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AUDE 5340 AUD DIAG II > Word Rec Testing Intro > Flashcards

Word Rec Testing Intro Flashcards

1
Q

What is included in a basic audiologic assessment?

A

case history
otoscopy
immitance testing
speech threshold testing
puretone testing
suprathreshold speech testing (word rec)
documentation and coding
other tests

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2
Q

what is differentiated during pure tone testing

A

differentiates middle ear from sensori/neural

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3
Q

other testing differentiates what

A

sensori (cochlear) vs. neural (auditory nerve)

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4
Q

how do we know we got valid test results?

A

test-retest reliability (1,000, within 5dB) - checking to see if they are giving valid responses
equipment is calibrated
daily bio checks/weekly
make sure PT understands the test task
use masking as needed
SRT is in agreement with PTA

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5
Q

What agreement do we want with PTA?

A

plus or minus 10

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6
Q

What is included in PTA

A

500, 1000, 2000

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7
Q

cross check principle

A

SRT is used to check PTA thresholds

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8
Q

air bone speech

A

air bone and SRT and WRS

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9
Q

word rec in quiet

A

suprathreshold testing

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10
Q

what is PB max

A

best ability/score the patient can do

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11
Q

what does PB stand for

A

phonetically balanced

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12
Q

3 components of evidence based practice

A

client perspectives
clinical expertise
external scientific evidence

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13
Q

what are the 3 aspects of any diagnostics

A

test stimuli and set-up – what patient experiences
How to do the test correctly
How to interpret findings

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14
Q

identifying the site of lesion

A

diagnostic testing

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15
Q

what test can point to a site of lesion?

A
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16
Q

test stimuli for SRT?

A

spondee words

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17
Q

test stimuli for pure tones?

A

pure tones

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18
Q

pure tones (air and bone)

A

middle ear or retrocochlear

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19
Q

differentiate cochlear vs retrocochlear

A

word rec

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20
Q

percent correct

A

wrs

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21
Q

threshold measure

A

SRT

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22
Q

percent correct of a given suprathreshold level

A

WRS

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23
Q

Other names for wrs

A

Word recognition
WRS
PBmax
Speech discrimination (old term)
Discrimination score

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24
Q

clincial uses of WRS testing

A

diagnostic and treatment

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25
Q

compares word rec ability over time

A

diagnostic

26
Q

site of lesion testing (cochlear vs retrocochlear)

A

diagnostic WRS

27
Q

General sense of impact of hearing loss on speech understanding

A

wrs treatment

28
Q

One test to identify monaural vs. binaural amplification

A

wrs treatment

29
Q

Compare unaided vs. aided

A

wrs treatment

30
Q

used in ci candidacy

A

wrs treatment

31
Q

speech material for WRS?

A

single words (monosyllabic, CVC)
Phonetically balanced word list (recorded 50 list)
frequently presented with carrier phrase
homogeneous (familiarity, word structure, emotional loading)
can be closed or open set

32
Q

refers to speech tests using single words

A

closed vs open set test

33
Q

what is closed set

A

Possible response choices are limited
Single digits
Picture-pointing or paper and pencil tests with limited number of foils
Familiarized spondee list

34
Q

what is open set

A

Possible response choices are one of many words with no context
Spondee list that is not already familiar
Single-syllable words

35
Q

closed number of word sets

A

closed set

36
Q

familiarized patient with list

A

closed set

37
Q

any word randomly

A

open set

38
Q

no context for the words or no familiarization

A

open set

39
Q

Test materials are single-syllable digits (and listener is advised of this)

A

closed

40
Q

Test of one-syllable words with the structure CVC

A

open

41
Q

SRT after familiarizing with 8 words

A

closed

42
Q

SRT without familiarizing

A

open

43
Q

WRS where a patient is shown 6 pictures and has to identify the correct one

A

closed

44
Q

can you compare closed and open set scores?

A

no because closed set will have better scores

45
Q

How are word recognition scores used diagnostically?

A

to determine site of lesion (cochlear/retrocochlear)
compare over time if it is changing (only correctly and same word list etc.)

46
Q

What are the three components of evidence-based practice?

A

client perspective
clinic expertise
external scientific evidence

47
Q

How are word recognition scores used in audiologic treatment?

A

general sense of how their hl affects their speech understnading
determine monaural vs binaural and which ear
CI candidacy

48
Q

List several characteristics of the speech materials used for WR testing.

A

monosyllabic
pb
cvc
closed or open set
homogeneous
*same frequency and familiarity to the PT, same structure, not emotionally loaded

49
Q

What does it mean to say a word list is phonetically balanced?

A

has all of the sounds (phonetic) from the language in the word list

50
Q

Differentiate between open set and closed set. Which one is easier, meaning which one would yield a higher percent correct score?

A

closed is easier
closed is choices to choose from in terms of a response
open anything goes

51
Q

are WR scores tests of communicative function?

A

no

52
Q

How might a PBmax score underestimate a patient’s functional receptive abilities? reasons why someone may miss words when they wouldn’t usually?

A

no cue or redundancy/no context (say the word pig misses but if you say my daughters fav farm animal is pig, gets it)
no visual cues (lip reading)
established monaurally and convo speech is processed binaurally (binaural advantage)
no binaural advantage

53
Q

How might a PBmax score overestimate a patient’s functional receptive abilities?
why does someone do better than they normally would?

A

quiet, no competing noise with sound treated room and convo is usually in noise
done at a high level compared to conversational speech

54
Q

WRS Test parameters:

A

suprathreshold pL
recorded materials
word list
expressed as percent correct
obtained one ear at a time in quiet

55
Q

full word list

A

50

56
Q

half word list

A

25

57
Q

If masking noise is used in the non-test ear during WRS, is it considered speech in noise testing

A

NO

58
Q

what is a performance intensity function

A

psychometric function, performance level (presentation level) on x axis and performance on the y axis (%)
at very close to threshold we get very low scores and the higher you go the better the score gets

59
Q

what is pb max

A

pb max an individuals best performance on a phonetically balanced word list

60
Q

USE SPRINT CHART
pta 36
wrs 60

A

Not at the PT’s PB max and needed at another level

61
Q

USE SPRINT CHART
pta 32
wrs 80

A

yes it is likely we got the pb max

AUDE 5340 AUD DIAG II (9 decks)

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