

SRT + MCL + UCL

Question 25

What test looks at a patients ability to understand monosyllabic words at MCL?

Answer 25

Word/speech Recognition Test

Question 26

What are the 4 speech audiometry tests?

Answer 26

Speech recognition threshold testing Most comfortable loudness Uncomfortable loudness level Word/speech recognition test

Question 27

Describe word recognition testing. What type of words are used? Size of lists? How do you keep track?

Answer 27

Monosyllabic words 50 word lists, phonetically balanced Half lists—25 words to each ear Presented at MCL Check off incorrect or unheard words

Question 28

What are 5 different types of word lists?

Answer 28

PBK lists (phonetically balanced for children) Spanish lists Nonsense lists High frequency lists Short isophonemic lists

Question 29

Can you repeat a word you said during testing?

Answer 29

Yes but only if they do not respond or say "i didn't get that" and you can only repeat once.

Question 30

How do you score word recognition?

Answer 30

Each word is worth 2 points or 4 point for a half list. Subtract incorrect responses from 100. That percent is your score

Question 31

Break down the test result scores for word recognition testing and what they mean

Answer 31

``` 90-100% - excellent 80-89% - good 70-79% - fair 50-69% - poor below 50% - very poor ```

Question 32

What kind of hearing loss will there still be a good/excellent word recognition score?

Answer 32

conductive HL and normal hearing

Question 33

Type of hearing loss where the greater the thresholds the worse the WR score (be very specific)

Answer 33

Sensory/neural with cochlear damage

Question 34

Type of hearing loss where there will be a lower WR score that expected as per the thresholds on the audiogram

Answer 34

Sensory/ neural with neural damage

Question 35

What is PB - Max

Answer 35

Highest word recognition score obtained with phonetically balanced word lists on a performance intensity function

Question 36

Predicts the amount of audible speech information for a given audiogram

Answer 36

Audibility index

Question 37

How do you find audibility index?

Answer 37

Count dots above thresholds. Subtract that number from 100.

Question 38

Tests that you may give to someone who is not verbal or not verbally cooperating

Answer 38

Closed set tests

Question 39

Name 3 closed set tests

Answer 39

WIPI (word intelligibility by picture id test) PIT (Picture identification task) CCT (California Consonant test)

Question 40

How does WIPI work?

Answer 40

Given certain choices and the answer is among those choices given Carrier phrase is given. 6 pictures in front of them and they must point to the card that he/she may have heard

Question 41

How does PIT work?

Answer 41

Pictures of rhyming words arranged in sets of 4 | Patient Points to correct picture of what they heard

Question 42

How does CCT work?

Answer 42

100 monosyllabic words on 2 lists | Given answer sheet. Patient is given 4 possible choices, marks choice on answer sheet

Question 43

What is the QuickSin test?

Answer 43

Quick speech in noise test Estimates the patient’s difficulty hearing with background babble present Six sentences with people talking in the background, five key words per sentence, no context to words

Question 44

Is masking necessary for speech tests?

Answer 44

yes