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Speech Testing
Speech Testing
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1
What is UCL
Understandability Comfort Level
Uncomfortable Loudness Level
Unknown Certainty Level
Upper Comfort Level
2
Live voice creates variability
False
True
3
Regardless of the purpose of the test you should
use challenging words so the patient pays attention
stay at one level while presenting words
ask the patient to define the word to confirm they understand the word
switch between MCL and UCL to compare results
4
What is the definition of Speech Reception Threshold (SRT)
listener correctly repeats the stimulus 75% of the time
listener correctly repeats the stimulus 50% of the time
listener correctly repeats the stimulus 25% of the time
listener correctly repeats the stimulus 2/3 times
5
Interpret this: 30 dB SL re: SRT
30 dB sloping during the SRT test
30 dB sensorinueral; reccommend the SRT
30 dB slight loss on the SRT test
the sensation level is 30 dB above the SRT threshold
6
Modified Descending Approach Step 3b: 2nd word is correct, 3rd word presented and is correct
2/3 correct = increase by 5
2/3 correct = decrease by 10
7
Speech Recognition testing is the...
degree of distortion
degree of hearing loss
cause of loss
Neural assessment
8
SAT lines up with PTA (within 10dB)
False
True
9
Ascending threshold is
2/3 correct
1/3 correct
100%
50%
10
If the individual has a speech impairment they should respond by
response button
raise hand
write it down
repeat the word
11
Speech Detection Threshold is the same as Speech Recognition Threshold
False
True
12
What is rule #2
Fixed low intensity
Fixed high intensity
Never exceed PB max
Interchange low and high frequencies for reliability
13
Sentence recognition score is defined by
Repeating a sentence correctly with no errors
Repeating a sentence correctly 2/3 times
Recognition ability for sentences presented at supra-threshold levels
Repeating a sentence with 50% accuracy
14
How many words are generally on a word list
1-25
25-50
1-10
50-100
15
A spondee word is
Used for speech detection threshold
A word with equal stress on each syllable
Determines language comprehension
Two syllable (compound word)
16
What is the equation for WRS (PB max)
# correct - # incorrect / 100
# correct / # of total words presented
# correct x # of total words presented
# of total words presented - # incorrect
17
Speech Reception Threshold confirms...
hearing loss
degrees
threshold
distortion
18
The primary purpose of Word Recognition Testing is
diagnostic tool for retrochochlear pathology
diagnostic tool for outer ear pathology
diagnostic tool for middle ear pathology
diagnostic tool for cochlear dsyfunction
19
Speech Awareness/Detection Threshold is used to determine
type of hearing loss
when a person can hear what is being said
degree of hearing loss
when a person becomes aware of your voice
20
Modified Descending Approach Step 1
Start at 30 dB
Start at 0dB
Drop 10 dB from familiarization level
Start a familiarization level
21
A weighted word list has
10 most difficult words listed last
gym terminology
SAT words for above average IQ patients
10 most difficult words listed first
22
Articulation Index (AI) is a prediction of patient scores at an assumed conversational level
False
True
23
If SRT is lower than PTA
Patient can read lips
Patient figured out a pattern
VU meter is too high
the patient did not familiarize correctly
24
What is MCL
Maximum Ceiling Level
Max Comfort Level
Most Concerning Loudness Level
Most Comfortable Loudness Level
25
What is UCL for a normal hearer
80-90 dB HL
depends on tolerance
90-105 dB HL
100-100 dB HL
26
Modified Descending Approach Step 3c: 2nd word presented is incorrect
2/2 wrong = increase by 10 dB
2/2 wrong = increase by 5 dB
27
Which of the following is NOT a spondee word?
Ambulance
Sunset
Cowboy
Football
28
SAT and PTA should be within 5-10dB of each other
False
True
29
Which is a commonly used intensity for testing (Rule #1)
30-40 dB SL: SAT
20-30 dB SL re: WRS
30-40 dB SL re: SRT
40-50 dB SL re: SRT
30
PB min is the
lowest score after PB max
lowest score before PB max
lowest score overall
the next point following PB max
31
Modified Descending Approach Step 3a
1 word wrong then present 2nd word
1 word wrong present similar word
1 word wronf present that word louder
1 word wrong present that word until correct
32
What is MCL for a normal hearing person
50-55 dB HL
30-50 dB HL
45-50 dB HL
30-40 dB HL
33
PB max =
maximum score on PI-PB graph
the 2 peaks of a PI-PB graph
the patient's perceived correctness
this was already a question
34
All of the following should be included in SRT instruction EXCEPT
The patient can request the test to be louder
Inform the patient that it is a speech test
Important to listen to faint speech
Patient should guess
35
Which of the following is not a carrier phrase
Point to the...
Write the word...
Say the word....
Um.. ok.. next is....
36
What does PI-PB stand for
Phonemic Intensity for Phonetically Balanced Words
Performance Intensity function for Phonetically Balanced Words
Pressure Increase for Phonetically Bigger Words
Phonetic Interest for Pleasing Base
37
VU should peak at
10 dB
25 dB
30 dB
0 dB
38
What is the equation for Rollover Index
(PB min - PB max) / PB min
(PB max - PB min) / PB max
(PB max - PB min) / PB min
(PB max + PB min) / PB max
39
What does phonetically balanced (PB) mean?
A word list with only an even number of syllables
A word list with phonemes that occur at about the same frequency
A word list with one strong syllable and one weak syllable
A list of individual phonemes to determine preference
40
Which rollover index would indicate a retrocochlear pathology
\ge.45
\le.5
\le.45
\ge.5
41
The secondary purpose to speech recognition testing is
Cross-check tonal thresholds
to assess language comprehension
to assess bilateral hearing loss
Assess suprathreshold speech understanding
42
Which of the following is a problem with rule #1
Exceeds comfort levels for patients with hearing loss
Exceeds comfort levels for patients with normal hearing
If HL is steeply sloping may not be optimal performance
SL should be individualized for each patient
43
How do you test SRT for kids?
They repeat spondee words
Body part identfication
Point to a picture
Draw a picture
44
Why is Monitored Live Voice NOT reliable?
Highly Variable
Poor intra- & inter- test reliability
every audiometer has a different calibration
Children find it difficult
45
Which of these is NOT a purpose for speech threshold measure
Detect functional hearing loss
Cochlear Implant compatibility
Index of hearing sensitivity
Differential diagnosis
46
SAT response method
Press button
Raise hand
Head turn via visual reinforcement
Repeat the word
47
If SRT is higher than PTA
False positive pure tone thresholds were accepted
Patient did not familiarize well enough
The patient found a pattern in the words
VU meter was too high
48
Rule #3 states:
present 20 dB HL above 1500 Hz for AC of test ear
present 20 dB HL above 2000 Hz for AC of test ear
present low intensity for high frequencies
present 30 dB HL above 1000 Hz for BC of test ear
49
The primary purpose of UCL is to determine an optimal listening level for WRS
True
False
50
Recalibrate recorded materials
You don't need to recalibrate a recorded material
everytime you change recorded speech materials
Between every patient
At the beginning and end of the day
51
SAT is used for individuals who
are suspected of melingering
have poor word understanding ability
don't understand the purpose of SRT
have poor vocab/language
52
Conductive Hearing Loss has a WRS score of 80-100%
True
False
53
A purpose of speech threshold measure is
Hearing Aid Selection
cross-check
Determine language comprehension
baseline presentation level for suprathreshold
54
PB max is defined by
maximum peanut butter
Measure of maximum speech recognition ability
maximum phonemes in one test list
Maximum correct answers on the speech test
55
What is rule #5
10 dB more than UCL
5 dB more than MCL
10 dB less than MCL
5dB less than UCL
56
The purpose of WRS is
determine which phonemes are inaudible to the patient
determine if the patient has a phonemic preference
determine patient's optimum performance for PB word recognition
determine patient's functional vocabulary level
57
Why is recorded speech material preferred?
the use of a VU meter is helpful
Reduces variability
Takes place in a single room
this method is more flexible
58
MCL procedure uses ___dB and ____ dB steps and you stop when the patient says "______"
5; 10; this is fine
10; 20; this is good
10; 20; too soft
5; 10; too loud
59
Speech Reception Threshold is the same as Spondee Recognition Threshold
True
False
60
Speech Testing is critical to audiology
False
True
61
MCL and UCL tests have +/- 5 dB test-retest reliability
False
True
62
SRT will be POORER if patient IS familiarized
False
True
63
What is the definition of Rollover
decrease in performance with increasing intensity
increase in performance with decreasing intensity
decrease in performance with decreasing intensity
increase in performance with increasing intensity
64
What is the definition of Speech Detection Threshold (SDT)
Listener indicates awareness 50% of the time
Listener indicates recognition 50% of the time
Listener indicates awareness
Listener indicates understanding 50% of the time
65
Familiarize by doing all EXCEPT
Throw out unfamiliar/difficult words
Read list face to face
Let the patient read the list on their own and decide for themselves
Present words at a comfortable level
66
Modified Descending Approach Step 2
Present the same word and decrease by 5dB until the word is missed
Present 1 word at each intensity and decrease 10 dB until 1 word is missed
Present the same word and decrease by 10 dB until the word is missed
Present 1 word at each intensity and decrease by 5dB until 1 word is missed
67
When determining UCL you should
immediately turn your microphone off
Use 5 dB steps
Count to 20 and then start over
Keep your microphone on at all times
68
For steeply sloping hearing loss which of the following is correct
Speech Reception Threshold is more important
Fletcher's average should be used for the pure tone average
Only PTA should be used
SAT will be better than PTA
69
If the individual has a language impairment they should respond by
point to a picture
repeat the word
response button
write the word
70
WRS is not a realistic assessment
False
True
