Podcast
Questions and Answers
What is one characteristic of speech testing that must be reported by an audiologist?
What is one characteristic of speech testing that must be reported by an audiologist?
- Patient's previous hearing history
- Patient's age
- Intensity level (correct)
- Duration of the test
What is a key component of an early hearing, detection, and intervention (EHDI) program?
What is a key component of an early hearing, detection, and intervention (EHDI) program?
- Diagnose hearing loss by 3 months (correct)
- Identify hearing loss at birth
- Provide intervention by 12 months
- Monitor speech development annually
What is a result of unaddressed hearing loss in newborns?
What is a result of unaddressed hearing loss in newborns?
- Improved employment opportunities
- Language delays (correct)
- Earlier detection of hearing loss
- Enhanced cognitive skills
How does an otoacoustic emissions (OAE) test evaluate hearing?
How does an otoacoustic emissions (OAE) test evaluate hearing?
What differentiates the auditory brainstem response (ABR) test from the auditory steady state response (ASSR) test?
What differentiates the auditory brainstem response (ABR) test from the auditory steady state response (ASSR) test?
What is one characteristic of an Auditory Brainstem Implant?
What is one characteristic of an Auditory Brainstem Implant?
Which of the following is a goal for fitting hearing aids?
Which of the following is a goal for fitting hearing aids?
What might be a common reason for children to reject hearing technology?
What might be a common reason for children to reject hearing technology?
Which of the following is NOT a cause of vestibular disorders?
Which of the following is NOT a cause of vestibular disorders?
Which test is commonly used to measure eye movements for vestibular dysfunction?
Which test is commonly used to measure eye movements for vestibular dysfunction?
What does hyperacusis refer to?
What does hyperacusis refer to?
What is one element of a tinnitus evaluation?
What is one element of a tinnitus evaluation?
In relation to vestibular dysfunction tests, what does VEMP stand for?
In relation to vestibular dysfunction tests, what does VEMP stand for?
Which type of sound tolerance disorder is characterized by a negative reaction to specific soft sounds?
Which type of sound tolerance disorder is characterized by a negative reaction to specific soft sounds?
What is an important characteristic to report in speech testing?
What is an important characteristic to report in speech testing?
What is the primary purpose of conducting a pure tone audiometry test?
What is the primary purpose of conducting a pure tone audiometry test?
Which statement correctly describes the use of insert earphones in audiometry?
Which statement correctly describes the use of insert earphones in audiometry?
What does a Type B tympanogram indicate?
What does a Type B tympanogram indicate?
When is masking required during audiometry?
When is masking required during audiometry?
What does the term 'compliance' refer to in the context of tympanometry?
What does the term 'compliance' refer to in the context of tympanometry?
What type of audiology test is appropriate for infants under 6 months?
What type of audiology test is appropriate for infants under 6 months?
Which combination of frequencies is typically used in pure tone audiometry testing?
Which combination of frequencies is typically used in pure tone audiometry testing?
When calculating signal-to-noise ratio (SNR), which mathematical operation is used?
When calculating signal-to-noise ratio (SNR), which mathematical operation is used?
Which type of tympanogram is characterized by high compliance?
Which type of tympanogram is characterized by high compliance?
In speech recognition threshold testing, what type of words are primarily used?
In speech recognition threshold testing, what type of words are primarily used?
What is the normal range for an acoustic reflex test?
What is the normal range for an acoustic reflex test?
What happens during Conditioned Play Audiometry (CPA)?
What happens during Conditioned Play Audiometry (CPA)?
What does the absence of Wave V indicate in an auditory response?
What does the absence of Wave V indicate in an auditory response?
Which hearing aid style is most commonly used by children?
Which hearing aid style is most commonly used by children?
What is a limitation of the in-the-canal (ITC) hearing aid?
What is a limitation of the in-the-canal (ITC) hearing aid?
Which hearing aid style sits in the ear canal and can be difficult to handle for the elderly?
Which hearing aid style sits in the ear canal and can be difficult to handle for the elderly?
How does a bone conduction hearing aid work?
How does a bone conduction hearing aid work?
What type of hearing aid is specifically designed for single-sided deafness?
What type of hearing aid is specifically designed for single-sided deafness?
Which feature differentiates the 'invisible in the canal' (IIC) hearing aids from other styles?
Which feature differentiates the 'invisible in the canal' (IIC) hearing aids from other styles?
How does a cochlear implant transmit signals to the brain?
How does a cochlear implant transmit signals to the brain?
What disadvantage do completely in the canal (CIC) hearing aids face?
What disadvantage do completely in the canal (CIC) hearing aids face?
Which type of implantable hearing device includes a titanium implant secured to the skull?
Which type of implantable hearing device includes a titanium implant secured to the skull?
What is a key characteristic of the receiver in canal (RIC) hearing aid?
What is a key characteristic of the receiver in canal (RIC) hearing aid?
What limits the functionality of light-driven hearing devices?
What limits the functionality of light-driven hearing devices?
Which hearing aid type is best suited for individuals with conductive hearing loss?
Which hearing aid type is best suited for individuals with conductive hearing loss?
What is one major advantage of Auditory Steady State Response (ASSR) over Auditory Brainstem Response (ABR)?
What is one major advantage of Auditory Steady State Response (ASSR) over Auditory Brainstem Response (ABR)?
Flashcards
Speech Reception Threshold
Speech Reception Threshold
The percentage of sounds a person can hear correctly during a speech test.
Intensity Level
Intensity Level
The level of sound intensity used during a speech test.
Early Hearing Detection and Intervention (EHDI)
Early Hearing Detection and Intervention (EHDI)
A program designed to identify hearing loss in newborns and provide early intervention services.
Otoacoustic Emissions (OAE)
Otoacoustic Emissions (OAE)
Signup and view all the flashcards
Auditory Brainstem Response (ABR)
Auditory Brainstem Response (ABR)
Signup and view all the flashcards
Distance
Distance
Signup and view all the flashcards
Intensity
Intensity
Signup and view all the flashcards
Tympanometric Peak
Tympanometric Peak
Signup and view all the flashcards
Frequency
Frequency
Signup and view all the flashcards
Signal-to-Noise Ratio (SNR)
Signal-to-Noise Ratio (SNR)
Signup and view all the flashcards
Visual Reinforcement Audiometry (VRA)
Visual Reinforcement Audiometry (VRA)
Signup and view all the flashcards
Behavior Observation Audiometry (BOA)
Behavior Observation Audiometry (BOA)
Signup and view all the flashcards
Tympanometry
Tympanometry
Signup and view all the flashcards
Middle Ear Compliance
Middle Ear Compliance
Signup and view all the flashcards
Acoustic Reflex Testing
Acoustic Reflex Testing
Signup and view all the flashcards
Speech Recognition Threshold (SRT)
Speech Recognition Threshold (SRT)
Signup and view all the flashcards
Spondees
Spondees
Signup and view all the flashcards
Bone Conduction
Bone Conduction
Signup and view all the flashcards
Air Conduction
Air Conduction
Signup and view all the flashcards
Acoustic Reflex
Acoustic Reflex
Signup and view all the flashcards
Auditory Brainstem Implant
Auditory Brainstem Implant
Signup and view all the flashcards
Bone Anchored Hearing Aid (BAHA)
Bone Anchored Hearing Aid (BAHA)
Signup and view all the flashcards
Misophonia
Misophonia
Signup and view all the flashcards
Videonystagmography (VNG)
Videonystagmography (VNG)
Signup and view all the flashcards
Hyperacusis
Hyperacusis
Signup and view all the flashcards
Computerized Dynamic Posturography (CDP)
Computerized Dynamic Posturography (CDP)
Signup and view all the flashcards
Vestibular-Evoked Myogenic Potentials (VEMP)
Vestibular-Evoked Myogenic Potentials (VEMP)
Signup and view all the flashcards
Tinnitus Masking
Tinnitus Masking
Signup and view all the flashcards
What is Auditory Steady State Response (ASSR)?
What is Auditory Steady State Response (ASSR)?
Signup and view all the flashcards
What does Wave V in an ABR test indicate?
What does Wave V in an ABR test indicate?
Signup and view all the flashcards
What are body-worn hearing aids?
What are body-worn hearing aids?
Signup and view all the flashcards
What are behind-the-ear (BTE) hearing aids?
What are behind-the-ear (BTE) hearing aids?
Signup and view all the flashcards
What are receiver-in-canal (RIC) hearing aids?
What are receiver-in-canal (RIC) hearing aids?
Signup and view all the flashcards
What are in-the-ear (ITE) hearing aids?
What are in-the-ear (ITE) hearing aids?
Signup and view all the flashcards
What are in-the-canal (ITC) hearing aids?
What are in-the-canal (ITC) hearing aids?
Signup and view all the flashcards
What are completely-in-the-canal (CIC) hearing aids?
What are completely-in-the-canal (CIC) hearing aids?
Signup and view all the flashcards
What are invisible-in-the-canal (IIC) hearing aids?
What are invisible-in-the-canal (IIC) hearing aids?
Signup and view all the flashcards
How do light-driven hearing aids work?
How do light-driven hearing aids work?
Signup and view all the flashcards
What are Cros/Bicros hearing aids used for?
What are Cros/Bicros hearing aids used for?
Signup and view all the flashcards
What are bone conduction hearing aids?
What are bone conduction hearing aids?
Signup and view all the flashcards
What are ossiointegrated hearing aids (BAHA)?
What are ossiointegrated hearing aids (BAHA)?
Signup and view all the flashcards
How does a cochlear implant work?
How does a cochlear implant work?
Signup and view all the flashcards
Name an implantable hearing device: converts sound to electrical signals for the cochlea.
Name an implantable hearing device: converts sound to electrical signals for the cochlea.
Signup and view all the flashcards
Name an implantable hearing device: uses a titanium implant to vibrate the bone and deliver sound.
Name an implantable hearing device: uses a titanium implant to vibrate the bone and deliver sound.
Signup and view all the flashcards
Name an implantable hearing device: amplifies sound vibrations directly in the middle ear.
Name an implantable hearing device: amplifies sound vibrations directly in the middle ear.
Signup and view all the flashcards
Name an implantable hearing device: sends electrical signals directly to the brainstem.
Name an implantable hearing device: sends electrical signals directly to the brainstem.
Signup and view all the flashcards
Study Notes
Audiometry Test Environment
- Separate from building to reduce outside noise
- Quiet environment
- Soft surfaces to prevent echoes
- Patient sits away from audiologist
- Windows to allow visual contact
Pure Tone Audiometry Procedures
- Start at 1000 Hz at 30 dB HL
- Raise 10 dB HL until a response is detected
- Go down 5dB HL
- When no response, raise by 10dB HL
- Repeat until threshold is detected (2/3 times)
- Test frequencies: 500, 1000, 2000, and 4000 Hz
Earphone Types
- Supra-aural: Placed over the pinna
- Left and right sides
- Air conduction
- Insert: Better for background noise reduction
- Cleaner
- More comfortable
- Left and right sides
- Air conduction
- Oscillator: Measures bone conduction
- Bone conduction signals
- Oscillates skull bone
Masking
- Necessary when testing bone conduction
- Blocking one ear to test the other
- Necessary for single-sided hearing loss
- Necessary for conductive hearing loss
Audiometry Types
- BOA (Behavior Observation Audiometry): Observation of a patient's reactions to sounds.
- VRA (Visual Reinforcement Audiometry): Using visual rewards to encourage responses to sounds.
- CPA (Conditioned Play Audiometry): Training the patient to perform an action in response to sounds.
Tympanometry
- Measures middle ear pressure and compliance.
- Normal response is 0.3–3 ml (compliance).
- Different peak types suggest different issues.
Speech Recognition Threshold (SRT)
- Lowest level where speech is understood
- Uses spondee words (two-syllable words with equal stress).
- Procedure: start at 30dB HL, increase by 10 dB until words are understood, then decrease by 10dB for correct response, then increase by 5dB.
Signal-to-Noise Ratio (SNR)
- Difference in intensity between signal and background noise.
- Calculated by subtracting background noise level from the signal level.
Newborn Hearing Screenings (UNHS)
- Components of an EHDI program: Early hearing, detection, and intervention program
- Identification by 1 month, diagnosis by 3 months, and intervention by 6 months.
- Importance of UNHS: Prevent language delays, speech delays, academic difficulties, and employment issues from unaddressed hearing loss.
Otoacoustic Emissions (OAE) Testing
- Screening tool performed usually at birth
- Place a probe in the ear canal to emit sound.
- Measurements take place as the sound bounces off the tympanic membrane.
- Evaluate if hair cell function is normal.
Auditory Brainstem Response (ABR) and Auditory Steady State Response (ASSR)
- ABR measures auditory evoked potentials (responses from auditory nerve).
- ABR electrodes on the patient's skull (CN8); signal into ears, measure the brain waves.
- Wave V indicates that signal has passed through the brain stem.
- Absence of wave V indicates a problem.
- ASSR is similar to ABR but uses repetitive stimuli and can measure frequencies more accurately
Hearing Aids
- Different types: Body worn, behind-the-ear (BTE), in-the-ear (ITE), in-the-canal (ITC), completely-in-the-canal (CIC), invisible-in-the-canal (IIC)
- Differences: Placement, size, and power.
Cochlear Implants
- Converts sound to electric signals relayed to the auditory nerve via electrodes.
- Helps people with profound hearing loss, conductive hearing loss, sensorineural hearing loss, and single-sided hearing loss.
Implantable Hearing Devices
- Cochlear Implant: Electrically stimulates the auditory nerve.
- Auditory Brainstem Implant: Sends signals directly to the brain stem.
- Middle Ear Implant (Osia): Vibrates ossicular prosthesis to stimulate the inner ear.
- BAHA (Ossiointegrated Hearing Aids): Titanium implant behind the ear. Sound processor attaches to the implant.
Goals of Hearing Aid Fitting
- Restore access to speech.
- Restore and retain clarity.
- High intensity remains tolerable.
Hearing Technology Rejection by Children
- Reason(s) for rejection: Discomfort.
Vestibular Disorders
- Four causes: Disease, toxins, trauma, syndromes.
- Five tests: VNG, vHIT, Rotary Chair Test, CDP, VEMP.
Tinnitus Evaluation
- Medical evaluation
- Case history and environments.
- Self-assessment: questions about daily life and sounds.
- Use of masking: use masking techniques.
Sound Tolerance Disorders
- Hyperacusis: Overwhelming sensitivity to sounds
- Misophonia: Negative emotional reaction to specific sounds.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.