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CMD 160 Final
Dr. Singer Portion
66
Audiology
Undergraduate 1
12/06/2012

Additional Audiology Flashcards

 


 

Cards

Term
How does sound occur?
Definition
organized movement of molecules in the air
Term
Which medium is most elastic between solids, liquids, and gases? Why?
Definition
Solids are the most elastic; the tighter together the molecules are, the more that they move & the more movement they have, the more sound there will be
Term
What is the source of sound waves?
Definition
Vibrations
Term
Define vibration
Definition
the source of all sound waves
Term
Define compression
Definition
the point of maximum displacement [also called condensation]
Term
Define rarefaction
Definition
the reciprocal of compression; maximum displacement below the rest point
Term
Define cycle
Definition
occurs when the mass moves from rest to a point of maximum amplitude and rarefaction
Term
Define frequency
Definition
physical property; the number of completed cycles that occur in one second
Term
Explain the difference between frequency and pitch
Definition
Frequency; physical property & requires precision device for measurement Pitch; perception
Term
What is damping?
Definition
Decreasing amplitude
Term
A pure tone or sine wave contains how many frequencies?
Definition
ONE frequency
Term
Define resonant or natural frequency
Definition
the frequency that vibrates most easily [different for everyone, but everyone has]
Term
How do pure tones and complex tones differ?
Definition
Pure tones; only one frequency Complex tones; made up of many frequencies
Term
Define harmonic
Definition
integral multiple of the fundamental; aka multiples ex) if fundamental is 500 Hz then: 1000, 1500, 2000, etc.
Term
Define fundamental
Definition
base or lowest tone; lowest frequency sound in a group
Term
Define octave
Definition
a doubling of frequency; aka doubling ex) if fundamental is 500 Hz then: 1000, 2000, 4000, 8000, etc.
Term
Define the difference between loudness and intensity
Definition
Loudness; perception Intensity; physical property
Term
Define pressure
Definition
force distributed over a surface area
Term
How do intensity and pressure relate to one another?
Definition
they are proportionate to one another and therefore can be used interchangeably; intensity equals pressure squared I = P^2
Term
How is a reference level used in the calculation of pressure or intensity?
Definition
compare some unknown quantity of sound to the reference levels and see how many times greater one is than the other
Term
"In phase" waves begin at what number of degrees?
Definition
0 degrees or 360 degrees
Term
What is the range of human hearing in young children?
Definition
16-20 to 16000-20000 Hz
Term
What frequencies are important for understanding hearing speech?
Definition
hearing is frequency dependent; certain frequencies take less energy than others; understanding speech range from 300-400 to 3000-4000 Hz
Term
What intensities are important for understanding speech?
Definition
conversational speech occurs at 65-70 dBSPL
whisper occurs at 45-48 dBSPL
Term
What specific questions are we attempting to answer when determining if there is hearing loss?
Definition
How severe it is?
Where in the auditory system does the problem come from?
Term
How is hearing threshold defined?
Definition
the lowest (minimum) level a person can hear 50% of the time
Term
Describe the basic procedure for completing the pure-tone audiogram
Definition
measuring air conduction and bone conduction hearing; top line is the average hearing line, write symbols where the differing margin is in
RAC [right air conduction] O
LAC [left air conduction] X
RBC [right bone conduction] >
LBC [left bone conduction] <
Term
Describe the relationship between air conduction and bone conduction in normals, conductives, sensorineurals and mixed losses
Definition
normal hearing: normal air and bone conduction
conductive loss: air conduction is abnormal, bone conduction is normal
sensorineural loss: both air and bone conduction are abnormal and equally so
mixed loss: air and bone conduction are abnormal but air is worse
Term
What is the purpose of the SRT?
Definition
to determine the threshold for speech
Term
What is the purpose of the word recognition test?
Definition
to measure our ability to understand monosyllables when presented at a comfortable level
Term
Differentiate validity and reliability
Definition
validity: test measures what test is supposed to test
reliability: replicable & repeatable outcomes
Term
How do we assure reliability in audiologic assessment
Definition
by calibrating the equipment
Term
What are the three subcomponents of immittance testing?
Definition
tympanometry, static admittance, and acoustic reflexes
Term
What does tympanometry measure?
Definition
measure of eardrum mobility under a variety of pressure conditions (positive and negative)
positive: adding/expanding
negative: removing/vacuum
Term
What does static admittance tell us?
Definition
if the eardrum allows energy to flow through the middle ear normally
Term
What does measurement of the acoustic reflex tell us?
Definition
measure of the intensity needed to evoke a contraction of the middle ear muscles
Term
What diagnostic data can be determined from the procedures of measuring the acoustic reflex and static admittance?
Definition
tympanometry: under what pressure conditions the eardrum moves most easily
static admittance: the integrity of the eardrum and health of the middle ear
acoustic reflex: least amount of energy needed to get contraction of middle ear muscles
Term
How are evoked potentials measured?
Definition
by placing electrodes on the scalp while presenting sounds through earphones; data is recorded on a computer
Term
What might abnormal responses on evoked potential tests indicate?
Definition
tumors, abnormal developments, other diseases or learning problems
Term
The OAE (otoacoustic emissions) can be elicited in two ways. Name them.
Definition
- spontaneous: echoes occur naturally
- evoked: echoes occur after stimulus
Term
What is the clinical application for the OAE?
Definition
for newborn infant screening programs, difficult individuals to test, such as developmentally delayed individuals
Term
Define and differentiate rehabilitative and habilitative audiology.
Definition
rehabilitative: redeveloping/restoring existing functions
habilitative: development of function that has YET to materialize
Term
What is the rationale for this topic? What is it about hearing loss that makes this function important?
Definition
Cochlear hearing loss cannot be treated medically, and the hearing loss will be chronic; audiologist hope to amplify their hearing
Term
Which individuals may help manage hearing loss aside from the audiologist?
Definition
ENT doctor, psychologist, teacher, parent, teacher of the deaf, and vocational counselor
Term
What are the major components of a hearing aid? What does each do?
Definition
microphone: picks up sound
amplifier: changes sound to increased electrical signal
receiver: changes energy from electrical to acoustic domain so the ear can use the information
Term
What is the name of the formula used to manipulate sound through the hearing aid?
Definition
algorithm
Term
What are the three main electroacoustic parameters of a hearing aid?
Definition
gain, frequency response curve, and output limiting
Term
What are implantable hearing devices?
Definition
Bone Anchored Hearing Aids (BAHA), Middle Ear Implants (MEI), Cochlear Implants, and Auditory Brainstem Implants (ABI)
Term
What is the purpose of assistive listening devices?
Definition
to provide hearing benefit where wearable hearing aids are not sufficient ex) in noisy places/group situations/alerting devices
1) situational 2) alerting
Term
Indicate examples of assistive listening devices
Definition
Term
Define speechreading
Definition
all visual cues that aid in understanding a message; ex) lip reading, facial expression, body language, and gestures
Term
What are the limitations of speech reading?
Definition
many sounds can not be visualized
Term
Define auditory training
Definition
technique intended to maximize the benefit from auditory information
Term
What are the major goals or steps related to auditory training?
Definition
1st) development of sound awareness
2nd) gross discrimination and discrimination of finer sounds

aka: from the simple & gross to the more subtle & difficult
Term
Define the "referential" nature of sound.
Definition
ability to recognize the connection between sound from a specific source
ex) Mother's voice, door slamming, etc.
Term
Describe the areas of counsel in audiologic rehabilitation used with children
Definition
- family concerns
- amplification
- hearing assessment
- educational opportunities
- direction related to psychologic
- medical management
- environmental management (optimize performance/communication)
Term
Describe the areas of counsel in audiologic rehabilitation used with adults
Definition
- advice regarding amplification
- hearing assessment
- medical management
- use of speech reading
- environmental manipulation (optimize communication/performance)
- familial concerns
- direction related to psychologic & vocational
Term
Describe the basic procedure for completing the pure-tone audiogram
Definition
we measure hearing by both air conduction and bone conduction; record on graphic display of the data
air- present stimuli through ear phones (octave frequencies 250-8000Hz) and patient click when they hear a sound
bone- place vibrating/oscillating device behind the ear on the mastoid (octave frequencies 500-4000Hz)
Term
What do otoacoustic emissions or OAE do?
Definition
measure outer ear hair cell function
Term
Define gain.
Definition
the difference between output and input (output-input); the amount of amplification a person receives calculated in dBSPL
Term
Define frequency response curve.
Definition
graphic display of gain by frequency
Term
Define output limiting.
Definition
maximum acoustic energy that the hearing aid wearer will receive regardless of the input; calculated in dBSPL
Term
What are Bone Anchored Hearing Aids (BAHA)?
Definition
a popular implantable device; surgically implanted into skull and provide hearing through bone conduction, intended for people with conductive hearing loss
Term
What are Middle Ear Implants (MEI)?
Definition
uncommon implantable device; experimental and intended for individuals with sensorineural loss; advantages are that wax won't enter the aid, feedback will be avoided, and there won't be discomfort from the aid
Term
What are Cochlear Implants?
Definition
most popularly used implants; devices don't amplify, but rather stimulate the auditory nerve; meant to be for those who can't be benefitted by hearing aids; effective with young children, it can facilitate development of speech and language
Term
What are Auditory Brainstem Implants (ABI)?
Definition
rare implantable device; used when person has no 8th nerve function, device implanted in the brainstem
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