Audiology Exam 1

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Created by:

slrivero  on October 13, 2010

Subjects:

csd 341

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Audiology Exam 1

Pathways of sound
Air conduction and Bone Conduction
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Pathways of sound Air conduction and Bone Conduction
Air Conduction Air waves pass through out ear, and middle ear, impgnes on ear drum and hit inner ear
Bone conduction Bypases OE and ME,starts vibration on mastoid process and send vibrations directly to inner ear
Conductive components Out Ear: Pinna and ear canal
Middle Ear: Ossicles, oval window, eustachian tube, tensor tympani muscle, stapedius muscles, ossicles
Sensorineural components Inner ear: cochlea, auditory nerve, central auditory pathway
Types of acoustic stimuli 1. Pure tones
2. Clicks and transients
3. Noise Bands
4. Speech
Pure Tone stimuli Tonotopic organization of BM allows us to see if specfic part of BM is damaged (High on Basal, Low on Apical)
Tests one frequency at a time
Click and transients very brief (2ms) across broad frequencies. Assess auditory function that requires fine temporal relationships, ie timing in speech
Noise Bands Noise signal across many frequencies, used in masking.
3 types: white noise, narrow band, speech shaped noise
White noise Noise band; energy across all frequencies
Narrow band noise band centered around one frequency
Speech shaped noise more energy on lower frequencies than higher frequencies
Speech Used most in hearing, complex and most changing
Speech specific materials: spondees, phonetic content, familiarity of words, sentence materials
Average normal hearing Test large number of young, normal listeners and average data to give threshold curve of hearing
dB SPL to db HL dB SPL - Reference = dB HL
dB HL to db SPL dB HL + Reference = db SPL
Dynamic Range of Hearing Difference between threshold curve of hearing and LDL, aka Audibility area
Audiometer components - Frequency control
- Hearing level control
- Tone Interupter
- Transducer selector
- Masking selector
Transducers - Tuning Fork
- Ear phones
- Bone vibrator
- Loud speakers
- Microphone
Audiological Standards A set of rules that specify equipment standards, technique, measurment, environment requirements so that all clinic will have consistency
Pure Tone audiometer Audio oscillator, which generates pure tones of different frequencies.
Loud speaker calibration SLM only
Headphone calibration SLM and 6cc coupler
Bone Oscillator calibration SLM and artificial mastoid
Interoctave frequency test 20 dB difference or more between thresholds at adjacent octave frequencies
Hughson-Westlake method Reccomended technique for pure-tone testing
- Present audible tone at 30dB on 1000 HZ
- Response to tone = -10dB until no response
- No response = +5dB
Repeat and find 2/4 response
Audiogram Interpretaion - ear
- degree
- type
- slope
- symmetry
Degree of HL 3-tone PTA, 2-tone PTA
Normal, borderline, borderline normal, mild, moderate, moderately severe, severe, profound, anacoustic
3-tone PTA take average of 500, 1000, 2000
2-tone PTA If frequencies range 20 or more, use two lowest frequencies from 500, 1000 and 2000
Normal hearing -10 to 15 dBHL
Borderline normal hearing 16 to 25 dbHL
Mild hearing loss 26 to 40 dBHL
Moderate hearing loss 41 to 55 dBHL
Moderately severe loss 56 to 70 dBHL
Severe hearing loss 71 to 89 dBHL
Profound hearing loss 91+ dBHL
Anacoustic hearing loss >120
Audiogram shape - Flat
- Sloping
- Rising
- Sharply sloping
- Ski slope
- Fragmentary
- Notch
- Trough shaped
- cookie bite
Symmetrical loss Both ears have similar slope and degree
Asymmetrical loss Ears differ in degree and slope
Testing order 1000
2000
4000
8000
1000
500
250
Occlusion Effect Oscillation of BC vibration of sound waves in NTE
- 30dB at 250 HZ
- 20 dB at 500 HZ
- 10 dB at 1000Hz
- 0dB at 2000 Hz
Overmasking masking noise too high and interferes with TE
Undermasking not enough masking, cross hearing occures in NTE
Masking for AC ABG > 40dB
IT= AC (TE)
IM= AC (NTE) + 10
Masking for BC ABG > 10dB
IT= BC (TE)
IM= AC (NTE) + 10 + OE
Plateau Method Response to tone= +5-10dB to masker
No response to tone = increase tone till response
If response each time tone increases, stop when masker increased by 20
Masking Delimma MD = ML (NTE)>IA + BC (TE)
Collapsed ear canal HL on High frequencies
use insert ear phones
Vibrotactile Feel vibration than hearing sound
use insert earphones
Shadow audiogram AC=BC Difference RE and LE > or = 40dB
Scope of Practice 1. Prevention
2. Identification
3. Evaluation
4. Slection and evaluation of sensory aids
5. Habilitation and rehabilitation of hearing impared
Effects of HL - language development delay
- do not hear ends of words
- may repeat grades
- Depression
- isolation
- health problems
Cross hearing sound from TE travles to NTE
Interaural Attenuation Loss of intensity between ears
between 40 to 60 dB, none for BC

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