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Clinic II Final Exam

Terms in this set (30)

Tests recommended to be performed for an adult CI evaluation and at what level should they be administered?
AZ Bio (mandatory)
CNC Words
BKB-SIN
60 dB SPL
Types of hearing loss a patient can have for osseointegraed auditory implants
Conductive
Mixed
Single sided deafness (SSD)
Criteria for Baha 5 or Ponto 3 sound processors
≤ 45 dB HL BC at the PTA of 500, 1000, 2000, and 3000 Hz
Candidacy criteria for single sided deafness (SSD) for osseointegrated auditory implants
Profound SNHL in the ear to be implanted and ≤ 20 dB HL AC at the PTA of 500, 1000, 2000, and 3000 Hz in the contralateral ear
Candidacy criteria for a hybrid CI
Aided CNC Word score ≥ 10% and ≤ 60% in the ear to be implanted and Aided CNC Word score ≤ 80% in the contralateral ear
Types of tinnitus
Somatic
Neurophysiologic
3 conductive pathologies associated with tinnitus
Impacted cerumen
Otitis media
TM perforation
Difference between permanent and temporary tinnitus
Permanent: the longer a person has experienced tinnitus, the more likely it is going to be permanent - cutoff is 12 months
Temporary:less than 12 months - caused by exposure to loud sounds, medications, etc
Diagnostic evaluation components for tinnitus
Pitch matching
Loudness matching
Minimal masking level
Residual inhibition
Subjective questionnaires
How can we clinically manage tinnitus
Hearing Aids/Combo Devices
Sound to counter negative reactions to tinnitus Counseling
Cognitive Behavioral Therapy Self-help Support Groups Stress Management
Different earmold material options (5)
Acrylic/Lucite
Vinyl
Silicone
Rubber
Poly-ethylene
When should you use each type of earmold material?
Acrylic/Lucite: elderly patients, soft/pliable ears
Vinyl: comfortable when a tight fit is needed (high gain) Silicone: comfortable when a tight fit/long canal needed Rubber: great for swim plugs - lightweight/floatable Polyethylene: for sensitive skin/allergies
2 medical errors related to earmold impressions
1. Excessive force resulting in blow by
2. Significant pain or dizziness
3 troubleshooting steps for hearing aid problems
1. Check that HA is inserted properly in patient's ear
2. Inspect components
2. Perform ANSI test
List the steps for performing a listening check
Use a custom listener
With high-power hearing aids, turn the volume down
Remove wax guards, microphone protectors, earhooks, and tubing Use a fresh battery
Listen for the following:
Clear, consistent sound
Smooth increase/decrease of sound when changing volume Obvious distortion
Cutting in or out
Static or cutting out when operating volume control
Hearing aid's frequency response when using Ling Sounds
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