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when is masking used for air conduction?
>40dB difference between R&L unmasked air conduction
when is masking used for bone conduction?
>10 dB difference between the unmasked bone and air conduction
what is SRT and how do you find it?
Speech Reception Threshold: the lowest level at which speech can be understood 50% of the time. Usually presented through headphones or speakers.
What is SDT and how do you find it?
Speech Detection Threshold: the lowest level at which speech can be detected, regardless of understanding. Usually determined using spondee words presented at various intensity levels.
how do you find speech discrimination testing level?
40+SRT, if this is >90, test at MCL
what is immittance audiometry?
test of ME function used to assess compliance (movement of TM), ear canal volume, pressure of ME
what equipment is used for immittance audiometry?
Speaker (delivers sound), Sound level meter (measures sound intensity), Air pump (changes pressure), Manometer (measures pressure)
what is the procedure for immittance audiometry?
insert probe into ear canal, probe changes air pressure and introduces sounds to measure the response of the eardrum and middle ear muscles
what types of tympanograms are there?
A, As, Ad, B, C
type A tympanogram
normally functioning ME
type As tympanogram
Normal pressure, minimal compliance, shallow, stiff
type Ad tympanogram
normal pressure, large changes in compliance, hyper ear canal movement, ossicular discontinuity
type B tympanogram
no change in compliance, ear drum is immobile, fluid in ME, otitis media with normal ear canal volume, large volume=TM rupture, small volume=ear wax
type C tympanogram
normal compliance with negative ME pressure, eustachian tube dysfunction
spontaneous OAE
Sounds that are naturally produced by the cochlea (outer hair cells) without any external sound stimulus, Present in about 40–60% of normal-hearing ears
evoked OAE
Sounds generated by the cochlea in response to an external auditory stimulus
SFOAE
Stimulus frequency OAE: Pure tone stimulus presented to ear
DPOAE
distortion product OAE: two pure tones (f₁ and f₂) presented simultaneously, The cochlea produces a “distortion” tone (2f₁–f₂), identify outer hair cell damage
TOAE
Transient OAE: uses a quick click sound that spans most frequencies