CAPD Midterm Flashcards

(82 cards)

1
Q

what are the test battery considerations for (C)APD

A

sensitivity and specificity, test reliability, ease of administration, population characteristics

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2
Q

The target word for the ACPT is _____ and the number of test items in each trial is _____ that must be reapeated ____ times.

A

dog, 96, 6

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3
Q

right ear advantage is considered normal until?

A

11-12 years

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4
Q

name 2 tests that assess temporal ordering

A

duration pattern test, pitch pattern sequence test

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5
Q

name 2 tests that assess temporal resolution

A

gaps in noise test, random gap detection

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6
Q

LiSN-S was developed in?

A

Australia

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7
Q

what condition provides the best MLD

A

MoSπ

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8
Q

what frequency is used to provide the best MLD

A

500 Hz

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9
Q

what are symptom-specific considerations?

A

test battery should be decided based on the referring complaint and information available to the audiologist

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10
Q

what are patient specific considerations?

A

can the patient do the test - do they have cognitive probs, developmental probs, concussion, TBI

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11
Q

what do dichotic processing tests assess?

A

binaural integration or binaural separation. they are sensitive to lesions of the corpus callosum and cerebral cortex

if you struggle with dichotic processing you will have trouble with speech in noise & following rapid speech and instructions

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12
Q

what concerns do dichotic processing problems create in the classroom

A

the background noise will cause the child to miss what the teacher says & they will need instructions repeatd especially in group settings

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13
Q

For a (C)APD test battery, what central processes should be assessed aka the 4 categories of auditory processing

A

dichotic processes, temporal processes, binaural interaction and monaural low redundancy speech/auditory closure processes

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14
Q

what do temporal processes and pattern tests assess?

A

the ability to perceive a pattern and temporal function abilities. they are sensitive to a compromised right hemisphere

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15
Q

temporal processing issues result in

A

trouble with rapid speech, rhythms and patterns, hearing in noise, need repetions, miss instructions

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16
Q

what concerns do temporal processing problems create in the classroom

A

missing instructions, can not read outloud, trouble with similar sounds

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17
Q

what do binaural interaction/fusion tests assess ?

A

the interaction between two ears

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18
Q

what will you see if someone struggles with binaural interaction

A

localizing problems, hearing in noise, spatial awareness

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19
Q

what do monaural low redundancy speech/auditory closure tests assess ?

A

they involve modifying the signal and are not sensitive to brainstem lesions

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20
Q

what tests assess monaural low redundancy speech/auditory closure ?

A

filtered words, time compressed sentences, SSI ICM, speech in noise

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21
Q

what problems will you see in someone who struggles with monaural low redundancy speech/auditory closure

A

problems with muffled speech, trouble on phone, probs with rapid speech and accents, probs in reverberany spaces, may miss instructions

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22
Q

recommendations for a (C)APD evaluation

A

case history, questionares, pure tones, soeech, electrophysiologic measures, psychoeducational evaluation, how they are doing in school, how they are socially, and work history is an adult

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23
Q

(C)APD screening questionnaires

A

CHAPS, SIFTER and fishers auditory problem checklist

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24
Q

tell me about the children’s auditory performance scale (CHAPS)

A

author = smoski, brunt, tanhill
tests listening behavior in diverse listening situations (6 different conditions). we want to compare the childs ability to their peers. used by parents and teachers.

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25
what are the ages for the CHAPS
7 years and up
26
tell me about the screening instrument for targeting educational risk (SIFTER)
author = anderson completed by the childs teacher. 15 questions, 3 of each questions in the following categories - academics, attention, class participation, and social behavior. used to compare child to peers and can be tracked to compare the childs performance over time.
27
what are the ages for the SIFTER
1st to 5th grade
28
tell me about fishers auditory problem checklist
author = fisher gives us info about the childs listening abilties in a classroom. completed by the teacher. they place a check next to the observed behaviors, items not selected are used to dermine a percentage. we refer if the child gets less than 72%
29
what behaviors does fishers auditory probelms checklist observe
failure to attent to instructions. need to repeat instructions, easilt distracted by auditory stimuli, trouble processing in a competing acoustic environement. it also asks about attention & memory problems.
30
according to wilson et al, what was the relationship that was found between the screeners and behavioral tests
found the screeners did a poor job of predicting the patients diagnostic test result. screeners should be used to find concerns in a child but not to determine if a diagnostic test is needed.
31
(C)APD behavioral tests
PSI, ACPT and the SCAN-3C
32
tell me about the pediatric speech intelligibility test (PSI)
jerger & jerger assesses auditory figure ground (aka the ability to hear in noise) & auditory closure (ability to fill in the blanks). sensitive to CAPD. sensitive to lower brainsetm deficits.
33
what are the ages for the PSI
3-6 years format 1 = 3-4 years format 2 = 5-6 years
34
tell me about the auditory continuous performance test (ACPT)
author = keith binaural test ADHD screening exam identify dog among other monosyllabic words tests selective attention & sustained attention
35
what are the ages for the ACPT
6-12 years
36
tell me about the SCAN-3C
author = keith identifies APD in kids in areas of temporal processing, listening in noise, dichotic listening, & listneing to degraded speech
37
what are the ages for the SCAN-3C
5-13 years except for gap detection bc that is 8-13 need to have normal hearing and have passed tymps indicating no ME probs
38
what SCREENING tests are given as part of the SCAN-3C
gap detection, auditory figure ground +8 dB, competing words free recall
39
what DIAGNOSTIC tests are given as part of the SCAN-3C
auditory figure ground +8 dB, filtered words, competing words directed ear, competing sentences
40
what SUPPLEMENTARY tests are given as part of the SCAN-3C
competing words free recall, auditory figure ground 0dB, auditory figure ground +12 dB, time compressed signal
41
tell me about the gap detection test
age 8-13 measures ability to detect brief silent gaps of variable durations between 2 tones
42
if a child fails gap detection, we should evaluate them for ?
temporal processing disorders
43
tell me about auditory figure ground +8 (AFG+8)
age 5-13 tests the abilty to process speech in the presence of background noise when the signal is 8 dB better
44
if a child fails auditory figure ground +8, we should evaluate them for ?
speech in noise problems
45
tell me about competing words free recall (CWFR)
age 5-13 MONAURAL tests the abilty to process competing signals by playing 2 words at the same time assess auditory maturation/developemental delays
46
tell me about competing words directed ear (CWDE)
age 5-13 DICHOTIC tests the abilty to process competing signals by playing 2 words at the same time assess maturation of auditory system
47
tell me about filtered words
5-13 MONAURAL repeat words that are heard but have been altered, this assesses auditory closure skills
48
tell me about competing sentences (CS)
age 5-13 DICHOTIC tests the abilty to process competing signals by playing 2 unrelated sentences at the same time
49
tell me about auditory figure ground +12 (AFG+12)
age 5-13 tests the abilty to process speech in the presence of background noise when the signal is 12 dB better
50
tell me about auditory figure ground +0 (AFG+0)
age 5-13 MONAURAL tests the abilty to process speech in the presence of background noise when the signal is the same dB as the noise
51
tell me about time compressed sentences (TCS)
age 5-13 MONAURAL tests the ability to process degraded speech by presenting sentences time compressed by 60%
52
behavioral monaural tests for (C)APD
GIN, PPST, & DPST
53
tell me about gaps in noise test (GIN)
author = musiek assess temporal processing/resolution MONAURAL ability to detect gaps embedded in a continous signal
54
what is the age for GIN test
7 years to adult
55
tell me about pitch pattern sequence test (PPST)
author = musiek & pinheiro MONAURAL assesses temporal ordering identify pitch of presented tone site of lesion is cerebral hemispheres and corpus callosum. failing the PPST is indicative of dyslexia & learning disability.
56
what are the ages for the PPST
7 years to adult
57
tell me about duration pattern sequence test (DPST)
author = musiek, baran, pinheiro MONAURAL identify if tones presented were long or short assesses temporal ordering
58
what are the ages for the DPST
9 and up
59
low redundancy speech test for (C)APD
time compressed sentence test & SSI ICM/CCM
60
tell me about time compressed sentence test
MONAURAL patient repeates back fast sentences assesses speech processing deficits at the cortical level
61
what are the ages for time compressed sentence test
7 and up
62
tell me about synthetic sentence identification (SSI-ICM/CCM)
the patient identifies which sentence on the sheet they heard while another sentence is being played in the same (ICM) or different ear (CCM)
63
what is SSI ICM
ipsilateral competing message test Sentences are presented to the the target ear and the competing message is presented to the same ear assesses auditory recognition, figure ground, and lower brainstem lesions
64
what is CCM
contralateral competing message test Sentences are presented to the the target ear and the competing message is presented to the opposite ear assesses binaural seperation and temporal lobe deficits
65
what are the ages for the SSI
8 years and up
66
behavioral binaural tests for (C)APD
SSW, dichotic digits, RGDT, BMLD, MLD, LiSN-S
67
tell me about staggered spondaic words test (SSW)
author = katz frequently administered but not well supported 1 word is adminstered to each ear at the same time and the patient needs to repeat both assesses decoding type, tolerance fading memory, intergration type, and organization type
68
what are the ages for the SSW
5-70 years
69
tell me about dichotic digits
author = musiek numbers/digits are adminstered to both ears at the same time and the patient needs to repeat all 4 regarless of order assesses binaural integration at the hemispheric level
70
what is the age for the dichotic digits
7 years to adult
71
what tests assess dichotic processes
dichotic digits, competing sentences, SSI CCM, SSW
72
tell me about random gap detection test (RGDT)
author = keith BINAURAL patient tells you if they heard 1 or 2 sounds with varying gap lengths assess temporal sequencing and temporal integrity at the cortical level anything over 20ms is considered an indication of a temporal processing problem
73
what is the age for RGDT
5-12 years old
74
what tests assess temporal processes
gaps in noise, RGDT, duration pattern test, pitch pattern test
75
tell me about binaural masking level difference (MLD or BMLD)
masking level difference or binaural masking level difference test under headphones assesses binaural interaction at the brainstem level monotic - signal & noise 1 side, hard dichotic - signal and masker different sides, easy diotic - masker and signal on both sides dichotic (M0Sπ) : masker and signal on both sides however the signal is out of phase so the signal pops out of the masker
76
what tests assess binaural interaction
auditory fusion and MLD
77
what is the age for MLD
5 years to adult
78
what are the norms for the MLD short and recorded tests
short is 10 dB or better recordedis 14 dB or better
79
tell me about LiSN-S
developed by cameron & dillon australia (NAL) ability to separate signal from competing speech assess spatial processing disorder diagnoses spatial processing disorder
80
what is the age for the LiSN-S
6.2 - 30.3 years
81
what is one major pattern that helps with the diagnosis of (C)APD
unilateral deficits - specifically left ear unilateral deficits point to CAPD
82
what tests are monaural?
gaps in noise test, PPST , DPST , nu-6 words , time compressed sentence test, SSI ICM