CSD Capstone Exam 2

True or False: The terms rehabilitation and habilitation are synonyms and can be used interchangeably

True

True or False: When working in the area of Auditory Rehabilitation, the speech-language pathologist must always focus on the use of American Sign Language (ASL) with families and clients

False

True or False: Work in the area od Auditory Rehabilitation frequently involves collaboration with a multidisciplinary team that may include audiologists, teachers, speech-language pathologists, and psychologists

True

True or False: Speech-language pathologists who work in the area of Auditory Rehabilitation typically only serve clients in the hospital setting

False

True or False: Currently, there are over 2,000 speech-language pathologists in the state of FL who have received certification in Listening and Spoken Language from the A.G. Bell Academy

false

True or False: Based on the information provided by ASHA, aural rehabilitation services can be provided by both speech- language pathologists and audiologists

True

True or False: Based on the information provided by ASHA, an IEP (Individualized Education Plan), does not include audiology services

False

True or False: The UCF Listening Center serves both children and adult clients

True

True or False: The main types of hearing loss include conductive, sensorineural and mixed

True

True or False: Tympanometry measures the function of the cochlea

False

True or False: A central auditory processing disorder results from a reduction of hearing acuity due to middle and/or inner ear dysfunction

True

True or False: Speech Reception Threshold (SRT) is the softest intensity level in dB at which speech can be heard 100% of the time

False

True or False: Ototoxic medications, noise exposure and viral infections can cause conductive hearing loss

false

A decibel is

a measure of sound power, a ratio that requires a reference value and a logarithm that cannot be added or multiplied

____% of hearing disorders result from genetic disorders (are considered syndromic)

20

Hearing loss related to the process of aging is called

presbycusis

Otitis media impacts which part of the ear:

the middle ear

Why is early identification of hearing loss important?

To minimize the negative effects of hearing impairment on language learning

Which of the following are high risk factors for hearing loss in children?: History of hereditary deafness, fetal infections, defects of the ear, nose or throat, epilepsy, maternal rubella

History of hereditary deafness, fetal infections, defects of the ear, nose or throat, maternal rubella

The human range of normal hearing is:

20 - 20,000 Hz

Identify which of the disorders that are listed can be the cause of conductive hearing loss: Otosclerosis, Meningitis, Cerumen impaction, Noise exposure

Otosclerosis, Cerumen Impaction, Noise exposure

True or False: Speech Reception Threshold (SRT) is the softest intensity level in dB at which speech can be heard 100% of the time

False

True or False: A central auditory processing disorder results from a reduction of hearing acuity due to middle and/or inner ear dysfunction

False

Tympanometry

• Measures the function and mobility of the middle ear by assessing how the eardrum responds to changes in air pressure. (measures how your eardrum moves)

• Evaluates factors like ear canal volume, tympanic membrane compliance (mobility), and middle ear pressure.

• This information is valuable for diagnosing and monitoring various middle ear conditions

Central Auditory Processing Disorder (CAPD) results from

a deficit in the brain’s ability to process auditory information even with normal hearing

What measures the function of the cochlea?

Otoacoustic emissions (OAE) tests, Auditory Brainstem Response (ABR) tests, and standard clinical audiometry

CAPD

Central Auditory Processing Disorder

OAE

Otoacoustic Emissions

ABR

Auditory Brainstem Response

What is the softest intensity level in dB at which speech can be heard 100% of the time?

Threshold of hearing (0dB)

What decibel level is the threshold of hearing at?

0 dB

What threshold is normal hearing defined as?

20 dB or less at all frequencies tested

SRT

Speech Reception Threshold

Speech Reception Threshold

• the softest level at which a person can correctly repeat 50% of the spondee words they hear

• Measure of a person’s ability to understand speech

• Typically determined during a speech audiometry test

PTA

Pure Tone Average

Spondaic (spondee) words

two-syllable words with equal stress on both syllables (e.g., “baseball”, “highway”)

How are SRTs used to diagnose hearing loss?

They can help identify and characterize the type and severity of the hearing loss by being compared to pure-tone thresholds. This also helps them to assess hearing aid effectiveness

What can Speech Reception Thresholds (SRT) predict?

Speech Reception Thresholds (SRT) can be used to predict pure-tone thresholds (PTTs) in elderly individuals with hearing loss

PTT

Pure-tone thresholds

Normal hearing is typically defined as a Speech Reception Threshold (SRT) within ___ HL (Hearing Level) at all frequencies tested

25 dB HL or less

Difference between SRT (Speech Reception Threshold) and SDT (Speech Detection Threshold) and SAT (Speech Awareness Threshold)

SRT (Speech Reception Threshold) measures the lowest level at which a person can detect the presence of speech and SDT (Speech Detection Threshold) / SAT (Speech Awareness Threshold) measures the lowest level that a person can understand speech

WRS

Word Recognition Score

WRS (Word Recognition Score)

Measures the percentage of words a person can correctly repeat at a specific intensity level

The difference between SRT (Speech Reception Threshold) and WRS (Word Recognition Score)

WRS (Word Recognition Score) Measures the percentage of words a person can correctly repeat at a specific intensity level whereas SRT is the lowest level a person can detect the presence of speech

Pure-tone average (PTA)

A way to estimate a person’s overall hearing loss by averaging the hearing threshold at specific frequencies, typically 500, 1000, and 2000 Hz. It’s a common measure used to assess hearing sensitivity

A PTA (Pure tone average) of __ dB HL is geenrally considered normal for adults

25 dB HL or less

HL

hearing level

What is the purpose of PTA (Pure-tone averages)?

helps quantify hearing loss by averaging the thresholds (the quietest sound a person can hear) at key frequencies

What frequencies does PTA (Pure-tone average) use and why?

the standard uses 500, 100, and 2000 Hz as these are the frequencies most important for understanding speech

Normal PTA (Pure-tone average) that is generally considered within the normal hearing range for adults

25 dB HL

Mild hearing loss PTA (Pure-tone Average)

between 40 and 55 dB HL

Moderate hearing loss PTA (Pure tone average)

between 40 and 55 dB HL

Severe hearing loss PTA (Pure tone average)

70 and 90 dB HL

Profound hearing loss PTA (Pure-Tone Average)

A PTA (Pure-tone Average) above 90 dB HL

What is PTA (Pure-tone average) good for estimating?

overall hearing impairment. it provides a general overview of how well a person can hear

What does PTA (Pure-tone average) compare?

PTA (Pure-tone Average) can help determine if one ear has better hearing than the other

What changes does PTA (Pure Tone Average) monitor over time?

hearing changes. regular measurements can track any changes in hearing sensitivity

PTT (Pure Tone Threshold)

The quietest sound a person can consistently hear at a specific frequency (to be continued here)

True or False: Surgical intervention for cleft palate takes place prior to repair of cleft lip, which is completed as the infant/child ages

False

Surgical intervention for cleft palates takes place __ the repair of cleft lip, which is completed as the infant/child ages

after

True or false: Cleft lip/palate can be identified around 12 weeks gestation age via ultrasound

True

True or False: Occurrence of cleft lip/palate is equal across race and gender

False

True or False: Surgery to repair a cleft palate will resolve all articulation errors

False

Identify the members of a multidisciplinary care team that typically provide services to patients with cleft lip/palate is attrib

Audiologist, Speech-Language Pathologist, Craniofacial surgeon, Orthodontist

True or False: The cause of cleft lip/palate is attributed to both genetic and environmental factors

True

True or False: Surgical intervention and post-operative treatment for clet lip/palate that is available is similar and equal in all parts of the world

False

Identify the categories of manner of sound production that tend to be disordered in children with cleft lip and palate

stops, fricatives

Feeding disorders can occur in infants with cleft lip/palate. Issues can include:

Nasal regurgitation during feeding, reduced ability to create suction to express milk from the nipple, increased intake of air during feeding

___ typically does NOT include cleft of the lip

Incomplete cleft of the palate

Acquired Language Disorders are NOT

Inherited or congenital

A period of normal communication precedes the onset of

An acquired language disorder