You have a 16-year-old male on caseload. Has no facial hair and seems underdeveloped. Expressive language disorder and social pragmatic impairments
... [Show More] (difficulty making friends). What is a genetic syndrome that could be possible?
Klinefelter's Syndrome
-Involves an extra X chromosome in most cells.
-Can affect physical, language, and social development. -Most common symptom is infertility.
-Often appear less muscular and have less facial/body hair.
What is the best way to assess the hearing of newborn infants?
Auditory brainstem response audiometry.
- a screening test to monitor HL or deafness.
-assesses function of ears, cranial nerves, various brain functions.
Patient presents with unilateral hearing loss between 56 and 70 dB in all frequencies.
mild, moderate, or severe?
Moderate.
-mild (adults) 25-40 dB
-mild (children) 15-40 dB
-moderate 41-55 dB
-moderate-severe 56-70 dB
-severe 71-90dB
-profound 90+
Which type of hearing aid retains flexibility to make adjustments, is least effective, but also least expensive?
A. bone-anchored
B. analog/programmable
C. digital/programmable
D. analog/adjustable
D. Analog/adjustable
-Audiologist determines the volume and other specifications, then sends to a lab to be built.
-Audiologist has some flexibility to make adjustments, but known to be least effective and least expensive.
An 11-month old is not startling to loud noises and is not babbling. Otherwise normally developing and pediatrician does not seem concerned.
What do you recommend to the mother?
Audiological evaluation
-Warning signs of hearing loss in a baby include lack of startling to loud noises.
-If not babbling by 8-10 months or if not turning to localize noises by 7-8 months, suspicion of HL.
What causes cleft lip and palate?
Genetic and environmental influences.
-A specific gene was identified in 2004, but environmental influences may also cause, or interact with genetics, to produce orofacial clefting.
-Environmental causes include: pesticide exposure, maternal diet, anticonvulsant drugs, alcohol/drugs, cigarettes, lead exposure.
ASHA-certified audiologists are bound to provide services that are consistent with the scope of their competence, education, and experience as stipulated by
ASHA Scope of Practice OR ASHA Code of Ethics?
Code of Ethics
For cognitive deficits associated with TBI, what is the time frame for the most dramatic improval?
First 6 months
First week
First month
First year
No recovery - damage is irreversible
First 6 months
For people with normal ear function, what occurs with exposure to a high-intensity sound stimulus?
A. Permanent hearing loss
B. Hardening of ossicles
C. Presbycusis
D. Acoustic reflex
D - Acoustic Reflex
-The stapedius and tensor tympani muscles of the middle ear bones contract.
-Decreases the transmission of vibration energy to the cochlea.
-If this happens at quieter sounds, it can indicate ear dysfunction
-The absence of this reflex is a sign of neural hearing loss. [Show Less]