CSD-4662 Study Guide - Spring 2019, Comprehensive Final Exam Notes - Hearing Loss, Cochlea, Middle Ear

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Normal results indicate that a synchronous signal is being sent by the auditory system. Organic cause: many terms exist to describe patients who exhibit unreliable / inconsistent test results, terminology. If the person is deliberately exaggerating hl: non-organic hearing loss, malingering, pseudohypacusis, functional hearing loss, problem is at unconscious level, hysterical, psychogenic, we should refrain from describing the patient as malingering or feigning hearing loss. Law firm, industry, military: behavioral cues, exaggerated responses, slow, deliberate responses, voice quality, pitch, articulation, repeating words multiple times on speech testing (i. e. ba ball) Immittance testing: acoustic reflexes thresholds would be elevated or absent for a snhl hearing loss > 60db hl, protocol if pseudohyacusis, behavioral observation during case. Immittance: oaes, srt first, then pure tone testing. If pure tones results aren"t consistent with srt results, then you can re-instruct the patient: gives them a change to do it correctly, they may just need re-inconstruction, ascending approaches, start below threshold and increase intensity.

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