Word Rec Testing Intro Flashcards

(61 cards)

1
Q

What is included in a basic audiologic assessment?

A

case history
otoscopy
immitance testing
speech threshold testing
puretone testing
suprathreshold speech testing (word rec)
documentation and coding
other tests

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2
Q

what is differentiated during pure tone testing

A

differentiates middle ear from sensori/neural

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3
Q

other testing differentiates what

A

sensori (cochlear) vs. neural (auditory nerve)

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4
Q

how do we know we got valid test results?

A

test-retest reliability (1,000, within 5dB) - checking to see if they are giving valid responses
equipment is calibrated
daily bio checks/weekly
make sure PT understands the test task
use masking as needed
SRT is in agreement with PTA

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5
Q

What agreement do we want with PTA?

A

plus or minus 10

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6
Q

What is included in PTA

A

500, 1000, 2000

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7
Q

cross check principle

A

SRT is used to check PTA thresholds

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8
Q

air bone speech

A

air bone and SRT and WRS

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9
Q

word rec in quiet

A

suprathreshold testing

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10
Q

what is PB max

A

best ability/score the patient can do

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11
Q

what does PB stand for

A

phonetically balanced

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12
Q

3 components of evidence based practice

A

client perspectives
clinical expertise
external scientific evidence

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13
Q

what are the 3 aspects of any diagnostics

A

test stimuli and set-up – what patient experiences
How to do the test correctly
How to interpret findings

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14
Q

identifying the site of lesion

A

diagnostic testing

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15
Q

what test can point to a site of lesion?

A
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16
Q

test stimuli for SRT?

A

spondee words

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17
Q

test stimuli for pure tones?

A

pure tones

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18
Q

pure tones (air and bone)

A

middle ear or retrocochlear

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19
Q

differentiate cochlear vs retrocochlear

A

word rec

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20
Q

percent correct

A

wrs

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21
Q

threshold measure

A

SRT

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22
Q

percent correct of a given suprathreshold level

A

WRS

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23
Q

Other names for wrs

A

Word recognition
WRS
PBmax
Speech discrimination (old term)
Discrimination score

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24
Q

clincial uses of WRS testing

A

diagnostic and treatment

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25
compares word rec ability over time
diagnostic
26
site of lesion testing (cochlear vs retrocochlear)
diagnostic WRS
27
General sense of impact of hearing loss on speech understanding
wrs treatment
28
One test to identify monaural vs. binaural amplification
wrs treatment
29
Compare unaided vs. aided
wrs treatment
30
used in ci candidacy
wrs treatment
31
speech material for WRS?
single words (monosyllabic, CVC) Phonetically balanced word list (recorded 50 list) frequently presented with carrier phrase homogeneous (familiarity, word structure, emotional loading) can be closed or open set
32
refers to speech tests using single words
closed vs open set test
33
what is closed set
Possible response choices are limited Single digits Picture-pointing or paper and pencil tests with limited number of foils Familiarized spondee list
34
what is open set
Possible response choices are one of many words with no context Spondee list that is not already familiar Single-syllable words
35
closed number of word sets
closed set
36
familiarized patient with list
closed set
37
any word randomly
open set
38
no context for the words or no familiarization
open set
39
Test materials are single-syllable digits (and listener is advised of this)
closed
40
Test of one-syllable words with the structure CVC
open
41
SRT after familiarizing with 8 words
closed
42
SRT without familiarizing
open
43
WRS where a patient is shown 6 pictures and has to identify the correct one
closed
44
can you compare closed and open set scores?
no because closed set will have better scores
45
How are word recognition scores used diagnostically?
to determine site of lesion (cochlear/retrocochlear) compare over time if it is changing (only correctly and same word list etc.)
46
What are the three components of evidence-based practice?
client perspective clinic expertise external scientific evidence
47
How are word recognition scores used in audiologic treatment?
general sense of how their hl affects their speech understnading determine monaural vs binaural and which ear CI candidacy
48
List several characteristics of the speech materials used for WR testing.
monosyllabic pb cvc closed or open set homogeneous *same frequency and familiarity to the PT, same structure, not emotionally loaded
49
What does it mean to say a word list is phonetically balanced?
has all of the sounds (phonetic) from the language in the word list
50
Differentiate between open set and closed set. Which one is easier, meaning which one would yield a higher percent correct score?
closed is easier closed is choices to choose from in terms of a response open anything goes
51
are WR scores tests of communicative function?
no
52
How might a PBmax score underestimate a patient’s functional receptive abilities? reasons why someone may miss words when they wouldn’t usually?
no cue or redundancy/no context (say the word pig misses but if you say my daughters fav farm animal is pig, gets it) no visual cues (lip reading) established monaurally and convo speech is processed binaurally (binaural advantage) no binaural advantage
53
How might a PBmax score overestimate a patient’s functional receptive abilities? why does someone do better than they normally would?
quiet, no competing noise with sound treated room and convo is usually in noise done at a high level compared to conversational speech
54
WRS Test parameters:
suprathreshold pL recorded materials word list expressed as percent correct obtained one ear at a time in quiet
55
full word list
50
56
half word list
25
57
If masking noise is used in the non-test ear during WRS, is it considered speech in noise testing
NO
58
what is a performance intensity function
psychometric function, performance level (presentation level) on x axis and performance on the y axis (%) at very close to threshold we get very low scores and the higher you go the better the score gets
59
what is pb max
pb max an individuals best performance on a phonetically balanced word list
60
USE SPRINT CHART pta 36 wrs 60
Not at the PT's PB max and needed at another level
61
USE SPRINT CHART pta 32 wrs 80
yes it is likely we got the pb max