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Test 4 info
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What do you look for during otoscopy?
intact canal, tympanic membrane, color, manubrium of malleus and cone of light
How are admittance and impedance related to each other?
Inverse relationship, admittance allows sound through and impedance blocks sound
What makes up probe for tympanometry?
mic, speaker, air pump
What three things are measured with tympanometry?
pressure, volume, admittance
What frequency is the probe tone?
226 Hz
Normal pressure range for tymps?
-150-50 daPa
Normal volume range for tymps?
0.8-2.2 ml
Normal admittance for tymps?
0.3-1.7 ml
What is admittance for type A-s?
< 0.3ml
What is admittance for type A-d?
> 1.7 ml
Type B admittance?
0 or too large volume for perforated type B
What is different for Type C tymp?
Pressure is abnormal at less than -150 daPa
Typical test frequencies for acoustic reflex testing?
500, 1000, 2000
Which test needs to be done before acoustic reflex?
Tymps
Ipsilateral
measuring acoustic reflex on same side as stimulus
Contralateral left
left ear gets stimulus right ear gets measurement
Contralateral right
right ear gets stimulus left ear gets measurement
What do OAEs measure?
function of outer, middle and inner ear through sound emission of hair cells
What is needed for OAEs to count as present?
OAE needs to be at least 6 db more than noise floor
An absent OAE can indicate a problem where?
Outer, middle and inner ear
What three electrodes are needed to measure ABRs?
Grounding, inverting and non inverting
What is ABR assessing?
Auditory nerve and brain stem