final

Question 1

Which of the following statements is not true about SNHL?

Answer 1

SNHL stands for standing nerve hearing loss

Question 2

Ototoxic drugs are not which of the following?

Answer 2

Vitamin B12

Question 3

(T/F) Diseases and disorders that can produce sensory hearing loss in the postnatal period include a diverse assortment of infections that affect the inner ear and also a number of medications used to treat the infections.

Answer 3

True

Question 4

Connexin 26 Mutations

Answer 4

most common cause of congenital SNHL; AUTOSOMAL RECESSIVE

Question 5

perinatal (during birth) period

Answer 5

contribute to hearing loss ranging from inadequate oxygen or blood supply to the auditory system to
exposure to medications that are potentially damaging to the cochlea

Question 6

postnatal (after birth) period

Answer 6

include a diverse assortment of infections that affect the inner ear and also a number of medications used to treat the infections.

Question 7

Nonsyndromic hearing loss

Answer 7

most common; the primary problem is a deficit in hearing that is not associated with other
abnormalities.

Question 8

Dual sensory impairment

Answer 8

abnormality in two senses, such as the auditory and visual senses.

Question 9

Usher’s Syndrome

Answer 9

SNHL and Retinitis Pigmentosa; Progressive hearing loss and blindness

Question 10

CHARGE (involve dual sensory impairment but they are
not syndromes)

Answer 10

-Coloboma of the eye, central nervous system abnormalities
-Heart defects
-Atresia of the nasal choanae
-R[SLUR] of growth and development -Genital and/or urinary abnormalities -Ear abnormalities and deafness

Question 11

Rubella

Answer 11

bacterial infectious disease that may
cause sensorineural hearing loss

Question 12

Meningitis

Answer 12

viral or bacterial microorganisms can cause an infection and related inflammation of the meninges; can cause SNHL

Question 13

Other disorders that can cause inner ear disorders

Answer 13

herpes virus, HIV

Question 14

Autoimmune inner ear disease (AIED)

Answer 14

In patients with autoimmune inner ear disease, antibodies or immune cells damage inner ear structures; treatment: steroids

Question 15

MENIERE’S DISEASE AND ENDOLYMPHATIC HYDROPS

Answer 15

-Fluctuating hearing loss
-Episodic vertigo
-Tinnitus (low-frequency roaring sound)
-A sensation of ear fullness or pressure

Question 16

Medical Intervention for Meniere’s

Answer 16

• The main goal for management of Meniere’s disease is to minimize or eliminate vertigo and to improve hearing status.
• Treatment strategies include: Medication to reduce excessive accumulation of cochlear fluids
  -Injection of drugs to reduce vestibular function
  -Surgery that involves cutting the vestibular nerve on one side

Question 17

Sudden Idiopathic SNHL

Answer 17

Hearing sensitivity recovers completely for over one-
half of patients, even without aggressive medical
treatment.

Question 18

Noise-induced hearing loss is characterized by

Answer 18

a notch-type decrease in hearing thresholds within the
region of 3000 to 4000 Hz.

Question 19

Te m p o r a r y t h r e s h o l d s h i f t ( T T S )

Answer 19

decrease in hearing thresholds occurring during and immediately
after noise exposure and persisting for a period of sixteen to forty-eight hours.

Question 20

Presbycusis

Answer 20

-age-related hearing loss; sensorineural and greater for higher frequencies (a sloping configuration).
-Amplification is the only treatment for Presbycusis

Question 21

Monaural
Binaural

Answer 21

• one ear
  -both ears

Question 21

APD is an auditory disorder

Answer 21

APD is an auditory disorder that is not the result of global deficits such as autism, mental r[SLUR]
attention deficits, or similar impairments.

Question 21

Treatment APD

Answer 21

highly individualized

Question 22

Refers to stimuli

Answer 22

Dichotic: different stimulus to each ear simultaneously

Question 23

For people w/ APD

Answer 23

Hearing is often normal or near normal but patients may report significant difficulty hearing/understanding (especially in noise)

Question 24

Lots of overlap with ADP and

Answer 24

ADHD

Question 25

SCAN-C for kids through age

Answer 25

12 -norms for ages 5-12

Question 26

SCAN-A ages

Answer 26

13 and above

Question 27

Pediatric Intervention: Neural plasticity

Answer 27

increases the chance of success with therapy and intervention

Question 28

Increase Signal-to-noise ratio (SNR)

Answer 28

-Wireless (FM) systems -Low gain hearing aids -Preferential seating -Sound field -Acoustic treatment of classroom

Question 29

APD – Adult interventions

Answer 29

Teach compensatory techniques

Question 30

Auditory Neuropathy Spectrum Disorder (ANSD)

Answer 30

-Presence of normal otoacoustic emissions -Absence of auditory brainstem response -Absent or abnormal acoustic reflexes

Question 31

Suspicion or identification of possible ANSD usually occurs when

Answer 31

OAEs are recorded in a patient who has no detectable ABR; key feature in ANSD is very poor word recognition performance.

Question 32

MOST RETROCOCHLEAR DISORDERS ARE

Answer 32

NEOPLASMS, THE TECHNICAL TERM FOR TUMORS

Question 33

ACOUSTIC NEUROMA

Answer 33

benign tumor that grows on the VIII cranial nerve. Slow growing

Question 34

Symptoms and treatment of Acoustic Neuroma

Answer 34

-Symptoms include hearing asymmetry, unilateral tinnitus, imbalance -The tumors are almost always UNILATERAL - Treatment: watch and wait, surgery or radio-surgery

Question 35

More aud symptoms related to Acoustic Neuroma

Answer 35

Abnormal auditory adaptation like tone decay (immitance) or acoustic reflex decay or Pi-PB rollover

Question 36

Audiology tests of hearing and balance help determine the

Answer 36

Site of Lesion but they do not diagnose disease

Question 37

hearing aid use improves

Answer 37

overall functional health and quality of life in a highly cost-effective manner.

Question 38

hearing aids DO NOT

Answer 38

-restore normal hearing -prevent progression/worsening of hearing loss

Question 39

CROS/BICROS

Answer 39

-CROS: one normal ear, one unaidable ear -BICROS: both ears have hearing loss; one ear is unaidable

Question 40

Gain

Answer 40

increase in intensity provided by the amplifier

Question 41

Output

Answer 41

intensity in dB of the output

Question 42

Prescribe the amount of gain by frequency for

Answer 42

soft (50 dBSPL), medium (65 dB) and loud (70-80 dB)

Question 43

More gain for

Answer 43

soft input sounds

Question 44

Less gain for

Answer 44

louder sounds

Question 45

Keeps maximum output _____ the patient’s LDL regardless of the intensity of the input sounds from the environment

Answer 45

below

Question 46

For ________ we want all sounds to come through with minimal noise reduction

Answer 46

CHILDREN

Question 47

For ______ we do a lot of noise reduction and try to amplify salient speech cues

Answer 47

adults

Question 48

Hearing aid verification

Answer 48

1. Real Ear/Probe microphone verification 2. Functional gain (aided sound field testing)

Question 49

International Outcome Inventory for Hearing Aids (IOI-HA)

Answer 49

Common outcome measure for validation

Question 50

As a general rule, children with hearing aids should also utilize

Answer 50

FM systems

Question 51

Types of Hearing Aids

Answer 51

Behind-the-Ear Receiver—in-the-Canal In-the-Ear In-the-Canal Completely-in-the-Canal Invisible-in-the-Canal

Question 52

Counseling: what is affect?

Answer 52

Affect is a concept used in psychology to describe the experience of feeling or emotion.

Question 53

affective statements

Answer 53

-must be answered w/ app. empathy -must not be answered with a mismatch - Opportunity to correct patient’s incorrect information and irrational beliefs

Question 54

body language

Answer 54

IT IS POSSIBLE TO INTERPRET BODY LANGUAGE - defensive or angry -Silence ◦ May be overwhelmed and “shutting down” ◦ May be angry ◦ May disagree with what you are saying

Question 55

Pediatrics Tests: Infants <6 months

Answer 55

Physiological measures (ABR/OAE) are the only measures that can be trusted at this age because behavioral responses are NOT reliable

Question 56

Pediatrics Tests: Infants 6 months to 2yrs old

Answer 56

VRA (Visual Reinforcement Aud)

Question 57

Ped tests: 2.5 yrs-4 yrs

Answer 57

Conditioned play aud

Question 58

Ped tests: 5+

Answer 58

Similar to adult testing except for limited attention

Question 59

Word recognition

Answer 59

an assessment of a patient’s ability to identify and repeat single syllable words presented at some suprathreshold level

Question 60

Signal-to-Noise Ratio (Speech-to-Noise Ratio): SNR

Answer 60

THE HIGHER THE SNR, THE EASIER IT IS TO UNDERSTAND SPEECH

Question 61

Pure tones

Answer 61

-begin above the patient's threshold and work down -threshold is where the patient repsonds at least 50% of the time -angle the [atient