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Puretone Testing & Differential Diagnosis
Audiology 2
20
Audiology
Graduate
01/30/2017

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Cards

Term
What are some reasons you wouldn't want to use insert earphones?
Definition
excessive cerumen, PE Tubes, redness, irritation, swelling, drainage, aural atresia, and ear pain
Term
What are some advantages of insert earphones?
Definition
provide greater interaural attentuation (less need for masking), disposable (good IC), prevent collapsing canals, more comfortable, reduce more ambient noise, easier placement for masked BC testing
Term
Might be better to do SRT before pure-tones because people respond better to lower ___ than tones
Definition
speech
Term
____ of loss often identifies site of lesion
Definition
Type
Term
Not always possible to determine type (or degree) of loss:
-___ ___ are present in some cases
-output of the BC oscillator is ___ than the output for headphones or insert earphones
-Some results may NOT allow us to differentiate
between a ___ and ___ hearing loss
Definition
Masking dilemmas; less; sensory (cochlear) and mixed
Term
indicating a tone was heard when no tone was presented
Definition
False positive responses
Term
-Possible cause of false positives?
-Possible solutions for false positives: ___ stimulus level to help listener differentiate tinnitus from tone; use ___ or ___ tones; reinstruct to “make sure you ___ the sound before responding”
Definition
tinnitus; increase pulsed; warbled; hear
Term
failing to respond to a tone when an audible tone was presented
Definition
False negative responses
Term
False Negative Responses:
-Consider ___
-Possible solutions: reinstruct to respond “even if tone is very ___”; use objective measures
Definition
pseudohypoacusis; faint
Term
Bing Tuning Fork Test:
-Used to evaluate presence of ___HL
-Method: put tuning fork on patient’s ___ as canal is alternately opened and closed by depressing the tragus
-Results: SNHL if louder when ear is ___. CHL if ___ when canal is open or closed
Definition
CHL; mastoid; closed; same
Term
Rinne Turning Fork Test:
-Used to compare ___ and ___ sensitivity
-Method: Alternate position of tuning fork (hold ___ ear, then put base on ___ process)
-Results: SNHL if louder when ___ to ear (Rinne positive). CHL if louder when base on ___ (Rinne negative)
Definition
AC to BC; near; mastoid; held; mastoid
Term
Weber Turning Fork Test:
-Used with ___ loss
-Method: Put tuning fork at ___ of patient’s forehead
-Results: CHL if lateralized to ear with ___. SNHL or mixed if lateralized to ear ___ loss
Definition
unilateral; midline; loss; without
Term
Evaluate thresholds at 3000 Hz...
-if octave thresholds differ by __ dB or more (1987 ASHA Guidelines for Puretone Testing)
-To calculate percentage of ___ ___ impairment (AAO-79 formula)
-To look for ___ thresholds
-When monitoring persons for ___
Definition
20; binaural hearing; asymmetric; ototoxicity
Term
What is the forumula for binaural hearing impairment?
Definition
(5(BEI)+WEI)/6
Term
-Degree of loss refers to severity of how ___ the sound needs to be in order for one to hear it.
-Communication difficulty refers to how the hearing loss ___ the way he/she communicates
Definition
loud; effects
Term
-Maximum conductive loss is about __-__ dB
-So losses > 70 dB HL likely have a ___ component
-Disorders likely to be associated with maximum CHL?
a. ___ of ear canal
b. ___
c. Radical mastoidectomy with regrowth of ___ tissue
d. Complete fixation of ___ in oval window
Definition
65-70; cochlear; Atresia; Cholesteatoma; tumor; stapes
Term
ability of noise to mask a signal of known freq. & intensity
Definition
Effective masking
Term

Effective Masking: -based on spectrum (___ and ___) of noise

-Ex: Dial setting of 60 dB HL (for masker) may actually only mask a 1000 Hz pure tone presented at 45 dB HL If so, then dial setting (for masker) at 60 dB only has an EM level of 45 dB

Definition
intensity & freq.
Term
A 5dB threshold shift in TE as a result of masking being presented to the NTE
Definition
Central masking
Term
Central Masking:
-may be an ___ response in the CNS
-is NOT ___
-could be seen during ___, ___, or ___ testing
Definition
inhibitory; crossover; AC, BC, or speech testing
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