audstudent.com Tutorial on Understanding Audiograms

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Recognizing Types of Loss on Audiograms

In this module we check your understanding of the basic types of hearing loss as they appear on the audiogram.  You will learn to recognize the basic, uncomplicated forms of conductive, sensorineural and mixed hearing loss.


What are the audiometric symbols that are used for
hearing testing (assuming that we are not masking the non-test ear)?



 



How are these symbols placed relative to one of the frequency lines?

Can you envision where you would place these symbols if
both air and bone conduction thresholds are at
0 dB HL for the right ear, and 15 dB HL for the left ear?


 



What are common ways of remembering where
the symbols go, what colors are used, etc.?



Describe this audiogram.  What ear was tested?

POP4


Describe this audiogram.  What ear was tested?
 

POP5


Describe this audiogram.  What ear was tested?

pop6


Describe this audiogram.  What ear was tested?
 

POP7


Describe this audiogram.  What ear was tested?

POP8


Complete this table
 
Conductive Loss  Sensori- 
neural Loss 
Mixed Loss
Air conduction thresholds(normal or loss?) 
Bone conduction thresholds (normal or loss?) 
Air-bone gap (significant or not significant) 
Location of problem




Is there ever a case when you might not be testing
the ear you think you are testing?
 
 
 

Could you ever present the sound to the right ear
and have the left ear hear it?
 

POP10


What is masking?
 
 
 

Why is it used?

POP11

What are the symbols that are used to note that
masking noise was presented in the non-test ear?
 

POP12

This loss shows both ears on one audiogram.

What is the type of loss and extent of loss for each ear?


POP13


Again, you are looking at test results for both ears
on one audiogram, which is the most common format.

What is the type of loss and extent of loss for each ear?

POP14

What is a “vibrotactile” threshold?
 

POP15
 
 


Are vibrotactile thresholds more common when
doing air-conduction or bone-conduction testing?
 

Are vibrotactile thresholds found more often in the
low frequencies or the high frequencies?

POP16

What if the air conduction threshold were found to be
70 dB HL, and the bone conduction threshold were
found to be 35 dB HL, but there was a “VT?” notation
by the bone conduction symbol.  Would you:
a.  Conclude that the loss is mixed
b.  Conclude that the bone conduction threshold
     is higher than 35 dB HL and call the loss sensorineural
c.  Be unable to determine if the loss is mixed or sensorineural.

POP17

How would you interpret this audiogram?

POP18

What does a “no-response” symbol mean,
and what do they look like?

POP19

Interpret this audiogram.

pop20

Describe the right ear’s hearing.

POP21

Give careful consideration to the left ear now,
with special note to the bone conduction score at 4k Hz.

POP22

Describe this audiogram.

Discuss testing of interoctave frequencies.

When is it needed, and has it been done correctly?

Should 3000 Hz be tested routinely?

POP23


Describe this audiogram

POP24

Interpret this last audiogram.

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