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Flashcards in study guide 3 Deck (39):
1

______is a record of a person's background info, hearing history obtained at the initial appointment; first contact you have with patients where you find out where they feel that they have problems

case history

2

case history should contain 5 major components

demographics
hearing and balance concerns
otologichistory
medical background
medications

3

questions one can ask during a case history

when was the symptom first noticed?
how severe is the symptom?
is the symptom present in one or both ears?
has the symptom improved or worsened over time?
is the symptom constant or intermittent?

4

ringing in the ears ; internally generated sound which is perceived as originating from one or both ears

tinnitus

5

one ear may or may not be worse than the other

hearing loss

6

ear pain

otalgia

7

discharge

otorrhea

8

spinning sensation (dizziness imbalance )

vertigo

9

what usually causes tinnitus ?

hearing loss or noise exposure

10

rushing associated with vascular event on or around the ear

pulsatile

11

nonpulsatile refers to

ringing

12

the visual inspection of the pinna mastoid process, the EAM, and the tympanic membrane

otoscopyis

13

during an otoscopy one uses an

otoscope
-always go with the larger tip

14

3 parts of the otoscope

the handle- power for the light source
the head- lightbulb and magnifying lenses
the cone- specula

15

for adult otoscopy one pulls the pinna ___ and _____

up and back to straighten the EAC

16

for children one pulls the pinna _____ and _____

down and back to the straighten the EAC

17

labels for the cerumen

occluding, excessive, minimal,none

18

in evaluating the tympanic membrane..... one should make sure it is

light grey, pink, and very shiny
the cone of light should be easily visible
notice if any air fluid lines, bubbles, and retractions are visible

19

what is the purpose of pure tone testing?

to determine the type, extent ( severity), and configuration of a patient's hearing loss

20

what is the goal of air conduction audiometry?

to determine the amount, degree, or severity of the hearing loss.
-how severe is the hearing loss?
-is a hearing loss present?

21

what is the special number?

5

22

what is the goal of bone conduction audiometry?

to determine the type of hearing loss present

23

what are the types of hearing loss

conductive
sensorineural
mixed

24

what is the transducer used to perform bone conduction

the bone oscillator

25

the bone conduction pathway bypasses the outer and middle ear and directly stimulates the ________

cochlea

26

AC one uses the

headphones, inserts, speakers

27

BC one uses the

bone oscillator

28

we plot responses using an

audiogram

29

the x axis of an audiogram measures

frequency 250- 8000 Hz

30

the y axis of an audiogram measures

intensity from -10db HL to 110dB HL

31

softest level the patient is able to hear a tone

threshold

32

bone conduction label is

33

the degree or severity of the Hearing loss can be described in what categories?

Slight
Mild
moderate
Moderately severe
Severe
Profound

34

what denotes conductive hearing loss ?

normal BC scores
Abnormal AC scores
ABG of 15 dB or Greater
issues exist with either the outer ear, middle ear, or both

35

what is the ABG?

the Air bone gap or the gap between the AC threshold and BC threshold

36

what denotes sensorineural hearing loss ??

abnormal BC scores
Abnormal Ac scores
No ABG
Issues exist in the inner ear and or beyond (auditory nerve, brainstem)

37

what denotes mixed hearing loss ??

abnormal BC scores
Abnormal AC scores
ABG present
Issues exist with OE/ME and inner ear/ beyond

38

what is the configuration of hearing loss??

the overall shape of the audiogram

39

ways to describe configuration?

Flat
Sloping
steeply Sloping
noise notch (typically at 4000 Hz)