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Audiology > Speech audiometry (final exam) > Flashcards

Speech audiometry (final exam) Flashcards

1
Q

Where is testing for speech audiometry done?

A

In a sound treated room

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2
Q

What type of audiometer is used for speech audiometry?

A

Diagnostic audiometer

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3
Q

What is the stimuli for speech audiometry?

A

Speech

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4
Q

How can the stimuli for speech audiometry be presented?

A

Live voice or recorded

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5
Q

Which stimuli presentation is more standardized and more easily compared?

A

Recorded

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6
Q

Which stimuli presentation allows for more flexibility?

A

live voice

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7
Q

How is live voice stimuli presented?

A

The audiologist wears headphones and presents the words through a microphone

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8
Q

In what scenario is recorded stimuli not the best option?

A

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

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9
Q

Describe giving the patient instructions before testing.

A

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

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10
Q

What are 3 ways a patient can respond during testing?

A

Verbal, written, or gesture/point to a picture

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11
Q

What is an advantage and dis advantage of verbal responses?

A

Advantage- quick

Disadvantage- variations/accents

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12
Q

What is a disadvantage to written responses?

A

prolongs the test

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13
Q

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

A

Advantage- good for people who are non-verbal

Disadvantage - prolongs the test

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14
Q

What does SRT stand for and what is it?

A

Speech recognition threshold

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

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15
Q

What is a carrier phrase?

A

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

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

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16
Q

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

A

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

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17
Q

What is the recommended SRT procedure?

A

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

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18
Q

How can you check for intertest reliability?

A

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

19
Q

What does SDT stand for? What is it?

A

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

20
Q

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

A

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

21
Q

Why is bone conduction SRT beneficial?

A

A child will not participate in pure tone testing

Verify or rule out middle ear involvement

With bone conduction, the better ear is responding

22
Q

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

A

Most comfortable loudness

It is used to fit hearing aids

23
Q

What does UCL stand for? How is it presented?

A

Uncomfortable loudness level

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

24
Q

How do you find range of comfortable loudness?

A

SRT + MCL + UCL

25
Q

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

A

Word/speech Recognition Test

26
Q

What are the 4 speech audiometry tests?

A

Speech recognition threshold testing

Most comfortable loudness

Uncomfortable loudness level

Word/speech recognition test

27
Q

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

A

Monosyllabic words

50 word lists, phonetically balanced

Half lists—25 words to each ear

Presented at MCL

Check off incorrect or unheard words

28
Q

What are 5 different types of word lists?

A

PBK lists (phonetically balanced for children)

Spanish lists

Nonsense lists

High frequency lists

Short isophonemic lists

29
Q

Can you repeat a word you said during testing?

A

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

30
Q

How do you score word recognition?

A

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

31
Q

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

A 
90-100% - excellent
80-89% - good
70-79% - fair
50-69% - poor
below 50% - very poor
32
Q

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

A

conductive HL and normal hearing

33
Q

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

A

Sensory/neural with cochlear damage

34
Q

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

A

Sensory/ neural with neural damage

35
Q

What is PB - Max

A

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

36
Q

Predicts the amount of audible speech information for a given audiogram

A

Audibility index

37
Q

How do you find audibility index?

A

Count dots above thresholds. Subtract that number from 100.

38
Q

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

A

Closed set tests

39
Q

Name 3 closed set tests

A

WIPI (word intelligibility by picture id test)

PIT (Picture identification task)

CCT (California Consonant test)

40
Q

How does WIPI work?

A

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

41
Q

How does PIT work?

A

Pictures of rhyming words arranged in sets of 4

Patient Points to correct picture of what they heard

42
Q

How does CCT work?

A

100 monosyllabic words on 2 lists

Given answer sheet. Patient is given 4 possible choices, marks choice on answer sheet

43
Q

What is the QuickSin test?

A

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

44
Q

Is masking necessary for speech tests?

A

yes

Audiology (11 decks)

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