Speech Audiometry Flashcards

(31 cards)

1
Q

above threshold

A

Suprathreshold

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2
Q

the presentation of standardized samples of speech through a calibration system in an attempt to examine a patient’s ability to perceive suprathreshold information

A

Speech Audiometry

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3
Q

Why do we test a listener’s ability to perceive speech?

A
  1. Communication is essential to living
  2. High face validity (repeatable/standardized)
  3. Rehabilitation
  4. Cross check for pure-tone measures
  5. Differential diagnosis
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4
Q

To determine the lowest level at which the patient can perceive (REPEAT) words with 50% accuracy

A

Speech Recognition (Reception) Threshold (SRT)

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5
Q

Stimuli of SRT test

A

Sponadic words

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6
Q

T/F Stimuli for SRT test may be presented via monitored live voice or using recorded materials

A

True

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7
Q

Procedure for SRT test

A
  1. Familiarization
  2. Presentation
  3. Adjustment
  4. Evaluation
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8
Q

Adjustment of stimuli Down 10, Up 5

A

The Modified Method of Limits

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9
Q

Outcome of SRT test:

A

Provides a threshold measure for speech production

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10
Q

Sponadic words

A

Two monosyllable words put together to make a third word (e.g., hot dog, ice cream, baseball)

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11
Q

The threshold for SRT should be within _______ of the _____ threshold

A

plus/minus five of the BEST threshold

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12
Q

To determine the lowest level that the patient can just detect the presence of speech 50% of the time

A

Speech Detection/Awareness Threshold (SDT/SAT)

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13
Q

When do you use SDT/SAT?

A

for very young children
handicapped adults/children
people who are monolingual

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14
Q

What are the stimuli for SDT/SAT?

A

Spondaic words

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15
Q

Procedure for SDT/SAT?

A
  1. Familiarization
  2. Presentation
  3. Adjustment
  4. Evaluation
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16
Q

Outcome of SDT/SAT?

A

provides a threshold measure for speech detection

17
Q

The threshold for SDT/SAT should be within _____ of the best threshold.

18
Q

to determine how well a patient perceived speech at levels experienced in day-to-day communication

A

Speech Recognition Tests in Quiet

19
Q

Stimuli of Speech Recognition Tests in Quiet?

A

Monosyllabic Words or Sentences

20
Q

Procedure of Speech Recognition Tests in Quiet?

A
  1. Instructions
  2. Presentation
  3. Evaluation
21
Q

Outcome of Speech Recognition Tests in Quiet?

A

sensitive to pathologies that disrupt the integrity of the acoustic signal, but have little impact on pure-tone thresholds
insensitive to performance differences for listeners with or without hearing loss and differing degrees and configurations of hearing loss

22
Q

Speech Recognition Tests in Quiet is typically given at ___-___ dB above the SRT.

23
Q

Describing Performance

A
Excellent: 90-100%
Good/Slight difficulty: 78-88%
Fair/Moderate: 66-76%
Poor/Great: 54-64%
Very poor: <52%
24
Q

to determine how well a patient understands speech in typical communication environments

A

Speech Recognition in Noisee

25
Stimuli for Speech Recognition in Noise
Monosyllabic Words or Sentences in speech-shaped noise, broadband noise, or multitalker babble
26
Procedure for Speech Recognition in Noise
1. Instructions 2. Presentation 3. Evaluation
27
Outcome for Speech Recognition in Noise
Scores are reported in % correct the performance of patients with hearing loss is poorer than that of listeners with normal hearing (they require a higher signal-to-noise ratio to do as well
28
level of the signal relative to the level of noise
Signal-to-noise Ratio
29
Formula to find the Signal-to-noise Ratio
SNR = Signal (in dB HL) - Noise (in db HL)
30
Test Presentation Levels (2):
Most Comfortable Loudness (MCL) | Performance intensity functions (several levels above threshold)
31
Rollover
the louder the sound gets the poorer the performance; occurs in people with 8th nerve tumors