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25 Cards in this Set

  • Front
  • Back
Audiogram
a graphic representation of the threshold of hearing across the frequency range
x-axis: frequency/pitch (Hz)
y-axis: intensity/loudness (dB)
Pure Tone Audiometry
pure tones signals are presented to the client one ear at a time where the client responds to those signals that are barely audible
Air conduction thresholds
the pure tone signals are delivered to the client's ear through the use of headphones, inserts or speakers
Bone conduction thresholds
the pure tone signals are delivered to the ear using a bone oscillator (vibrator) just to test the cochlea’s sensitivity alone
Type of hearing loss
Bilateral - both ears
Unilateral - only one ear
Peripheral hearing loss
Conductive, Sensorineural, or Mixed
Retrocochlear pathology
Neural pathway (VIII nerve), past the cochlea, going up the brainstem to the auditory cortex
Non-organic or functional hearing loss (malingering)
faking/exaggeration of hearing loss
Air and Bone conduction thresholds
Air conduction and bone conduction thresholds are within 10 dB HL of each other. There is a pattern or configuration, usually showing hearing loss increasing or getting worse at the higher frequencies.
Mixed hearing loss
both conductive and sensorineural hearing loss
Conductive hearing loss
the problem is in the outer and/or the middle ear
Sensorineural
the problem is in the cochlea
Signature of Noise induced type hearing loss
there is a significant decrease at 4000 Hz (notch) and surrounding frequencies, usually bilateral, but not always symmetrical
Speech Awareness Threshold (SAT)
the threshold of detected speech, typically 10 dB lower than the ST and pure tone average.
Spondee Threshold (Speech Reception Threshold or SRT)
the threshold of recognition of familiar, two-syllable words with equal stress on each syllable, examples: hotdog, cowboy, pancake, etc.
Word Recognition test (Speech Discrimination)
suprathreshold test given at different intensity levels (MCL, SL, UCL); presented at one level of loudness when presenting a list of 25 or 50 words.
Threshold
measures the lowest level of sound in which a person can hear either pure tones in the range important to understand speech and language
Superthreshold
determine how well a person understands what is heard
Stenger Test
Using the concept of interaural attentuation and masking thresholds, if a tone is much louder in one ear than the other, you perceive it in just one ear
Falconer Lipreading Test
above chance performance on a “difficult to lipread” task means that the person did hear the speech.
Tympanometry
measurement of middle ear mobility as pressure is varied from +200 daPa (x axis) to -400 daPa (y axis) in the external ear canal
Type A tympanogram
a normal middle ear pressure and compliance
Type As tympanogram
stiff/shallow eardrum mobility, often seen in otosclerosis
Type Ad tympanogram
discontinuity/deep abnormal height of the curve, a break in the ossicular chain (disarticulation of the ossicles, possibly due to head trauma).
Type B tympanogram
Flat with no peak. 3 possible conditions:
Increased mass (no eardrum movement) Abnormally small canal volume (outer ear obstruction/impacted cerumen)
Abnormally large canal volume (perforation of eardrum or pressure equalizing tube placement)