Understanding Audiogram and Employee Follow-Up Flashcards

(46 cards)

1
Q

hearing test are documented on these two basic types of audiograms

A

serial
graphic

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2
Q

documents hearing Air Conduction thresholds numerically

A

serial audiograms

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3
Q

usually used by audiologists
results are displayed on a chart using symbols to identify thresholds

A

graphic audiograms

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4
Q

normal hearing limits

A

-10 to 25 dB

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5
Q

mild hearing loss

A

30 to 40 dB

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6
Q

moderate hearing loss

A

45 to 55 dB

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7
Q

moderate-severe hearing loss

A

60 to 70 dB

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8
Q

severe hearing loss

A

75 to 90 dB

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9
Q

profound hearing loss

A

90+ dB

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10
Q

what constitutes normal hearing

A

threshold below 25 dB

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11
Q

pattern usually indicates a conductive hearing loss

A

flat audiograms

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12
Q

what else can cause flat loss

A

equipment malfunction
non-organic hearing loss

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13
Q

most common audiometric pattern
always indicate sensorineural involvement

A

sloping configuration

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14
Q

when does noise notch usually occur

A

4000 Hz
but can be anywhere 3000-6000 Hz

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15
Q

hearing improves in higher frequencies
NOT caused by noise
typically conductive

A

rising configuration

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16
Q

exception to rising configuration

A

meniere’s disease

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17
Q

hearing loss that occurs in one ear only
difference of 40-70 dB

A

unilateral hearing loss

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18
Q

hearing loss occurs in both ears, but one is considerably worse
greater than or equal to 25 dB @ consecutive frequencies

A

asymmetrical hearing loss

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19
Q

performed by audiologist

A

Bone Conduction (BC)
Masking

20
Q

bypasses the outer and middle ears and stimulates the inner ear

21
Q

when BC thresholds are within normal limits and better than AC thresholds

A

conductive hearing loss

22
Q

when BC thresholds are about the same as AC thresholds

A

Sensorineural hearing loss

23
Q

BC thresholds are better than AC, but not within normal limits

A

mixed hearing loss

24
Q

used by audiologist to prevent crossover in patients with unilateral or asymmetric hearing loss

25
represents the employee's "best" hearing and serves as a baseline
reference audiogram
26
reference audiograms are recorded on what form
Form DD 2215
27
when can the baseline be re-established
after a provider determines a change in hearing
28
identifies early changes in hearing by comparing current/reference audiogram
periodic audiogram
29
periodic audiogram is documented on what form
DD Form 2216
30
testing criteria for periodic audiogram
no noise free requirements can have ENT problems
31
no shift (annual/term)
RTD
32
neg shift (annual/term)
F/U #1 (same day)
33
no shift (1st F/U)
RTD
34
neg shift (1st F/U)
RTD
35
worker shows no change between annual and reference audiogram
praise worker offer ear plugs remind of next annual exam
36
hearing has changed significantly at one frequency but not enough to generate an STS
early warning signs
37
a significant change in hearing from the worker's baseline threshold
Standard Threshold Shift (STS)
38
what characterizes a STS
permanent/temporary positive/negative shift from baseline of 10 dB or more
39
hearing levels are WORSE than baseline
positive STS
40
worker signs what form when STS occurs
DD Form 2216
41
pos shift (annual/term)
F/U #1 (within 30 days)
42
no shift (F/U #1)
RTD
43
pos shift F/U #1
F/U #2 (same day)
44
no shift (F/U #2)
RTD
45
pos shift (F/U #2)
referral calculate for OSHA
46
(T/F) OHC should not attempt to interpret an audiogram received from the audiologist
True