Case History & Otoscopy
When should otoscopy be performed?
What is before AND after you are putting anything into the patents ear! (ie: tymps, IME, HA fitting, audiometry etc)
How do you decide which ear to start testing on?
What is to start with the better ear?
Name of the procedure we most commonly use for audiometry.
What is modified Hughson-Westlake procedure of down 10 up 5?
When doing speech testing, it is important to make sure your VU meter is set to what?
What is 0 dB?
What is the classification of a flat hearing loss at 50db?
What is moderate?
When performing otoscopy, you notice white plaque scaring covering the TM in the shape of a horseshoe. What is this called and does this raise concern for hearing loss?
What is tympanosclerosis, and no it does not raise concern for HL.
Name the 4 measures that are used when interpreting tympanograms.
What is Static acoustic admittance, tympanic peak pressure, tympanometric width and ear canal volume.
When there is a difference between the bone conduction and air conduction thresholds.
What is a conductive component?
this type of speech testing is performed with monitored live voice and with spondee words.
What is Speech Recognition Testing?
What is it called when there is 20dB poorer in the mid frequencies around 1-2kHz?
What is a cookie-bite?
List three types of Case History Questions.
What is medical, occupational, developmental, educational, social and recreational.
What is a TM perforation or PE tubes?
Inter-aural attenuation for headphones, inserts and bone conduction testing.
What is headphones-40, inserts-50 and bone-0.
If there is a steeply sloping audio, this method should be used to obtain the PTA.
What is the 2-frequency fletcher PTA method?
When we diagnose hearing loss from the audio we typically report..
What is type, degree and configuration of the hearing loss.
This jerger type has excessive admittance, the peak is higher than normal, TPP and volume are WNL. This is suggestive of ossicular discontinuity, monomeric membrane, or some sort of mass loading on the TM.
What is type Ad?
When is it recommended to test the inter octaves of 3000 hz and 6000 hz?
What is a difference of 20db or more between octaves?
When we play a list of phonetically balanced monosyllabic words to a patient at a set supra threshold level and we keep track of how many words they got correct.
What is Word Recognition Score?
What constitutes asymmetry?
What is a 20dB difference at one frequency OR 15 dB at two + consecutive frequencies.
When referring to audiology chart notes, what does the acronym HEAR stand for?
What is History-Evaluation-Asessement-Recommendations.
PEC normative values for tympanometry.
What is ear canal volume: .80 to 2.20 ml
Static acoustic admittance: .3-1.7 ml
Tympanic width: <125 daPa (greater)
Tympanic peak pressure: -105 - + 5 daPa
This will enhance low frequency bone conduction thresholds from 1000 hz and below.
What is the occlusion effect?
When selecting a presentation level for WRS, it is important to select a level no softer than____dB.
What is 50dB?
If a person gets between 40-69% on the WRS, what classification is that and what does it mean for their communication?
What is poor and difficulty in most situations?