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54 Cards in this Set

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What are common symptoms of Meniere's disease?
Hearing loss, dizziness, tinnitus, and fullness in the ear. Can have unilateral, fluctuating and progressive symptoms.
Disease of the cochlea.
Excessive endolymph.
What is a Spondee threshold test?
When two-syllable words with Equal stress on each syllable are used as stimuli during threshold testing to obtain the Speech Reception Threshold (SRT).
What is the normal Ear Canal Volume for an adult?
.3-1.6cc depending on the age and size of the patient.
What does an ECV of .33cc indicate on a tympanogram?
When there is a small ECV on a type B tympanogram, there is an abnormally small canal volume. This indicates that there is an obstruction in the outer ear canal which could be from cerumen (ear wax) impaction (blockage).
What are behavioral issue characteristics of a child with an auditory processing disorder in a school setting, but has been tested to have normal hearing and vision?
The child will demonstrate behaviors such as difficulty following classroom directions, transitioning, and understanding speech in background noise.
What is used to cross check for pure tone thresholds?
SRT, because it can estimate an individuals hearing sensitivity in the frequency region where speech falls on the audiogram.
Why would masking be performed during bone conduction testing?
Masking is performed on the non-test ear. Noise is presented to the non-test ear to keep it occupied while finding results for the test ear.
What is a Type A audiogram?
Normal function of the middle ear.
What is a Type B audiogram?
Fluid in the middle ear.
Tympanogram is flat or slightly rounded.
What is a Type C audiogram?
Negative pressure in the middle ear.
Peak of tympanogram in the negative pressure region.
What is the difference between the SAT and the SRT?
The SAT (Speech Detection Threshold) is the threshold for detection of speech and the SRT (Speech Recognition Threshold) is the threshold for recognition of speech.
Describe the characteristics of otosclerosis.
Otosclerosis is described as the increase in the stiffness of the middle ear. It is an abnormal growth of bone around the footplate of the stapes, which fixes it in place within the oval window. Due to the bone growth, the transmission of sound is affected through the ossicular chain to the inner ear.
Elevated thresholds on a tympanogram are helpful in assessing what issues?
middle ear function, an estimation of cochlear hearing loss, and the difference between 8th nerve and brain stem disorders.
Retrocochlear losses result from what possible pathologies?
Changes to the VIIIth nerve or to the auditory brainstem. Causes can include tumors (e.g., cochleovestibular schwannoma). An ABR test is a good assessment tool for the functioning of the VIII nerve and brainstem.
What are symptoms of Retrocochlear hearing loss?
Assymetric hearing loss, tinnitus (ringing in the ears), poor speech discrimination, and dizziness.
Which screening tool is used for testing newborns?
Otoacoustic Emissions (OAEs). OAEs can be obtained quickly and without cooperation of the baby (baby can be sleeping).
The stapedious is innervated by which cranial nerve?
VII Facial
Describe a conductive hearing loss on an audiogram.
gap between air and bone conduction with normal bone and air conduction more depressed (air-bone gap)
What are characteristics of a conductive hearing loss?
Caused from impacted cerumen (ear wax), perforated tympanic membrane, fluid in the middle ear, and otosclerosis. Conductive hearing loss can be medically treated and corrected. With a conductive hearing loss there is a change in the outer or middle ear which affects the conduction of sound to the cochlea.
What are characteristics of a sensorineural hearing loss?
Caused from excessive noise, ototoxic drugs, and viral illnesses; resulting in damage to the cochlea. Sensorineural hearing loss cannot be medically treatable and is not reversible.
Describe sensorineural hearing loss on an audiogram.
bone conduction and air conduction thresholds will be equal and elevated.
Describe a mixed hearing loss on an audiogram.
There will be an air-bone gap, with thresholds elevated for bone conduction and air conduction.
Name what can cause inner ear and cochlear disorders.
Embryonic malformations, infections, noise induced hearing loss, inherited conditions, congenital infections (e.g. rubella, sylphillis), acquired viral, fungal, and bacterial infections, meningitis, herpes, mumps, and ototoxic drugs.
What are the two branches of the auditory nervous system of the VIII nerve which carry the electrical sound impulses from the cochlea to the brain?
vestibular and auditory-acoustic
What are homophenous words?
Words that look the same on the lips (e.g., mop/pop)
Pinna, Ear Canal are associated with the ....
Outer ear
Tympanic Membrane,ossicles and eustachian tube are associated with ......
Middle ear
Cochlea and CN VIII are associated with .....
Inner Ear
What is the function of the ear canal?
It drects sound to eardrum and bends to protects the eardrum
What is a conductive hearing loss? What causes it?
Loss of hearing in the outer or middle ear due to wax build up or fluid in the middle ear.
What is the eustachian tube?
It connects the front wall of the middle ear with the nasopharynx and ventilates the middle ear. It is filled with air.
Stapedius is innervated by ....
Innervated by CVII Facial.
What is the function of the ear canal?
It drects sound to eardrum and bends to protects the eardrum
What is a conductive hearing loss? What causes it?
Loss of hearing in the outer or middle ear due to wax build up or fluid in the middle ear.
What are the 3 ossicles of the middle ear?
Incus
Stapes
Malleus
The function of the 3 ossicles is to...
To impede the flow of sound.
To transforms energy-Mechanical to Hydrolic energy.
To amplify the energy
What is the eustachian tube?
It connects the front wall of the middle ear with the nasopharynx and ventilates the middle ear. It is filled with air.
Stapedius is innervated by ....
Innervated by CVII Facial.
Conductive Hearing Loss
This type of loss results when there is damage to the structure/functions of the middle ear.
This type of loss is seen on an audiogram with an air-bone gap.
Sensorineural Hearing Loss
This type of loss results when there is damage to the structures/function of the inner ear or the auditory nerve (CN-8).
Mixed Hearing Loss
This type of loss has both conductive and sensorineural components.
Type A Tympanogram
This reflects normal functioning of the middle ear.
Type As Tympanogram
This reflects a stiffness or otherwise partial loss of mobility of the stapes. There is still normal pressure in the middle ear.
Type Ad Tympanogram
This reflects a disconnection of the bones of the middle ear, or a tympanic membrane that is operating with flaccidity.
Type B Tympanogram
This reflects fluid in the middle ear.
Type C Tympanogram
This reflects negative pressure in the middle ear.
Pure Tone Audiometer
This is used to determine hearing thresholds. Most have the capability to test for air-conduction and bone-conduction thresholds, and can also use masking.
Masking
This is a type of procedure used during audiometry in which noise is introduced in the non-test ear in order to control for cross-hearing.
Speech Detection Threshold- SDT
This is a type of speech audiometry. It is the lowest level at which speech can be detected.
Speech Recognition Threshold-SRT
This is a type of speech audiometry. It is the lowest level at which 50% of speech is understood.
Most Comfortable Loudness Level- MCL
This is the level at which most speech is deemed comfortably loud.
Uncomfortable Loudness Level-UCL
This is the level at which speech is deemed uncomfortably loud, and is an important measurement when fitting or considering hearing aids.
Dynamic Range for Speech
This is the range between the SRT and the UCL, and is a comfortable range of speech.
Play Audiometry
This type of audiometry is used when testing young children. Children are taught to put a bead on a string/in a bucket, etc when they hear a sound.