Test Three Flashcards
Why do people fake a hearing loss
Money
Attention
What happens if a patient is malingering
Stop testing
Document why
Don’t tell the patient
What are some ways you can tell the patient is faking it
Bone conduction is worse
Involved in a lawsuit
Pure tone normal
But SRT is profound
What is UNHS
Universal newborn hearing screening
When do you perform the UNHS
Couple days after birth
If the baby fails what happens
Refer to audiologist by three months
What are the screeners
Pass or fail
ABR
OAE
By three months if HL is confirmed what happens
Put with haring aids
We want chip to develop hearing why
So they can develop speech and language
What does congenital mean
Born with HL
What does acquired mean
Loose in some other way
What’s MRL
Minimal response level
what’s EHDI
Early hearing detection intervention
What’s JCIH
Joint committee on Infant Hearing
What does the JCIH
Give us guidelines
Babies with normal hearing turn toward sound
With non hearing and even mild babies they might not turn
At age two if child has a hearing loss what do we do
Don’t speak at age two
Won’t respond to acoustic signals at threshold
Respond to sound they know they hear
What are the minimal response levels
Respond to pure tones
Look toward sound
Cry
Jump
If they aren’t hearing the sound
They won’t respond
What is the APGAR test
Appearance Pulse Grimace Activity Respiration
If they have a low APGAR score we should expect what
Suspected to have SNHL
Why do we prefer OAEs
Quicker
Cost effective
Accurate results
Suit up with electrobes
What are the down falls of OAEs
Enviroment had to be quiet
Insert doesn’t fit
Slightest sign will be a fail
What is tympanomentry
Middle ear function
Confirm specific disorders
Tympanic membrane and oscials are Normal
What is the eustation tube
Drains middle ear to throat
What re the four types of behavioral testing
BOA
VRA
CPA
TROCA
What does BOA stand for
Behavioral Observation Audiometry
What does VRA stand for
Visual reinforcement Audiometry
What is CPA
Conditional Play Audiometry
What is TROCA
tangible reinforcement operant conditioning Audiometry
What are some things about behavioral observation Audiometry
Observe behavior of child Birth-6mo Parent holds child little bit Hungary Sit in booth with speakers Plays tones and watches for baby to move startle stop sucking blink
What are some things about the Visual response Audiometry
5-36mo Reinforcement toy above speaker Condition head turning response Have to have another person in booth Bring to center w/ toys to distract them
What are some things about the Conditional Play Audiometry
2 1\2 or above Voluntarily cooperate Toy in bucket or ring in tower Emphasize listening Keep interested
Why are some things about Tangible reinforcement operant conditioning Audiometry
Reinforcement tools that we use for children or adults of special population
Food
Token maybe
Visual issues
What are the parts of the outter ear
Pinna
External auditory meadus
What are some things about the pinna
Auricle
Funnel sound from outside into ear canal
Acoustic energy
Made of cartilage
Pinna bends over to form what
Helix
What is the top lobe
Antitragus
What is the bowl of the ear and helps with localizing sound
Concha
What is ear canal made of
Cartilage and bone
What does the glands secrete oil to make and only happens in cartilage and not bone
Serum (wax)
What is the three inner layer of the TM
Outter skin from ear canal
fibrous skin and connective tissue contribute to vibration
Inner closest to middle ear and mucus membrane
What is the center of the fibrorous layer of the TM
Umbo
What’s called the small pinna
Microtica
What’s the absent pinna
Anotia
What are some things about the eustation tube
Auditory tube
Opens when yawning sneezing swallowing
What’s ET main function
Maintain pressure equal on both sides of TM
Excess fluid causes infection
What are some things about the mastoid
Honey comb shape
Filled with air
Bone
What is Ottis media
Middle ear infection
Middle ear pressure due to what
Eustatian tube disfunction
What does acute mean
Rapid development
What does chronic mean
Long duration
What is the treatment for otitis media
Antibiotics
What is otosclerosis
Fusion of bones
Hereditary
White women
Formation of a new growth of spongy bone over the stapedus
What is mastoiditis
Inflammation of mastoid
What are other words for faking a hearing loss
Functional
Malingering
Nonorganic
