lecture 3: predicting auditory access

Question 1

whose job is each part of the collaborative process:
a) provides comprehensive ax of child’s hearing, selects appropriate hearing tech, and verifies the fitting.
b) designs the initial tx plan to ensure that the tx room and targets are set up to meet the individual listening profile.
c) integrate skills learned in the tx session into the child’s everyday environment so that listening and spoken language develop in the most meaningful contexts.

Answer 1

a) audiologist
b) therapist
c) parents

Question 2

during weekly therapy sessions, the therapist observes the child’s newly learned auditory and spoken language skills, and ________. (2)

Answer 2

• makes predictions about the child’s auditory access based on the child’s responses to sounds
• quantifies observations into frequency-specific info

Question 3

what type of HL offers the best opportunity for children to have equal access to all sounds of speech?

Answer 3

flat hearing loss

Question 4

T or F: sloping HL affects speech perception and production

Answer 4

F – depends on degree of hearing loss and frequency region of where slope progresses

Question 5

what are otoacoustic emissions?

Answer 5

sounds made by OHCs

Question 6

which wave does auditory brainstem response focus on?

Answer 6

wave V

Question 7

if a child has adequate auditory access from 250Hz-1000Hz, what might they be able to hear? (2)

Answer 7

• detect + localize speakers
• identify /m/ and /ah/

Question 8

if a child has inadequate auditory access from 2000Hz-4000Hz, what might they be unable to hear? (2)

Answer 8

• /sh/ (hear /ee/ instead)
• /s/ (questionable response)

Question 9

T or F: cookie bite hearing loss offers good opportunity for children to have equal access to all sounds of speech

Answer 9

true – depending on degree

Question 10

which HL is most difficult to aid?

Answer 10

reverse slope (but if aids meet targets can still have success)

Question 11

duration for long vs short sounds?

Answer 11

• long (vowels) = 130-360msec
• short (consonants) = 20-150msec (unless fricatives)

Question 12

how many sounds per second are in typical speech?

Answer 12

30-50

Question 13

what strategies enhance speech production? (8)

Answer 13

1. Whisper
2. Elongate
3. Pause
4. Wait
5. Sing
6. Isolate
7. Move closer
8. Pair with other sounds

Question 14

what time of dx is ideal?

Answer 14

within first 6 months

Question 15

T or F: if time and fit of hearing tech is after 12 months, the child follows development with peers.

Answer 15

false – before 12 months

Question 16

T or F: there is hearing technology for most degrees of hearing loss.

Answer 16

false — for ALL degrees of hearing loss

Question 17

T or F: the more auditory the intervention, the better the outcomes in speech perception and spoken language development.

Answer 17

true

Question 18

T or F: children with unilateral HL are less urgent cases

Answer 18

false – two ears are always better than one

Question 19

what is cued speech?

Answer 19

visual communication that combines handshapes and mouth movements (i.e., conveys English visually)

Question 20

T or F: cued speech is a language

Answer 20

false – supports other languages

Question 21

how many hand placements does cued speech have for consonants? vowels?

Answer 21

• consonants: 8
• vowels: 4