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Terms in this set (11)
What do you use Stenger for?
You use it to figure out if someone is faking a hearing loss.
What is the audiometric configuration needed?
Asymmetrical loss of at least 20dB HL
> Pure tone thresholds
> Speech recognition threshold
When is Stenger used?
> Asymmetric air conduction thresholds
> Questioning organic aspect to loss
> Estimate actual threshold
> Conduct immediately upon identification for need
What is the patient instructions for Stenger?
No special instructions
Conduct immediately so the patient doesn't have time to consider options
Patients is to respond when they hear the sound indicating which ear the sound is in
What does the positive and negative results mean for Stenger test?
> No response (FAKING IT)
> patient responds they heard the sound (telling the truth)
How to administer the Stegner test?
> Either air conduction thresholds or speech thresholds can
> Special settings to guarantee phase matching
> "better"ear: threshold of better ear +10dB SL
> "worse" ear: threshold of worse ear -10dB
Present stimulus to both ears simultaneously
By estimating the true threshold from the Stenger's test, when do you decrease the presentation level? When do you sustain the intensity?
Decrease presentation level in the "poor" ear at 0 dBHL
Sustain intensity in the "better" ear at +10dB SL
While doing the Stenger test, how do you present sound?
By estimating the true threshold results, what happens if the patient responds?
> "poor" ear intensity is raise 5 dB
> "better" ear is uncharged
Repeat process until patient doesn't respond
> Indicates that the presentation level in the "poor"ear is now greater than the sensation level in the better ear
What is the ENDS POINTS OF TEST in estimating true threshold results?
Intensity level at which the patient responds and intensity level at which patient stops responding
What is the research findings in estimating true thresholds results?
Patient stops responding at a level 15 to 30dBSL greater than actual threshold
THIS SET IS OFTEN IN FOLDERS WITH...
Overview of AP 1
Overview of Sites of Lesion
Otoscopy Normal vs Pathology
Masking Pure Tones And Speech
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