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2nd Year Written Comprehensive Exams > CAPD > Flashcards

CAPD Flashcards

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1
Q

MLD Long Norm Scores

A

14+ = Normal
Normal MLDs for tones in narrow band noise are at least 14 dB and are usually somewhat greater.

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2
Q

MLD Short Norms

A

10 or more

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3
Q

GIN norms

A

Normal = 4 to 6 ms
Concern = > 8 ms

Age Appropriate percentage score
* < 52% (8 to 11 yrs.) (> 52% is normal)
* < 54% (12 yrs. to adults) (> 54% is normal)

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4
Q

Random gap Detection norm Score

A
  • Normal = between 2 and 20 msec for tones and clicks
  • Gap detection threshold > 20 msec is an indication of a temporal processing disorder for all ages
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5
Q

Define Sensation

A

The ability to identify the presence of sound

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6
Q

Define Localization

A

The ability to determine the location of the acoustic signal relative to the listener’s position in space

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7
Q

Define Interaural temporal (or phase) difference (ITD or IPD)

A

Provides localization information for low frequency stimuli

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8
Q

Define Interaural level difference (ILD)

A

Provides localization information for high frequency stimuli

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9
Q

Define Auditory resolution or discrimination

A

Ability to discriminate between sounds that differ in frequency, duration, and intensity

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10
Q

Define Auditory attention

A

The ability to attend to relevant acoustic signals

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11
Q

Define Auditory figure-ground

A

the ability to identify the primary linguistic or non-linguistic sound source from background noise
* When the signal-to-noise ratio (SNR) is zero or close to zero, listening distress can occur

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12
Q

Define Auditory closure

A

“fill in the blanks”
* may affect understanding in noise affecting language learning and academic success

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13
Q

Define Auditory synthesis

A

Ability to synthesize (merge or blend) phonemes into words

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14
Q

Define Auditory association

A

The ability to attach meaning to sound

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15
Q

Define

A
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16
Q

Define Auditory memory

A

Recall of an acoustic signal after it has been labeled and stored
* Recall of an acoustic signal after it has been labeled and stored
* Auditory memory also requires remembering and recalling various acoustic stimuli of different lengths and number

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17
Q

Define Auditory sequential memory

A

recall the order of acoustic stimuli

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18
Q

Define Auditory short-term memory

A
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19
Q

Define Temporal integration

A

The ability of the auditory system, specifically the auditory nerve and CANS, to integrate inputs over time

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20
Q

Define Temporal Resolution

A

Detection of small timing differences when processing speech
A common method used to assess temporal resolution is the gap detection threshold (GDT)

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21
Q

PSI Age range

A

3 to 6
* 3 - 4 Format 1 (carrier phrase)
* 5 - 6 Format 2 (no carrier phrase)

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22
Q

Age range ACPT

A

6 to 12

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23
Q

Age range Scan 3C

A

5 to 13
* gap detection 8-13

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24
Q

Age range Scan 3 -A

A

13 to 51

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25
Age range Gaps in Noise (GIN)
7 to Adult
26
Age range PPST (Pitch (Frequency) Pattern Sequence Test)
7 to adult
27
Age range Duration Pattern Test (DPST)
9 to adult * Difficult test for younger children
28
Age range Time Compressed Speech Tests
7 to adult
29
Age range SSI - ICM
8 to adult
30
Age range SSI - CCM
8 to adult
31
Age range Staggered Spondaic Words Test (SSW)
5 to 70
32
Age range Dichotic Digits
**7 to Adult** * 5-7 year - single digits to each ear recording also available
33
Age range Random Gap Detection Test (RGDT)
5 to 12
34
Age range MLD
5 to adult
35
Age range LiSN-S Test
6.2 to 30.3
36
What auditory process phenomenon is Dichotic Digits Assessing?
Dichotic Processes
37
What auditory process phenomenon is competing sentences Assessing?
Dichotic Process
38
What auditory process phenomenon is SSI-CCM Assessing?
Dichotic Processes
39
What auditory process phenomenon is SSW Assessing?
Dichotic Processes
40
What auditory process phenomenon is Gaps In noise Assessing?
Temporal Processes
41
What auditory process phenomenon is Random Gap Detection Assessing?
Temporal Processes
42
What auditory process phenomenon is Duration pattern test Assessing?
Temporal Processes
43
What auditory process phenomenon is Pitch Pattern Test Assessing?
Temporal Process
44
What auditory process phenomenon is MLD Assessing?
Binaural Interaction
45
What auditory process phenomenon is NU-6 Filtered words Assessing?
Monaural Low redundancy
46
What auditory process phenomenon is Time Compressed sentences Assessing?
Monaural Low redundancy
47
What auditory process phenomenon is SSI-ICM Assessing?
Monaural Low redundancy
48
What auditory process phenomenon do speech in noise test Asses?
Monaural Low redundancy
49
Dichotic Processes Assess what?
* May assess either binaural integration or binaural separation * Sensitive to lesions of CC and Cerebral Cortex
50
Binaural Integration assesses what?
* Sensitive to Brainstem Lesions * Binaural tests: the CNS is involved otherwise how are the ars going to talk to each other. CC connects right and left hemisphere
51
Temporal Process assesses what?
* Temporal Pattern Tests are more sensitive to a compromised right hemisphere * If the test requires a verbal response - then sensitive to left hemisphere lesions
52
Monaural Low Redundancy Speech/Auditory Closure Processes assesses what?
* Sensitive to auditory closure abilities * Moderately sensitive to cortical lesions * These tests are not sensitive to brainstem lesions
53
Which (C)APD test result patterns help with a definitive diagnosis of (C)APD
* Unilateral, specifically the left * Another definitive test battery pattern is reduced performance only on the more difficult auditory portion of a test.
54
Who is eligible for a diagnostic (C)APD evaluation?
* 7 and older * Normal hearing * ADHD - yes but medicated * Cognitive issues - Intelligence should not be a factor use cog age when testing * Autisum - Do NOT tetst * Exclusionary diagnosis - do not test if diagnosed with any other disorder
55
What are the diagnostic criteria for (C)APD? (lax, intermediate, and strict - must know)
Lax criterion * Abnormal performance on a single test (> 2 SD below mean) Strict criterion * Abnormal performance on all tests (> 2 SD below mean) Intermediate criterion **We use this** * Abnormal performance on at least 2 tests (> 2 SD below mean) * Abnormal performance on at least 1 test (> 3 SD below mean)
56
What is ANSD and clinica presentation
* Characterized by normal OAEs, recordable CM, absent ARTs, ABR, anything involving CN 8, pure tones can range from normal to profound. * ANSD is NOT secondary to cognitive, linguistic, or related factors * Modality-specific; a problem associated with the auditory system * ANSD and CAPD are peripheral disorder with central implications * In many cases of ANSD, middle & late AERs may be normal with an abnormal ABR
57
Cochlear Synaptopathy (Hidden Hearing Loss)
* An acquired condition that permanently interrupts **synaptic** communication between sensory IHCs and afferent VIII nerve fibers well before overt hearing loss is diagnosed. * They have difficulty hearing but their audiogram is normal. * It can be considered as an auditory disorder, but developmental (C)APD is a congenital disorder.
58
What is CVA?
Stroke (stroke) is the most common cause of cerebral damage
59
CVA Signs & Symptoms
* Sudden numbness or weakness of the face, arm, or leg * Sudden confusion or trouble speaking or understanding others * Sudden trouble seeing in one or both eyes * Sudden dizziness * Trouble walking or loss of balance/coordination * Sudden severe headache with no know cause
60
CVA's Risk Factors
* High blood pressure * Heart disease * Diabetes * Cigarette smoking
61
a small blood clot that has dislodged from a larger blood clot elsewhere in the body
Embolus * Type of Ischemia CVA
62
Blood Clot Obstructs blood flow through the affected vessel
**Thrombus** (blood clot) - most common cause of CVA * Ischemia
63
When a blood vessel in the brain ruptures and bleeds
Hemorrhage * Type of CVA
64
Aphasia
is an impairment of language, affecting the production or comprehension of speech and the ability to read or write
65
Broca’s aphasia =
Broca’s aphasia = expressive
66
Wernicke's aphasia =
Wernicke's aphasia = receptive
67
What is aphasia most likely casued by?
Most commonly following a stroke particularly in older individuals
68
What Aphasia occurs in the temporal lobe?
Wernicke’s Aphasia * Wernicke's area lies in the **left** temporal lobe, adjacent to the primary auditory area * helps us to understand language
69
Fluent but nonsensical speech
Wernicke's aphasia
70
What Aphasia occurs in the frontal lobe?
Broca’s Aphasia * Broca's area is in the inferior frontal gyrus of the frontal lobe - near motor strip- at the end of the motor cortex * controls speech production
71
Non - fluent Sensical speech
Broca’s Aphasia * expressive motor difficulty but undertsands * Broca’s Aphasia → Aware of aphasia → Expressive Aphasia → Non-fluent → Sensible → Can understand speech and reading
72
What is Chronic traumatic encephalopathy (CTE)?
* CTE is a **rare neurodegenerative** injury the symptoms of which do not manifest until years after as a result of repeated head injuries * Results in a Mood disorder
73
Concussion Signs & Symptoms
* **Cognitive impairments** difficulty concentrating and short-term memory problem * **Physiological impairments** blurred vision and hearing problems * **Emotional problems** Sadness or depression * **Sleep disturbances**
74
Chronic traumatic encephalopathy (CTE) Signs & Symptoms
mood disorders including * emotional instability * short-term memory loss * depression * cognitive decline * dementia * undetectable in MRI or CT
75
Concussion auditory complaints
* Tinnitus * An inability to ignore distracting sounds * Inability to remember and follow oral directions * Difficulty understanding speech in noisy environments
76
What is Central Deafness?
rare disorder of the CANs most commonly secondary to CVA or head trauma, i.e., an acquired disorder
77
Central deafness causes?
* **Cerebrovascular accidents** (strokes - most common) * Degenerative brain diseases, like Creutzfeldt-Jakob (mad cow) disease * Encephalitis
78
Central Deafness Site of Lesions
* **Heschl's Gyri - Primary auditory cortex (Most common)** * Secondary and associated auditory areas * Subcortical areas: internal capsule (common site of CVAs) * Parietal lobe * Frontal lobe * Medial geniculate body & Pons
79
Central Deafness Clinical Presentation
* Pure Tones: Varying Severity * Speech: **Poor WRS & SRT** (not consistant w/ PTA) * **difficulty differentiating environmental sounds** * Tymps: Normal (match HL) * ART: Normal (match HL) * OAE: Normal (match HL) * CAPD: Used to Rule out CAPD - Non linguistic tests * ABR: Normal (match HL) * **AMLR & ALR: abnormal** depending on the site and size of the lesion
80
Central Deafness Differential Diagnosis?
* Non-organic HL. * CAPD * Dementia * Tumors * ANSD
81
Management/Recommendations for (C)APD.
Classroom/environmental modifications for (C)APD * FM system * preferential seating * Rugs,curtains, (prevent reverbation) Auditory training * improve attention, processing skils Management strategies for top-down processing * given strategies Reading therapy * decoding and comprehension.
82
Differential diagnosis for (C)APD
* ADHD * ANSD * DLD * Dyslexia

2nd Year Written Comprehensive Exams (15 decks)

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