Shared Flashcard Set

Details

Practice Exam 3
Ototoxicity
45
Audiology
Graduate
11/30/2017

Additional Audiology Flashcards

 


 

Cards

Term
What percent of patients exposed to 85 dB A exposure over an 8-hour work day may develop a significant hearing loss?
Definition
5-15%
Term
A ___ ___ is defined as a change for the worse in either structure or function, outside the rage of normal
Definition
hearing impairment
Term
Parts of an ototoxicity monitoring program:
-specific ___ for identification
-Timely ___ of at risk patients
-____ counseling
-___ evaluations
Definition
criteria; identification; Pretreatment; Monitoring
Term
What percent of patients over 65 years take NSAIDs weekly?
Definition
70
Term
Typical for noise induced hearing damage to outer hair cells...
-can break ___ with sterocilia
-decoupling connections to the ___ membrane
-stereocilia may ___ into one large stereocilia
Definition
crosslinks; tectorial; fuse
Term
Focal damage from noise exposure is when ___% or more of the outer or inner hair cells are gone
Definition
50
Term
Examples of 100% noise dose?
Definition
90dBA for 8 hours, 95dBA for 4 hours, and 105dBA for 1 hours
Term
What is the disadvantage imposed by an impairment sufficient to affect a person's efficiency in the activities of daily living?
Definition
hearing handicap
Term
According to DiSogra, how many drugs are ototoxic?
Definition
200
Term
What are effects of lead on children?
Definition
learning disabilities, hyperactivity, mental retardation, and decreased growth?
Term
Chelators:
-Are small molecules that easily bind to ___
-They can be used to remove excess ___ in the body
-They can be given __, __ or ___
-Two types are ____ and ___
Definition
metals; iron; IM, IV, subcutaneously; Difluromethylornithine (DFMO); Desferrioxamine (DFO)
Term
What are considered significant changes in hearing?
Definition
-greater than or equal to 20 dB change at one frequency or greater than or equal to 10 dB change at 2 adjacent frequencies
Term
The sensitive range for ototoxicity...
-Is a range used for ___ ___
-Most initial changes are seen within one octave below the ___ audible frequency
-It is the range that contains the uppermost frequency with a threshold of ___ dB SPL or lower and 6 lower consecutive frequencies in ___ octave steps
Definition
early detection; highest; 100; 1/6th
Term
ABR Principles:
-Usually absent for ___ to ___ losses
-Is measured in DB ___
Definition
severe to profound; nHL
Term
What are symptoms of temporary threshold shift?
Definition
Tinnitus, sense of aural fullness, and loss of hearing sensitivity
Term
___ is a lack of oxygen
Definition
hypoxia
Term
The "__________ law" cuts through the red tape such that cancer patients may have access to cutting-edge treatments that can save their lives
Definition
Right to Try
Term
Aspirin may be an ___
Definition
otoprotectant
Term
Children __ and older can participate in ultra-high frequency audiometric testing
Definition
6
Term
____ is that the test identifies or diagnoses individuals that actually have a condition and ___ is that the test actually dismisses those patients who do not have a condition
Definition
Sensitivity; specificity
Term
___ has developed special transducers for assessing ultra-high frequency hearing
Definition
Seinheiser
Term
___ are adverse conditions that result from treatment by a physician
Definition
Iatrogenic
Term
True or false:
The higher the level of tone frequency, the broader the frequency range affected
Definition
False
Term
True or false:
ABRs are more sensitive to ototoxic changes that DPOAEs
Definition
False
Term
It is likely that mail ordered pharmaceuticals required by some insurance companies contributes to ___
Definition
polypharmacy
Term
___ of hearing loss is associated with high cumulative dose, but ___ of loss is not
Definition
risk; severity
Term
Evidence suggests testing frequencies above ___ Hz is more sensitive than conventional audiometry
Definition
8000
Term
___ antioxidants donate an electron to stabilize atoms with unpaired electrons
Definition
Direct
Term
There _____ a strong correlation between smoking and development of hearing
Definition
is
Term
Lead is a ___, especially for children
Definition
neurotoxin
Term
Risk of HL with certain noise exposure levels over an 8 hours work day:
-80 dBA=___%
-85 dBA=___%
-90 dBA=___%
Definition
5; 5-15; 15-25
Term
___ ___ is the disadvantage imposed by an impairment sufficient to affect a person’s efficiency in the activities of daily life
Definition
Hearing handicap
Term
A ___ is an actual or presumed inability to remain employed at full wages
Definition
disability
Term
Organ of Corti wipeout is when ___% of the hair cells are gone over a variable portion of the basilar membrane
Definition
100
Term
What are the permissible exposure levels at 90, 95, 100, 105, 110, 115 dBA?
Definition
90-8 hours
95-4 hours
100-2 hours
105-1 hour
110-30 minutes
115-15 minutes
Term
ABR:
-what stimulus is usually used?
-What behavioral thresholds do click ABRs correspond to?
-How do neurons respond when the base of the cochlea is activated? When the apex is activated?
Definition
-clicks
-2-4 kHz
-Synchronously; at slightly different times
Term
What does a chemical asphyxiant do?
Definition
prevents the uptake of oxygen by the cells
Term
What are 2 examples of a chemical asphyxiant?
Definition
Carbon monoxide and hydrogen cyanide gas
Term
What does this statement describe? "Nullify in practice FDA rules that prevent terminally ill patients from accessing treatments"
Definition
Right to Try Law
Term
What do antioxidants do?
Definition
-Detoxify free radicals
-Some reduce the formation of free radicals
Term
What kind of antioxidant donates an electron to stabilize atom with unpaired electron
Definition
direct
Term
What are some indirect antioxidants?
Definition
Sodium thiosulfate (STS), N-acetylcysteine (NAC), Glutathione (GSH) & Glutathione Ester (GSHe), D-methionine (D-met), and Amifostine
Term
adverse condition that results from treatment by a physician. Ex: aminoglycosides, loop diuretics, salicylates, etc.
Definition
Iatrogenic
Term
relating to or causing malformations of an embryo or a fetus. Ex: Accutane, thalidomide, Dilantin, diphenyl hydantoin, etc.
Definition
Teratogenic
Term
Increase levels of endogenous antioxidant systems (like certain enzymes)
Definition
Indirect antioxidant
Supporting users have an ad free experience!