Week 9 Slides Review

Question 1

Differences between electrophysiological and behavioral testing procedures.

Answer 1

Behavioral: requires cooperation, direct measure of hearing, easily obtained in infants, parents can easily observe & understand results
Electro: doesn’t require cooperation, easily obtained under 6 mos, requires sedation over 6 mos, not a measure of hearing, cannot be used to monitor HAs or CIs

Question 2

Predominates in decision making in management of HL (under 6 mos - OAE, ABR, tymps)

Answer 2

electrophysiological

Question 3

6 mos-5yrs is dev appropriate behavorial assessment, tymps & ARTs

Answer 3

behavioral

Question 4

When there is hL and tymps are normal, do

Answer 4

oaes

Question 5

Behavioral responses are not reliable and give no ear specifics and hL is evident, do

Answer 5

abr

Question 6

newborns

Answer 6

birth to 6 mos

Question 7

infants

Answer 7

6 mos to 24 mos

Question 8

young kids

Answer 8

25-60 mos

Question 9

Recommended test protocols for newborns (0-6 months)

Answer 9

Relies on physiological measure
Case hx, parent report, behavioral observation (BOA), dev screenings (cognitive & motor dev), functional aud assessments (ITMAIS, LITTLEEARS)

Question 10

Recommended test protocols for infants (6-24 months)

Answer 10

Behavioral assessments
Vra
Sdt for younger
Srt for older if they can
OAEs
Dev & functional aud assessments
ABR only when
Behavioral audiometric tests are unreliable
Ear-specific thresholds cannot be obtained
Behavioral results are inconclusive
Auditory neuropathy is suspected

Question 11

Recommended test protocols for young children (25-60 months).

Answer 11

Behavioral tests & acoustic immitance
Vra for younger
Cpa for older
Can try conventional for older
Older can do srt & wrs
Younger than 5 close
Older than 5 attempt open
OAEs, dev screen, function aud assessment

Question 12

Infants between approximately 5- and 24-months developmental age.
for speech

Answer 12

sdt

Question 13

Children with receptive language skills of two years and older.
for speech

Answer 13

srt

Question 14

Importance of including behavioral tests in evaluations.

Answer 14

provides valuable information not available from electrophysiologic testing.
true measure of threshold sensitivity and is considered the “gold standard” for hearing assessment

Question 15

Importance of applying the cross-check principle in pediatric assessments and how it is used.

Answer 15

Achieved with test battery approach
Multiple tests cross check each other to ensure accuracy
several appropriate behavioral and electrophysiologic tests must be used to determine the extent of a child’s auditory function.

Question 16

ex of cross check principle

Answer 16

OAEs, ABR, case hx (do they turn to sounds, are there concerns), tymps, reflexes, etc.
all help to determine more accurate diagnosis

Question 17

Advantages of test battery approach:

Answer 17

Provides detailed information
Avoids drawing conclusions from a single test
Allows for the identification of multiple pathologies
Provides a comprehensive foundation for observing a child’s auditory behaviors

Question 18

wahat affects behavioral assessment

Answer 18

state of child
audiologists skills
assistance
testing environment and setup
past experience

Question 19

how can hou set up the room

Answer 19

Two room with one audiologist and one parent who also function as a test assistant.
Two rooms with two audiologists, or one audiologist and one test assistant
One room with one audiologist

Question 20

functional auditory assessment

Answer 20

important for test battery
numerous test & surveys
Can be completed by the teacher, student, or parent before and after the use of a hearing aid, cochlear implant, personal remote microphone (RM), or soundfield system or the delivery of therapy or educational services.

Question 21

what is an example of an auditory assessment

Answer 21

LittlEARS Auditory Questionnaire

Designed for infants and toddlers, this parent questionnaire evaluates auditory development in children up to 2 years old. It helps assess whether the child is meeting auditory milestones for their age, such as responding to environmental sounds or vocalizing in response to sounds.

Question 22

what must a report include

Answer 22

Appropriate demographic information, name, medical record number, birth date, date of test, and place of test as required by state legislation.
Adequate detail of test procedures
Original graphics of test results when possible (tympanometry tracing, ABR waveforms).
Audiologic Diagnosis.
Summary and Conclusions.
Follow-up Plan.
Signature, contact information and credentials of the audiologist completing the assessment.

Question 23

For children under 3 with hearing loss, notify the IDEA Part C provider within 48 hours.

Answer 23

true

Question 24

Provide families with written, accessible information on test results, implications, and next steps.

Answer 24

true

Question 25

Importance of evaluating cognitive age and physical status, and how these affect test protocols.

Answer 25

essential in determining the most appropriate test protocols for auditory assessments. These factors help ensure the tests are both accurate and meaningful, as they can significantly impact how a child responds during the evaluation process

Cognitive age influences how long a child can participate in testing, prompting audiologists to use shorter test protocols or multiple sessions if needed.

Question 26

what is another ex of fxnal aud assessment

Answer 26

PEACH
COSI
IT-MAIS