Exam #3 Basic Audiology

Two response modes used in measuring SRT in young children are _____ and _____.

Picture-pointing, Body-part identification

According to the ASHA method, speech recognition threshold is found by using:

bracketing technique

All of the following statements are true except:

The SDT is usually found at a 20 dB higher level of intensity than the SRT

The predicted SRT (Speech Reception Threshold) for the left ear is ____ dB HL

25 dB HL

LDL stands for Listener Detection Level.

false

When speaking into a microphone during speech testing, if you set the output to 60 and the VU meter reads +5, what level are you actually presenting the sound to the patient?

65

All of the following are advantages of using pre-recorded materials in speech testing, EXCEPT:

Allows for the most flexibility and saves time

When working with the adult population, the most common response mode during clinical speech audiometry is verbal

true

Spondee words are:

two-syllable words with equal stress on each syllable

It is logical that tests of hearing function be performed with speech as the stimuli because:

hearing and understanding speech is the greatest complaint of hearing impaired people

_____ is helpful when working with infants, uncooperative children, or persons with reduced cognitive function.

SDT

When working with the adult population, the most common response mode during clinical speech audiometry is verbal.

True

Speech detection threshold:

and speech awareness threshold refer to the same speech test.

Hudgins determined four criteria that should be used when selecting words for SRT testing. Which of the following is NOT one of the criteria determined by Hudgins?

For simplicity, words should only be one syllable

During speech testing, it is important for the client to be facing the clinician.

False

Which of the following is an advantage of using spoken response during speech testing?

It's faster

____ is defined as the intensity level that a person perceives as comfortable to listen to

MCL

The _____ is defined as the lowest intensity level in dB HL at which a person can correctly identify about 50% of the speech material presented.

SRT

Which of the following is NOT an example of a spondee word?
Group of answer choices

Microwave

Speech Detection Threshold

and speech awareness threshold refer to the same speech test

The PTA and SRT should be within:

+ or - 6 dB of each other

Concerning SDT which of the following is NOT true?

The patient must repeat the word perfectly

________ is defined as the intensity level that a person perceives as comfortable to listen to.

MCL

Which type of "two Stressed syllable" words are used most commonly in SRT testing?

Spondaic

Hearing losses do not necessarily extend the LDL

True

Which of the following is not a purpose for finding the MCL:

to determine the level of audibility

Phonetically balanced means that the percent of time any given sound appears on the word list is equal to its occurrence in the English language

True

Which loudness level helps to define the dynamic range of a patient?

LDL

Word recognition is more accurate with a fifty-word list than with a twenty-five-word list.

True

____________ is an informative but non-emotional series of sentences, recorded at a constant level, used to help determine MCL.

Cold running speech

Using the audiogram below, a predicted Word Recognition Score for the right ear is ____ percent

92

A predicted LDL for the right ear is ____ dB HL

110

Optimal word recognition scores are found at an intensity level ____ to ____ dB higher than their MCL.

5, 10

In word recognition testing, the phrase "at the word..." is known as ___

Carrier

The purpose of word recognition testing is to:

All of the answers listed

Most normal-hearing person will report speech MCl's that are 70-80 dBHL higher than audiogram threshold.

False

The LDL for most individuals with normal hearing is about:

100 to 110 dB

When a patient has a very poor WRS score that is inconsistent with the hearing loss present, it may be a sign of possible ___

Retrocochlear disorder

Optimal word recognition scores are found at an intensity level _______ to _____ dB higher than their MCL.

5, 10

When performing word recognition testing, the standard is to begin testing at _____ dB above the patient's SRT

40

In a diminishing WRS score, the point where the soces begin to decrease is known as the rollover effect.

True

We can expect WRS to be reduced in direct proportion to the degree of hearing loss in __________ hearing loss.

Sensorineural

The maximum score in word recognition performance is always at a comfortable listening level

False

_____________ is an informative but non-emotional series of sentences, recorded at a constant level, used to help determine MCL

Cold running speech

In a diminishing WRS score, the point where the scores begin to decrease is known as the rollover effect

True

The best word-recognition score obtainable regardless of intensity is known as the:

PB max

When a patient has a very poor WRS score that is inconsistent with the hearing loss present, it may be a sign of a possible _______.

Retrocochlear disorder

he ____ sounds are typically found in the mid to high frequencies (above 1000 Hz) while ____ are found in the lower frequencies (below 1000 Hz).

Consonants, vowels

_______ is described as the intensity level that a person perceives as comfortable to listen to.

MCL

A patient's LDL is also known as all of the following, EXCEPT:

Most uncomfortable signal (MUS)

A patient with a word recognition score of 84-90% would have ___ word recognition ability:

Very good

If a patient has an SRT of 65 dB, a WRS of93% and an LDL of 95 dB, what is their dynamic range?

30 dB

Uncomfortably loud, loud, comfortable, comfortable but soft, and very soft are all categories a patient may use to describe the level of the stimulus when a clinician is trying to find their _______.

LDL

A word recognition score of 72% would have _____ word recognition ability.

Fair

There's a distinction between a threshold for speech and ability to understand the speech that is heard

True

MCL stands for:

Most Comfortable Level

A predicted WRS for the right ear is ____ percent:

92

THE Following QUESTION PERTAINS TO AUDIOGRAM FOUR. The right ear would most accurately be described as a _________ configuration.

flat

According to the given audiogram, what type of hearing loss is present?

Conductive

When interpreting an audiogram, you should scan the audiogram form immediately for information on:

All of the listed answers are correct

Other hearing test findings may be abnormal, even for patients with normal audiograms

True

Masking was used during testing for:

both air conduction and bone conduction testing

THE FOLLOWING QUESTION PERTAINS TO AUDIOGRAM THREE. Assuming the use of supra-aural earphones, which air-conduction thresholds need to be retested in the right ear (TE) with masking in the left ear (NTE)?

500 through 2000 Hz

THE FOLLOWING QUESTION PERTAINS TO AUDIOGRAM FOUR. A predicted SR or the left ear would be_______ dB HL

15

If a patient presented with the following results, what would be their dynamic range?
SRT: 35 dB HL
PTA: 30 dB HL
WR: 92%
LDL: 105 dB HL
MCL: 75 dB HL

70 dB HL

Audiogram interpretation:

All of the listed answers are correct

A predicted LDL for the right ear is ____ dB HL

100-110

When analyzing audiogram findings, which of the following statements is true?

All of the above

Accurate audiogram interpretation does not require practice or clinical expertise

False

Is it possible, after masking, that this client could have a unilateral sensorineural hearing loss?

Yes

Does any more masking need to be completed in this patient?

No

THE FOLLOWING QUESTION PERTAINS TO AUDIOGRAM ONE. If the patient is tested using supra aural headphones, is it necessary to mask by air conduction?

No

Audiogram interpretation focuses on how test findings are related to possible causes of hearing loss or the patient's underlying auditory dysfunction.

True

A predicted SRT score for the left ear on the audiogram below would be between _________ and _________ dB HL.

35-45 or 34-46

THE FOLLOWING QUESTION PERTAINS TO AUDIOGRAM FOUR. Has masking been used to test air conduction (AC) and bone conduction (BC) on this patient?

Yes, AC and BC

THE Following QUESTION PERTAINS TO AUDIOGRAM FOUR. The right ear would most accurately be described as a _________ configuration

Flat

What type of hearing loss does this patient have?

Moderate sensorineural in right ear and mild sensorineural in left ear

Audiogram interpretation

All of the listed answers are correct

Using the Audiogram below, the left ear PTA is _____dB. The right ear PTA is _______ dB.

40, 50

The predicted SRT for the left ear is ____ dB HL

35 dB HL

According to the given audiogram, what type of hearing loss is present?

mixed

Speech Detection Threshold (SDT) aka Speech Awareness Threshold (SAT)

is the lowest intensity level in dB HL at which a person is aware of or can detect the presence of speech signals.

SDT stands for

Speech Detection Threshold

SAT stands for

Speech Awareness Threshold commonly used synonym for SDT

SRT stands for

Speech Recognition Testing

SRT

speech recognition threshold, measured using spondees. It is the intensity level at which the patient correctly repeats between 50-70% of the spondee words.

WRS stands for

word recognition score

WRS

to determine the extent of the speech-recognition difficulty.
Aid in diagnosis of the site of the disorder in the auditory system.
Assist in the determination of the need for and proper selection of hearing instruments
To help the clinician make a prognosis for the outcome of treatment efforts
Phonetically balanced word lists
50 word list recommended

LDL stands for

loudness discomfort level

LDL

defines the intensity level at which sound becomes uncomfortable or causes discomfort.

MCL

most comfortable level

How to predict SRT based off of the audiometric results

based on the PTA +/- 5 of the PTA

How to predict LDL based off of the audiometric results

predicted at 110 dB, regardless of their hearing loss

How to predict WRS based off of the audiometric results

will change depending on the type of hearing loss (SNHL vs conductive)

For Normal Hearing
SRT is....
WRS is .....
MCL is ......
LDL is.......

SRT = PTA =/- 5dB
WRS = 90% or greater
MCL= 40-55 dB above threshold (SL)
LDL= 100 to 110 dB HL

For Conductive Hearing Loss
SRT is....
WRS is .....
MCL is ......
LDL is.......

SRT = PTA =/- 5 dB
WRS 90% or greater
MCL 40 to 55 dB above threshold (SL)
LDL= unreachable

For Sensorineural Hearing Loss
SRT is....
WRS is .....
MCL is ......
LDL is.......

SRT = PTA =/- 5dB
WRS= reduced in direct proportion to degree of hearing loss
MCL- reduced
LDL= 80 to 110 dB HL

Understand MLV and the use of a VU meter.

MLV- monitored live voice
VU meter - volume unit meter
Indicates to us the volume or intensity of the input prior to the time it reaches the attenuator

Define PB max

-PI function is also known as performance intensity function and the PB max.
-Word recognition testing is repeated after increasing the presentation level to a higher intensity level.

Know the predicted LDL levels for individuals.