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Audiology Grand Rounds at Henry Ford Hospital: Favorites

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1.  Which of the following indicators of “functional” hearing loss were present in patient A? Positive Stenger Better than expected word recognition for degree of hearing sensitivity loss Mismatch between PTA and SRT All of the above

2.  Patient A’s better-ear responses likely represent: A true mild noise-induced hearing loss A functional loss A true severe loss A true conductive loss

3.  Which objective measure(s) that were performed for patient A argued against the validity of the worse-ear responses? Absent acoustic reflexes Normal ABR Normal tympanogram Present DPOAEs

4.  Patient B experienced which of the following symptoms after having an accident with a cotton swab? Pain Dizziness Hearing loss All of the above

5.  In patient B the use of a cotton swab in the ear canal resulted in which diagnosis: Meniere’s disease Round window fistula Cholesteatoma Acoustic neuroma

6.  Patient B experienced improvement in symptoms after which of the following? Canalith repositioning maneuvers Tympanostomy tube placement Surgical repair No intervention. Spontaneous improvement.

7.  The child with the reverse-slope hearing loss (patient C) had which of the following screening outcomes at birth? Passed hearing screening Failed DPOAE screening Failed ABR screening Missed hearing screening

8.  Auditory brainstem response click screenings evaluate approximately which of the following? 250-500 Hz 250-8,000 Hz 1,000-4,000 Hz 6,000–8,000 Hz

9.  The degree and slope of hearing loss in the child with reverse-slope loss (patient C) should result in: Good word recognition scores because of the ability to hear high-frequency consonant sounds Good word recognition scores because of the ability to hear low-frequency vowel sounds Poor word recognition scores because of the inability to hear high-frequency consonant sounds None of the above

10.  The treatment option chosen for the child with the reverse-slope hearing loss (patient C) was which of the following? None FM system only Binaural amplification Cochlear implantation