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ECochG 2
Physiologic Measures 2
21
Audiology
Graduate
09/17/2018

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Cards

Term
This response is following the polarity that you put in the ear
Definition
Cochlear Microphonic
Term
Is the CM an outer or inner hair cell response?
Definition
Outer
Term
The CM looks at the ___ of the electrical response
Definition
envelope
Term
Summating Potential:
-Primarily an ___ hair cell response.
-Influenced by stimulus ___ but not by ___
-If we wanted to measure an SP we could use a ___-___ stimulus
-Ends when stimulus ___ ___
-Can give us information about ___
Definition
outer; duration; frequency; steady-state; goes off; duration
Term

Action Potential:

-Onset response of __HC to spiral ganglion to 8th nerve -Same wave as ___ 8th nerve of ABR

-Best elicited by a ___ duration sound like a click or tone-burst

-Can get ___ specific info

-SP gave us ___/___ information and the AP gives us ___ specific information with a very short duration sound generated by that connection of the IHC and the 8th nerve -___ response; nothing should cross over

Definition
IHC; distal; short; freq; envelope/phase; freq; Ipsilateral
Term
Surgical Electrodes:
-Need electrodes placed on ___ through the TM; Look for a similar response on ___ ___ candidates; response is ___ times greater than an electrode placed on the TM
Definition
promontory; CI; 10
Term

-Tip-trodes get ___ if you use a Gell or paste; can give us good info about the ___ ___ and ___ ___

-Transtympanic electrode gives us the ___ quality. Gives a __-__times greater response but the downside is you have to use an ___ because it's not comfortable for a needle to pierce your TM

-not usually placed by an ___

-No significant ___ change based on where you put your electrode

-places that are extra-tympanic you can place an electrode: _____________________; we can place all of these as an audiologist

-If you aren't seeing a good SP or AP move the electrode closer to the _________

-Use normative data for the specific ___ you are using. 

Definition
slippery; SP; AP; best; 10; 40; anesthetic; audiologist; latency; earlobe, forehead, mastoid, top of the head, canal, and on the TM; sight of generation; electrode Ex: If you are using a tip-trode get data for tip-trodes
Term
Stimulus Factors-Transducer:
-What transducer do you usually use?
-These can be ___
Definition
inserts; sterilized
Term
Stimulus Factors:
-What are some stimulus types? What is the most common?
-Duration: Dictated by your stimulus ___; For an AP you must have a ___ stimulus. The ___ your duration the more effective you will be at producing an AP. But if you go too short you will lose your ___ ___. Must find a balance.
Definition
click, tone-burst, and a chirp; click is most common but you can use a tone-burst when looking for Meniere's disease; type; transient; shorter; SP
Term
Stimulus Factors:
-Rate: AP and SP can respond at ___ rates. Not heavily ___ by rate. AP will increase if rate is ___ and ___ latency a little bit.
-Polarity: To get an SP you have to ___ the polarity. To get an AP you have to change it to ___ or ___. Need to know if OHC are working properly and the ___ ___ will tell us that.
-Monaural/Binaural: If you present binaurally for an ECochG it will ___ your amplitudes
Definition
slow; influenced; increased; decrease; alternate; rarefaction; condensation; CM; reduce
Term
Acquisition Factors:
-Time window is set to capture that ___ ms and to capture it if it's delayed. Typically we will do a __-__ ms time window directly following the stimulus. Often times you will have an additional __-__ ms prior to the stimulus. Notated by a ___ number. Ex: time window was set to -1 to 5 ms for a total of 6 ms. Why is that important? Need to know where the ___ is.
->__ ms in order to not change your response.
Definition
1.5; 5-10; 1-2; negative; baseline; 0.2
Term
Acquisition Factors:
-As you go up the auditory pathway our responses get ___. If we let the larger responses into your time window then they will ___ the smaller responses (SP AP ratio).
-Amplification: Affected by ___ and ___. If you use a lower stimulus you may need a ___ time window.
-You want a minimum of ___ sweeps and you will stop when your waveform looks ___.
Definition
larger; obscure; intensity; frequency; longer; 500; stable
Term
Acquisition Factors:
-Filter settings: high pass filter needs to be set as ___ as we can (__-__ Hz) so everything above that can come through. If you don't get a response ___ your high pass filter up to 100 Hz. If you set it higher than 100 Hz you will lose your ___ response.
-Low pass filter to ___ Hz to capture best SP and AP
Definition
low; 10-30; increase; SP; 1500
Term
You can record an ECochG down to ___ weeks gestational age (latencies will be longer though because pathways are myelinated yet).
Definition
27
Term
Age:
-In older adults the ___ starts to disappear. The __HCs are decreasing in function.
-How can we enhance this SP response?
-___ changes as we age. Amplitude of AP ___. Less __HC as we age.
Definition
SP; O; Slow our rate and make a longer duration. Increase intensity. Move electrodes closer to site of generation; Ratio; decreases; I
Term
Minimize ___ movement because it can obscure responses
Definition
muscle
Term
ECochG Protocol Guidelines - Stimulus:
-Transducer: ___
-Type: ___
-Duration: ___ ms
-Polarity: ___
-Rate: ___ seconds
-Intensity: __ to __ dB nHL
-Masking: ___
-Presentation: ___
Definition
ER-3A; click; 0.1; alternating; 7.1; 70-90; none; monaural
Term
ECochG Protocol Guidelines - Acquisition:
-Filter: __-__ Hz
-Analysis Time: __ or __ ms
-Amplification: x___
-Sweeps: less than ___ to more than ___
Definition
10-1500; 5 or 15; 75,000; 50; 1500
Term
In order to elicit an SP you need to be at least ___ dB peak SPL
Definition
60
Term
If you have a large SP that's what ___ looks like. It's almost as big as the AP
Definition
Meneires
Term
What are the applications of an ECochG?
Definition
-Enhances wave I of ABR š
-Diagnosis of ANSD (auditory neuropathy spectrum disorder)
-Diagnosis of Meniere’s disease š
-Intraoperative monitoring š
-Estimation of auditory threshold
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