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29 Cards in this Set

  • Front
  • Back
types of speech audiometry
- speech reception threshold (SRT)
- word discrimination (WD)
speech reception threshold (SRT)
- lowest hearing level at which 50% of a list of 10 spondaic words can be correctly identified
word discrimination (WD)
- aka suprathreshold test
- use single syllable words, start at 30-40 dB above SRT
- uses carrier phrase
- list of 50 words, find % correct
acoustic immitance meaning and types
- test battery procedure used to identify abnormalities in auditory system
- static compliance
- tympanometry
- acoustic reflex
static compliance
mobility of tympanic membrane in response to pressure in external ear canal
static compliance procedure
- insert probe into ear canal
- raise pressure and measure
- equalize pressure and measure
static compliance results
- below normal indicate change in middle ear limiting tympanic membrane mobility
- above normal suggest interruption in ossicles
tympanometry
measurement of middle ear pressure used to determine point and magnitude of greatest compliance of tympanic membrane
tympanometry procedure
- pressure raised in ear canal
- compliance measured in successive intervals as pressure is decreased
tympanometry results
- type a: normal hear, has greatest compliance at 0 daPa
- type b: middle ear is filled with fluid, the point of greatest compliance cannot be found
- type c: greatest compliance occurs at -200 daPa, problem with pressure, not flexibility
acoustic reflex
- contraction of tensor tympani and stapedius muscles in response to loud sound
- testing measures quietest sound that elicits reflex
acoustic reflex testing
- signal presented to one ear
- tympanic membrane compliance decrease detected ipsalaterally or contralaterally
- use pure tone at 70 dB and raise until response is seen
- find threshold
acoustic reflex results
- reflex occurs at 85 dB in those with normal hearing and lesions in higher centers of auditory cortex
- no response if patient has SN loss
- no contralateral response if patient has lesions in brainstem
acoustic reflex decay testing
- tests for lesions in auditory nerve and brainstem
- play low frequency tone 10 dB above ART for 10 seconds, goal is to have contraction hold
- count number of seconds for reflex to be reduced by 50%
otoacoustic emissions (OAE) meaning and types
- sounds generated within cochlea
- transient-evoked OAE
- distortion-product OAE
OAE procedure
- probe placed in external auditory canal
- evoking stimulus presented thru mini loudspeaker
- microphone converts OAE into electrical signal
OAE results
- presence of evoked OAE suggests little or no conductive loss caused by middle ear abnormality
- indicates disorder is retrocochlear for SN loss
transient-evoked OAE
series of brief tones such as clicks
distortion-product OAE
two tones presented at once
auditory evoked potentials (AEP)
electrical responses generated within cochlea due to acoustic stimuli
electrocochleography (ECoG)
response to sound in form of electrical potentials in cochlea that occur milliseconds after signal presentation
auditory brain stem response (ABR)
- used to assess integrity of central auditory pathway
- electrodes placed on mastoid and top of skull, with additional ground electrode
- rapid stimuli presented, eliciting wavelengths
intraoperative monitoring
use of AEP for monitoring electrophysiological states of patient during neurosurgery
event related potentials
recognized at 80 ms
tangible reinforcement operant conditioning audiometry (TROCA)
form of operant audiometry using rewards such as food or tokens
Ling (6 sounds) test
used to determine frequency-specific hearing lsos information in children by using frequency specific phonemes (/a/, /u/, /i/ for 1K Hz, /sh/ for 2K Hz, /s/, /m/ for 4K Hz)
behavioral observation audiometry (BOA)
- observation of changes in activity state of infant (<8 months) in response to sound
- one clinician observes child while other presents sound
auropalprebral reflex (APR)
contraction of ring muscles of eyes in response to sudden sound
Moro reflex
sudden embracing of arms and drawing up of legs in response to sudden sounds