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Rethinking Your Diagnostic Audiology Battery: Using Value Added Tests

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1.  Which person developed one of the earliest diagnostic audiology test batteries back in the 1940s? George von Bekesy Raymond Carhart James Jerger Gus Mueller

2.  Surveys of audiology practice have NOT found widespread clinical application of which one of the following tests? Air conduction pure tone audiometry Bone conduction pure tone audiometry Word recognition in quiet Otoacoustic emissions (OAEs)

3.  Which one of the following statements describes the term "best practice"? Practice according to Katz Handbook of Clinical Audiology Practice of performing air and bone conduction audiometry with all patients Evidence-based practice Practice as implemented by James Jerger

4.  Which of the following is the highest (best) category of research evidence? Clinical experience Case report Controlled study without randomization Well-designed meta-analysis of randomized controlled trials

5.  A simple explanation of "standard of care" is: Billing for all test procedures Following preceptor recommendations Following clinical practice guidelines Consistency with local audiology practice

6.  Which one of the following statements is true for a value-added test? Information from test not available from another test or is obtained quicker Technique learned in graduate school Listed in clinical practice guidelines Equipment calibration is not necessary

7.  Which one of the following statements is also true for a value-added test? Listed in most clinical practice guidelines Technique learned in 4th year clinical externship Findings are more reliable and/or valid than an alternative test Equipment calibration is usually necessary

8.  Which one of the following statements is also true for a value-added test? Listed in pediatric clinical practice guidelines Technique is used by almost all clinical audiologists Performed with computer-based equipment Information from test leads to better patient outcome

9.  Which of the following is a traditional behavioral audiometry procedure that is not always a value-added test? Bone conduction pure tone audiometry Tympanometry Acoustic reflexes Otoacoustic emissions

10.  Which one of the following procedures adds most value to diagnosis of a patient at risk for middle ear disorder? Speech reception threshold Word recognition in quiet at 40 dB SL Aural immittance measures Air conduction audiometry