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SPHSC 372 - Exam 1
Exam 1
50
Language - Other
Undergraduate 3
07/11/2011

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Cards

Term
Air Bone Gap
Definition
difference between air and bone threshold > 10dB. (Air is NEVER better than Bone).
Term
Dynamic Range
Definition
LDL (loudness discomfort level) - SRT (speech recognition/reception threshold) and don’t forget: SRT = PTA +/- 5dB (Speech Reception Threshold = Pure Tone Threshold)
Term
Endogenous (etiology of hearing loss)
Definition
internal causes of hearing loss: autosomal [a non-sex chromosome] dominant (20%) or autosomal recessive genetics (79%), or x-lined genetics (1%) for hearing loss. (See Exogenous)
Term
Endogenous (etiology of hearing loss)
Definition
internal causes of hearing loss: autosomal [a non-sex chromosome] dominant (20%) or autosomal recessive genetics (79%), or x-lined genetics (1%) for hearing loss. (See Exogenous)
Term
Exogenous (etiology of hearing loss) (1)
Definition
outside causes: disease, toxicity, trauma, noise. (See Endogenous)
Term
Hearing Loss (Conductive)
Definition
when air conduction audiogram is abnormal, and bone conduction audiogram shows normal hearing. Usually audio gram flat or better hearing in high (rising audiogram)
Term
Hearing Loss (Sensioneural)
Definition
Usually better hearing in low, and worse in high. “I can hear but I can’t understand.” Defined as abnormal hearing w/o ABG. Also normal in SN loss that they have a small dynamic range (they have SRT at high dBs, but their LDL (loudness discomfort level) doesn’t go up proportionally)
Term
Normal Hearing
Definition
better than 20dB HL on the audiogram.
Term
Presbycusis
Definition
Age-related hearing loss.
Term
Pure Tone Average (PTA)
Definition
The PTA is the average threshold (for each ear [per book]) at 500, 1000, 2000 (“I can hear 500 Hz at 40dB, 1000 at 50db, and 2000 at 50dB... PTA = 46.67). The PTA should equal a persons threshold for understanding speech. [per class: if there is a precipitous drop in threshold between these three, drop the outlier]. NOTE: SRT = PTA +/- 5dB (That is: Speech Reception Threshold = Pure Tone Threshold +/- 5dB.
Term
Spondee words
Definition
Used in SRT testing. Two equally stressed syllables; Each syllable has a vowel and is also a word; Thresholds for these vowel-dominated words match low to mid frequency pure-tone threshold; Chosen as easily heard and understood words at threshold levels. EX: greyhound, schoolboy, inkwell, railroad, northwest, iceberg, toothbrush, oatmeal.
Term
Threshold
Definition
Lowest sound intensity at which the patient can correctly identify at least 3/6 tone presentations.
Term
Tympanogram
Definition
an examination used to test the condition of the middle ear and mobility of the eardrum (tympanic membrane) and the conduction bones by creating variations of air pressure in the ear canal.
Term
(dB) HL
Definition
Hearing Level
Term
LDL
Definition
Loudness discomfort level, upper level of one’s usable hearing (opposite of SRT); (see Dyanmic Range for Speech).
Term
(dB) SPL
Definition
Sound pressure level... measure of phsyical world, molecule disturbance.
Term
(dB) SL
Definition
Sensation Level: referenced to individual’s own threshold.
Term
SRT
Definition
Speech Reception Threshold: a lot like an audiogram. Did you hear “breakfast,” no turn it up, yes turn it down. Lower limit of ones usable hearing (opposite of LDL); (see Dyanmic Range for Speech).
Term
Audiogram symbol: X
Definition
Left ear unmasked air conduction
Term
Audiogram symbol: 0
Definition
Right ear unmasked air conduction
Term
Audiogram symbol: square
Definition
left ear masked air conduction
Term
Audiogram symbol: triangle
Definition
right ear, masked air conduction.
Term
Audiogram symbol: >
Definition
Left ear bone conduction unmasked
Term
Adudogram symbol: <
Definition
right ear bone conduction unmasked
Term
Adudogram symbol: ]
Definition
Left ear bone conduction masked
Term
Adudogram symbol: [
Definition
right ear bone conduction unmasked
Term
Incidence of HL in an uncomplicated nursurey
Definition
.3% or 3/1000
Term
Incidence of HL in NICU
Definition
3% or 3/100
Term
Prevalence of HL
Definition
98/1000 people w/ appreciable loss = +/- 30 mil with hearing loss (of them 1% Deaf).
Term
Air conduction range of testing for audiogram
Definition
125 Hz --> 8000 Hz, 0dB HL --> 110 dB HL
Term
Bone conduction range for audiogram
Definition
250 Hz --> 4000 Hz, 0dB --> 60dB.
Term
First test tone and intensity for audiometry
Definition
1000 Hz at 30 dB
Term
Up and down dropping for Audiometry
Definition
If yes, drop 10dB, if no, raise 5dB; repeat 3 times.
Term
Up and down dropping for Audiometry
Definition
If yes, drop 10dB, if no, raise 5dB; repeat 3 times.
Term
TRUE OR FALSE: if someone exhibits normal unmasked hearing, bone conduction testing is unnecessary.
Definition
TRUE: b/c we know there is no problem in either pathway
Term
Sloping audiogram indicitive of...
Definition
SN Hearing loss: very common in old age and in noise exposure. Remember higher freqs are hit harder and over time more exposure to ototoxins, noise, traumas, etc. With rising audiogram hard to hear "thin, sin, shin, tin"
Term
Rising audiogram indicative of...
Definition
conductive hearing loss: usu. a result of stiff eardrum, and lower frequencies tend to bounce off ear drum, high ones pass on.
Term
4k notch audiogram
Definition
Poor hearing sensitivity at 4k because of physics of ear. It's usu. exposure related and SN hearing loss.
Term
4k notch audiogram
Definition
Poor hearing sensitivity at 4k because of physics of ear. It's usu. exposure related and SN hearing loss.
Term
Bilateral hearing loss
Definition
Most typical in systematic hearing loss (due to drugs, lack of O2, noise exposure, etc)
Term
Unilateral hearing loss
Definition
redflag for tumor, childhood mumps, or a result of an accident (explosion).
Term
Where on cochlear are high frequencies processed
Definition
at base of cochlea
Term
Where on cochlea are low frequencies processed?
Definition
at apex of cochlea.
Term
Range of human hearing
Definition
20Hz --> 20k Hz
Term
Tympanometry
Definition
Tympanometry is a measure of the stiffness of the eardrum and thus evaluate middle ear function. This test can be helpful in detecting fluid in the middle ear, negative middle ear pressure, disruption of the ossicles, tympanic membrane perforation, and otosclerosis.
Term
Tympanogram A
Definition
Normal. Peak is between -100 daPa and 50 daPa, static compliance is 1ml.
Term
Tympanogram As
Definition
think shallow: not much variation in compliance probably b/c of otosclerosis. (in example static compliance =.3ml)
Term
Tympanogram Ad
Definition
think deep in the y-value: much variation in compliance probably b/c of disarticulated ossicles (floppyness / hypermobility). (in example static compliance =3,0ml) Prob. an accident caused it.
Term
Tympanogram B
Definition
flat: probably an indication of ear infection, fluid in the ear, or an ear perforation. Change in pressure does not change the compliance b/c that shit is rigid and a bit of pressure change ain't going to change that.
Term
Tympanogram C
Definition
Shifted to the left and indicates negative pressure in the ear due to eustacian tube dysfunction. Usu. a transitioning result that shows looming infection (to a type B) or recovery from a B to an A.
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