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Audiometric Testing/CANS
Notecards on Testing
82
Audiology
Undergraduate 3
11/07/2012

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Cards

Term
Case History
Definition
To obtain background info, describe primary problem, opportunity to provide related info
Term
Tinnitus
Definition
Ringing or noises in the ear
Term
Low pitched tinnitus
Definition
Associated with a conductive hearing loss
Term
High pitched tinnitus
Definition
Associated with a SN hearing loss
Term
Difficulty understanding speech
Definition
Bilateral, high frequency, SN hearing loss
Term
Exposure to loud noises
Definition
Bilateral, high frequency, SN hearing loss
Term
Client reports dizziness
Definition
Indicates a medical problem and that warrants a medical referral
Term
Vertigo
Definition
Room spins around them
Term
Dizziness
Definition
Person spinning around the room
Term
History of ear infections
Definition
possible conductive hearing loss, find out if they have ever had tubes
Term
History of hearing aids in the family
Definition
May indicate a SN hearing loss
Term
If the infant is not making sounds
Definition
May indicate a hearing loss
Term
Age that a toddler should know body parts
Definition
15-18 months
Term
Apgar Test
Definition
Test used to assess the health of a newborn, 7 and above considered normal
Term
Otoscopy
Definition
Examination of the ears with the otoscope
Term
Three types of sound
Definition
Pure tones, complex tones, noise
Term
Purpose of pure tone testing
Definition
To obtain threshold for pure tones
Term
Pure tone
Definition
periodic sound composed of one frequency
Term
Threshold
Definition
Lowest intensity/decibel level that an acoustic stimulus can be detected 50% of the time
Term
Sound proof booth
Definition
An acoustically treated room used for hearing testing and research
Term
Noise reduction
Definition
prevent sounds from entering
Term
Noise absorption
Definition
Suppress echoes/reverberation
Term
Masking
Definition
playing noise in the good ear so it can't hear for the poor ear
Term
Audiometer
Definition
Instrument used to test hearing
Term
Oscillator
Definition
Controls the frequency of the pure tone
Term
Attenuator
Definition
Controls the intensity of the stimulus
Term
Talk over
Definition
Allows the tester to talk to the patient
Term
Talk back
Definition
Allows the patient to talk to the tester
Term
Inputs
Definition
Controls stimulus selection (pure tone, speech/microphone, cd, noise)
Term
Outputs
Definition
Control hos the input is delivered to the patient (earphones, bone oscillator, speakers)
Term
Routing
Definition
Used to select the right, left, or both ears
Term
Audiogram
Definition
Graph used for recording/plotting hearing test results
Term
Abscissa of Audiogram
Definition
Frequency (in Hz)
Term
Ordinate of Audiogram
Definition
Intensity (in dB HL)
Term
Which test is performed first?
Definition
Air Conduction-done using earphones
Term
What does the AC test?
Definition
OE, ME, and IE
Term
When is bone conduction done?
Definition
Only if the patient's AC thresholds are out of normal range
Term
Normal Threshold Range
Definition
10-20dB
Term
What is the reason for testing BC?
Definition
Identifies the "type" of hearing loss
Term
What does the BC test?
Definition
IE-energy sets the entire skull into vibration
Term
Order for AC frequencies when testing
Definition
1k, 2k, 3k, 4k, 6k, 8k, retest 1k, 500, 250
Term
Test order for BC frequencies
Definition
1k, 2k, 3k, 4k, retest 1k, 400, 250
Term
Stimulus Interval
Definition
2 seconds
Term
Inner Stimulus Interval
Definition
Should be varied but not shorter than the SI-vary so that the patient doesn't catch on to patterns-how long you wait to play the next tone
Term
Pure Tone Average
Definition
Average of the AC thresholds at 500, 1k, and 2k. This is compared to the Speech Recognition Threshold
Term
Suspect a malingerer/fake when....
Definition
The difference between the PTA and the SRT is larger than 10 dB
Term
Test 750 and 1500 when...
Definition
There is a 20dB or greater difference in thresholds between octaves
Term
Test 125 when...
Definition
There is a hearing loss at 250Hz
Term
When a patient responds to a pure tone you?
Definition
Decrease the intensity by 10dB
Term
When a patient does not respond to a pure tone you?
Definition
Increase the intensity by 5dB
Term
Threshold is obtained when?
Definition
The patient responds 2 times at the same intensity level when ascending in intensity
Term
Conductive Hearing Loss
Definition
AC thresholds out of the normal range and bone conduction thresholds in the normal range with air-bone gaps
Term
Air-bone gaps
Definition
Greater than 10dB difference between the AC and BC threshold at any frequency
Term
Which parts of the ear does a conductive hearing loss effect?
Definition
Outer and Middle, inner is normal
Term
Case History Clues for Conductive
Definition
Low pitch tinnitus or buzzing, ears feel plugged, history of ear infections
Term
Audiogram Characteristics for Conductive
Definition
Hearing is poorer for the lower frequencies and there is an upward sloping configuration to better hearing in the higher frequencies, can be unilateral or bilateral
Term
Treatment for Conductive Hearing Loss
Definition
Medically or surgically correctable. Typically not permanent
Term
Largest Conductive hearing loss
Definition
60-65dB
Term
Sensori-Neural Hearing Loss
Definition
Air and bone conduction out of the normal range without ABGs-affects the inner ear
Term
Case History Clues for SN
Definition
High pitch tinnitus, difficulty understanding speech, especially in noisy situations, history of noise exposure
Term
Audiogram Characteristics for SN
Definition
Typically better hearing for the lower frequencies with a downward sloping configuration to a loss for the higherfrequencies
Term
Treatment for SN
Definition
Permanent and cannot be treated medically or surgically. Correctable with the use of hearing aids
Term
Mixed Hearing Loss
Definition
Air and bone conduction thresholds out of the normal range with ABGs
Term
Audiogram Characteristics for Mixed
Definition
Typically affects all the frequencies with a flat configuration
Term
Treatment for Mixed
Definition
First fix the conductive part and then have the patient return to get hearing aids
Term
Retro-cochlear hearing loss
Definition
Beyond the cochlea-tumors of the 8th nerve or nuclei pathways in the CANs.
Term
Normal Hearing
Definition
-10-20dB
Term
Mild Hearing Loss
Definition
21-40dB
Term
Moderate Hearing Loss
Definition
51-55dB
Term
Moderately-Severe Hearing Loss
Definition
56-70dB
Term
Severe Hearing Loss
Definition
71-90dB
Term
Profound Hearing Loss
Definition
Greater than 90dB
Term
Unit of measure of intensity
Definition
Decibel (dB)
Term
dB
Definition
Logarithm of a ratio multiplied by a constant-may be expressed in terms of sound power or sound pressure
Term
Reference Value
Definition
smallest power or pressure it takes to move the tympanic membrane
Term
Power Reference Value
Definition
10 to the negative 16th watts per cm squared
Term
Pressure Reference Value
Definition
.0002 dynes per cm squared
Term
When to use Clinical Masking
Definition
Whenever you are faced with an ABG, that is, when faced with a conductive or mixed hearing loss
Term
Test Ear
Definition
Ear getting the pure tone
Term
Non Test ear
Definition
The ear getting the making noise
Term
Cross Over
Definition
Reception of the pure tone in the te caused by the cochlea in the opposite ear crossing over the head
Term
Interaural Attenuation
Definition
amount of sound energy the skull can absorbed before bone conduction becomes active
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