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30 Cards in this Set
- Front
- Back
Audiological screening is a pass fail procedure to.. (3 reasons)
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1. prevent or detect early auditory impairment, disorder and disability
2. to i.d. individuals who require further audiological assessment and/or treatment 3. referral for professional services |
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What are the 2 different approaches to screening?
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1. medical model
2. educational model |
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Which screening approach does this define..."focus is broader, identification, screening, tracking, referral, follow up, advocacy"
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educational
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Which screening approach does this define..."condition for which an individual is screened should lend itself to binary outcome, either pass/fail"
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medical
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2 concepts important to screening are:
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sensitivity and specificity
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What does sensitivity mean?
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how effective procedure is in identifying a disorder
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What does specificity mean?
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how effective procedure is in passing individuals who do not have disorder
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What is a negative false positive result?
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when a person fails even when they can pass
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What is a false negative result?
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pass screening with disorder
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What is a valid measure?
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when the instrument measures what it is supposed to measure
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What is a reliable measure?
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when the measure is consistent across different situations
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What are two decisions to make when deciding on the pass/fail criteria?
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1. checking the screening level and making sure it is not too high or too low
2. using specific frequencies |
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What are three factors that are influenced if a screening level that is to high or low ?
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referral rate, specificity, sensitivity
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Which frequencies does ASHA emphasize to use during screenings?
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middle to high frequencies
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What kind of equipment would you use for an infant during screening?
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otoacoustic emissions or auditory brainstem responses
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Are screenings done only to identify hearing loss?
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No. they are also done to identify outer and/or middle ear disease.
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Which population would screening for outer and/or middle ear disease be the most important?
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preschool children
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What type of equipment is calibration the most important for?
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portable equipment
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How often should you calibrate?
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at least once a year
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When can subjective calibration be done?
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immediately prior to a screening by the audiologist
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Are screenings done only to identify hearing loss?
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No. they are also done to identify outer and/or middle ear disease.
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Which population would screening for outer and/or middle ear disease be the most important?
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preschool children
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What type of equipment is calibration the most important for?
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portable equipment
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How often should you calibrate?
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at least once a year
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When can subjective calibration be done?
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immediately prior to a screening by the audiologist
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What are 6 things you check for during subjective calibration?
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tone audible, check L and R ears, unwanted sounds, in and decrease audible in tone, changes in frequency, linear fashion or in jumps of changes in frequency and intensity
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Would you use an audiogram to interpret results from a hearing screen?
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No. It is better to create your own form. You do not use an audiogram because you are not measuring thresholds.
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What are two reasons to keep in mind when avoiding overinterpretation of findings, such as, claiming a child has normal hearing?
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1. hearing is more than just perception of tones but also involves recognition and reception of speech stimuli
2. screening only represents that point in time |
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What are 6 components(steps) significant to the screening procedure?
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1. non diagnostic otoscopy
2. instructions and ear phone placement 3. assure conditioning 4. group vs individual instructions 5.administering the screening 6. making recommendations |
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What is the 1-3-6 rule regarding the screening protocol for infants?
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screen by 1 month, identify hearing loss by 3 months, intervention by 6 months
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