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Chapter 3 (part 3)
Intro Audiology (Exam 2)
| Question | Answer |
|---|---|
| What are possible sensorineural hearing loss pathologies? | presbycusis, Meniere's disease, meningitis, and noise exposure |
| What is presbycusis? | age related hearing loss |
| What is the site of pathology for conductive hearing loss? | outer and/or middle ear |
| What are possible conductive hearing loss pathologies? | atresia, anotia, TM perforations, collapsed ear canals (due to supra-aural headphones), impacted/excessive cerumen) |
| What is the site of pathology for a conductive hearing loss? | outer ear and/or middle ear AND inner ear/auditory nerve |
| What is the site of pathology for a sensorineural hearing loss? | inner ear/auditory nerve |
| What is the configuration of a hearing loss? | the pattern or shape of the hearing loss? |
| What is a flat configuration? | all thresholds are within 20 dB of each other |
| What is a sloping configuration? | more hearing loss in the higher frequencies |
| What is a noise notch configuration? | a dip in HL around 4 kHL (common with noised induce hearing loss) |
| What are the more common types of configurations? | flat, sloping |
| What is a rising configuration? | more hearing loss in the lower frequencies |
| What is a corner configuration? | only the bottom left corner of the audiogram has response thresholds |
| What is a cookie bite configuration? | au-shape, sloping in the mid frequencies, mid frequencies have poor thresholds than the high or low frequencies |
| What configurations are seen in genetic conditions? | cookie bite, rising |
| What is a reverse cookie bite configuration? | upside down u-shape, mid frequencies have the best thresholds |
| What is a precipitously sloping configuration? | drop insensitivity from one frequency to its adjacent frequency is greater than 20 dB |
| What is Ear/symmetry of hearing loss? | compares hearing of one ear to the other ear |
| What is a bilateral hearing loss? | hearing loss in BOTH ears, can be different degree/type, but happens in both ears |
| What is a unilateral hearing loss? | hearing loss in only ONE ear |
| What is symmetrical hearing loss? | hearing loss is the same in both ears |
| What is asymmetrical hearing loss? | hearing loss is in both ears, but the degree differs between ears |
| What makes a hearing loss symmetric or asymmetric? | the underlying cause of the hearing loss |
| What is a fluctuating hearing loss? | hearing can get better or worse at times, seen in menier's disease |
| What is a stable hearing loss? | remains generally the same over time |
| What is a progressive hearing loss? | hearing loss that becomes worse over time (also called gradual) |
| What is a sudden hearing loss? | occurs quickly, often a result of head trauma or tumor on the auditory nerve |
| What should you include from pure tone testing? | type of HL, degree of HL, configuration of HL, bilateral vs. unilateral, symmetry of HL |
| What is Pure tone Average? | a calculation that provides the average of pure tone responses for each individual ear |
| What is pure tone Average used for? | to compare to speech testing results, qualification requirements (some insurances or disabilities), gain an overall impression of the degree of communication impact imposed by the hearing loss |
| What is the tradition Pure tone Average? | 3 frequency PTA |
| What is the 3 frequency PTA? | average threshold response at 500, 1000, and 2000 Hz |
| What is the 2 frequency PTA? | average threshold response at 500 and 1000 Hz |
| What is the 4 frequency PTA? | average threshold response at 500, 1000, 2000, and [3000 or 4000] Hz |
| Where are high frequencies found in the cochlea? | at the base |