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The Evaluation of Hearing

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Question
Answer
Hard of hearing vs. Deaf children born ?   * Most kids that are born deaf, are actually HARD of HEARING, not deaf  
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Tmt and best time to Dx ?   * When Dx and treated before 6 mths old, language deficits are way less  
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Some hearing impacts ?   * If you have a defect, 37% will repeat a grade level  
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Assesses middle ear status   * Tympanometry  
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Looks for a present or absent reflex of Stapedius muscle contracting ?   * Acoustic Reflex.....* May be absent in acoustic neuroma and otosclerosis  
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Not a test for hearing, but tells us if the hair cells are working, and used to see OTOTOXICITY ?   * Otoacoustic Emissions (OAE)  
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NOT a test of perceptual hearing- provides sensitivity information at level of the brainstem ?   * Auditory Brainstem Response Audiometry (ABR)... * good for hearing aid fittings  
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Arises from problem in outer or middle ear that reduces sound conducting ability = ?   * Conductive Hearing Loss... * wax, swimmers ear, fluid, etc can cause this  
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Caused by problems in the cochlea (sensory) or auditory nerve (neural) = ?   * Sensorineural Hearing Loss..... * from aging, loud noises, and usu say "I can hear you, but can't understand you"  
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Sudden loss of hearing in one ear = ?   * Sudden Sensorineural Loss... * Is a medical emergency and need to go to an ENT quick  
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ENT Referrals are needed when ?   * Sudden hearing loss, asymmetrical hearing loss only in one ear, recurrent infections in ear (over 4) in a year, any symptoms that persist  
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Delayed Onset Hearing Loss at risk kids = ?   * Premature and low birth weight babies, intrauterine CMV infection, and babies who spend more than 5 days in the NICU  
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