Chapter 09: Measurement of Hearing Loss – Audiometry

According to Reid Protocol progressive treatment, the case history is a process used to determine the following:

The federal red flags are in which category?

How many red flags are there?

Which red flag must be determined by conducting an audiometric test battery?

What else do you hope to learn from taking a case history according to Reid Protocol?

The first form to be filled out by the patient and family will include which of the following? (check all that apply)

Once the cae history is complete, your next function is to perform an _____.

Before you perform an otoscopic exam, you should have a strong idea about the patient’s:

Your first step in otoscopy is to:

Your second step otoscopy is to:

The rule of thumb in a medical/health procedure is to:

Bridging is employed to:

When performing the canal and tympanic membrane inspection, you lift the pinna so that you have a straighter view of the external auditory meatus.

If the ear canal _____ the tympanic membrane, you must refer the patient to a physician.

You can only proceed to test the patient if:

Using your otoscope, examine the _____. (check all that apply)

It is acceptable to continue with the procedure without making any notes on your patient history chart and wait until you are finished.

The next equipment that you will use will be the _____.

Why do you position the persons being tested so that you are not visible?

The first tone is set at 1,000 Hz. Select the initial intensity so that _____.

The Red earphone is placed on the _____ ear.

Depress the pulse tone button for _____.

The intervals between tones must be _____.

Once you introduce a tone below the patient’s threshold, you increase the intensity (dB) by _____ dBs.

When a positive response is heard, you reduce the intensity by _____ dBs.

The rule of thumb is down by _____, up by _____ dBs.

The threshold for that frequency is the lowest level of intensity that elicits a positive response _____ out of _____ times.

If you use the ascending technique in testing, the next frequency to test after 1,000 Hz is _____.

If you are using the descending technique, the next frequency you test after reaching a threshold at 1,000 Hz is _____ Hz.

Check the items that you remove from the person being tested. (check all that apply)

AOnce you have completed the descending half or the ascending half, you next test 1,000 Hz.

The repeat of 1,000 Hz is done to test patient _____.

If the second test at that frequency is _____ dB different from the first result, you re-educate the patient and re-test.

If a sound presented to the Right ear is heard by the patient in the Left ear, the term used to describe this phonemon is _____.

Interaural attenuation is defined as the _____ in intensity at one ear of an acoustic stimulus presented to the other ear, and that for air conduction, approximates 35 – 40 dB.

The IA for bone conduction is 0 – _____ dB.

Crossover occurs when an air conduction tone is so intense that via bone conduction it’s heard by the non-test ear.

When crossover occurs, you must put on a mask and retest.

No, you actually must employ a technique that masks the non-test ear while you re-test the test ear.

If you use foam inserts instead of headphones, the IA is _____ dB.

Masking must always have an intensity level to effectively keep the _____ ear occupied with sound.

To start masking, you must determine the threshold of the _____ ear.

To begin searching for the _____, add 10 dB to the _____ ear before you test the _____ ear.

Begin the tone at the unmasked threshold. If a response occurs within 10 dB of the masking noise, increase the masking noise in _____ dB steps, reintroduce tone, and repeat procedure until an increase in _____ steps results in no change in a response from the test ear.

This locates your _____ level for testing the remainder of the tones.

Bone conduction tests are indicative of the condition of the inner ear’s acuity.

You can demonstrate bone conduction hearing by telling the patient and family member to _____. (check all that apply)

The bone conduction test indicates potential conditions in the _____.

If the gap between air and bone conduction results is greater than _____ dB, a condition exists which requires the attention of the family physician/ENT.

If bone conduction results are within 15 dB HL of AC scores, you have affirmative evidence of _____ and can proceed to fit hearing instruments. YEAH.

Hearing loss is mixed in etiology when both AC and BC results are below the moderate level of hearing loss.

If the loss is mixed, your counsel must include the following:

The limits of BC testing are between _____ and _____ Hz.

You can use the oscillator to determine the better ear. This test is called the _____ test.

When you start the BC test, begin the intensity at _____ above the threshold for that particular frequency on that ear.

If you have NR (no response), raise the intensity by _____ dB until you elicit a response.

The symbols for Right and Left BC testing are _____, respectively.

The BC oscillator is placed on the _____ .

It is permissible for the patient to wear glasses during this procedure.

BC masking is _____ to AC masking.

Another element of the Audiometric Battery is the _____ test.

The SRT will confirm the _____ results.

Spondees are _____ words.

The SRT will be within _____ dB of the PT thresholds.

Begin presentation of spondee at _____ dB and increase to _____ dB if NR is given.

When you receive a response, you use the _____ rule in determining the threshold.

Word Recognition is also called Speech Discrimination.

SDS are conducted at which level of decibels? (check all that apply)

The MCL is the most comfortable listening level for the patient as you calculate it.

The MCL is arrived at by increasing/decreasing levels and taking a note of the patient’s response.

The MCL is an objective measurement.

The MCL is used by you to:

The UCL is the same as the LDL.

This level is a subjective level to be determined by the patient’s tolerance for a period of about 1 – 5 seconds, depending on which expert you ask.

You present increasing levels of _____ to determine the UCL.

The UCL can be used to determine _____ for some hearing instruments.