Peds Practical COMP Flashcards

Question

what is the purpose of CPA

Answer 1

To assess hearing sensitivity in toddlers and preschoolers using a conditioned motor response to auditory stimuli incorporated into a game activity

Answer 2

Typical Cognitive Age: 2.5–5 years Developmental Requirement: Sufficient cognitive, motor, and behavioral skills to follow simple instructions Ability to participate in a structured task with rewards Under 2.5 years: Typically better suited for VRA or other age-appropriate methods

Answer 3

transducers: Sound Field (SF) Insert earphones Supra-aural headphones Bone Conduction oscillator Compatible with Hearing Aids (HAs) and Cochlear Implants (CIs) Test Room: Quiet, low-distraction environment Use a minimum of two testers: Primary tester presenting stimuli and scoring Assistant acting as distractor, reinforcer, or modeling responses

Answer 4

Frequency-Specific: Warble tones Narrow Band Noise (NBN) Non-Frequency Specific: Speech (MLV: “ba ba ba”, “shhh”) Music

Answer 5

Ideal Range: 250–8000 Hz Minimum Set: CHL suspected: 250, 500, 2000 Hz SNHL suspected: 500, 2000, 4000 Hz Testing Strategy: Start with 2000 Hz in one ear Then 2000 Hz in the opposite ear Followed by 500 Hz, etc. Test AC and follow with BC if a hearing loss is indicated

Answer 6

Choose based on the child’s motor skill level and interests. Common activities: Drop a block or peg in a bucket Toss a ball into a basket Place a puzzle piece Stack a ring Build a block tower Give a high-five to parent

Answer 7

Goal: Teach the child to respond to sound with a play-based motor action Step-by-step Conditioning: 1. Pre-Play: Let the child explore the test room and toys Identify preferred toys for engagement Build rapport and reduce anxiety 2. Instructions: Simple and playful: “We’re going to play a game! Every time you hear the beep, you get to put a block in the bucket. When I hear it, I’ll do it too! Let’s try it together.” 3. Demonstration (Modeling): Tester makes eye contact, holds toy near ear, says: “I heard that!” and drops the toy into the bucket as the sound plays. 4. Assisted Trial (Hand-over-hand): Assistant guides child: Hold child’s hand with toy near ear, present sound at ~40–50 dB HL, say “We heard that!” and guide movement into bucket Repeat 2–3 times, observing for any initiation of movement from the child 5. Independent Response Trial: Present tone Watch for spontaneous motor behavior within 3 seconds of sound onset If child doesn’t respond independently: Encourage: “You heard it! Put it in!” Increase intensity and repeat conditioning trials If still unsuccessful, consider: Vibrotactile BC conditioning (250 Hz @ 40 dB) Switching to VRA or alternative methods

Answer 8

Threshold Estimation Once conditioning is successful, begin threshold search: Use Modified Hughson-Westlake (20 dB down / 10 dB up) Determine thresholds at all critical frequencies Alternate ears and test AC & BC as indicated Present signal; child completes play task within 3 seconds if tone is heard Positive Reinforcement: Verbal: “Good job!” “Nice listening!” Social: High-five, smile, clap Tangible: Token economy (stickers, small toys, food/snack with parental approval) Visual: Animated screen reward (if available)

Answer 9

Fake Responders: Audiologist gently rests hand near child’s response toy Child must move around hand, preventing impulsive or random movements Reluctant Responders: May wait for permission or visual cues Watch for facial expression or shift in posture at tone onset Provide guidance and encouragement as needed Off Responders: Respond at offset of the stimulus Consider using continuous tones to clarify start/stop and improve confidence

Answer 10

Use novel toys or rotate play activities to prevent fatigue Keep instructions and praise consistent Ensure toys are appropriate for the child’s dexterity and developmental level Adjust environment and materials as needed to maintain engagement

Answer 11

Determine whether the child has sufficient hearing to support speech and language development Obtain ear-specific frequency-specific thresholds across the speech range (250–8000 Hz) when possible

Answer 12

What we offer has to be realistic Do not ask if they want to put on the headphones But which game do they want to play is good Dont switch test techniques Instead try Short breaks New toys Try a new assistant Like a parent New stimulus Bribe If you finish you can have ____ Allow them to sit on a parent’s lap Or indication of how long the test will last

Answer 13

Suprathreshold stimuli presented at a level at which the infant previously responded Used to demonstrate understanding of the task before descending in level to determine threshold and through the test to determine if the infant is still on task

Answer 14

Observation trials in which the examiner judges whether a head turn occurs in teh absence of sound stimulation Primarily used to determine if the responses “head turn” being judged are truly responses to the test stimuli and not just random head turns

Answer 15

>5+ Child raises their hand or presses the button in response to a stimuli rather than completing a play task

Answer 16

Open: no clues, more difficult, more realistic Try ages 5yrs+ Closed: limited possibilities, can guess easily Numbers, body parts, pictures, alphabet Ages <5yrs

Answer 17

To understand how well a child hears and understands speech in real life It helps us know how soft speech can be for them to notice it, and how well they can repeat or point to words

Answer 18

Provides frequency specifi c information telling us how a person can be expected to perceive speech stimuli across the frequency range needed for speech Audibility of /a/, /u/, /i/ , and /m/ indicates useable hearing through 1000 Hz (low frequency) Audibility of /∫/ = hearing through 2000 Hz (mid-high frequency) Audibility of /s/ = hearing through 4000 Hz (high frequency) A shorter version is available: [ba] for assessing low-frequency information [∫] for assessing mid- to high-frequency information [s] for assessing high-frequency information

Answer 19

Softest level a child responds to sound; lowest intensity a child responds 50% of the time 5 mos - 2yrs Watch for head turns, eye widening, or stilling Use running speech: child’s name, “uh-oh,” or Ling sounds, their name, songs Start at 30 dB HL. Decrease in steps until they no longer respond

Answer 20

Softest level the child correctly identifi es objects or repeats words Ages ≥ 2yrs 5+ = normal spondee words <5 = picture board pointing, body parts, etc. Start at 30 dB HL. Decrease in steps until they no longer respond 5+ yrs Open set and have them repeat the words back like normal "We’re going to play a listening game! I’ll say some words through these headphones, and your job is to repeat the words back to me. The words will get really, really quiet—almost like a whisper! Even if you’re not sure, take your best guess. Just say whatever you think you heard!" <5yrs Closed set and have them point to the picture board or body parts Very young do body parts “Let’s play a listening game! Look at all these pictures. I’m going to say one of the pictures—your job is to point to the one you hear. Ready? Show me the ice cream, etc.” “______ touch your nose. Show me your ears. Point to your eyes. Where are your lips?” Show Me _____ present show me at 10-15 above what you ant to present the spondee you get down to 20 around the threshold for snowman present show me at 35 dB and immediately decrease to 20 and say “snowman” carrier has to be audible for them to be attentive

Answer 21

1. NU- CHIPS 2. WIPI 3. PBK-50

Answer 22

1. NU-CHIPS Ages 3-5yrs closed set - using the booklet with pictures open set - ask the child to repeat the words without the book and pictures Set up: Ext A Channel 1 Ext B Channel 2 Either MLV or CD CD - track 1 calibration, track 3 is test form 1 Instructions "We’re going to play a listening game. I’m going to say a word, and you point to the picture that matches the word. Listen carefully, because sometimes the words can sound a little tricky!"

Answer 23

5-8yrs Can do open or closed Set up: Ext A Channel 1 SF or headphones #1 - Calibration Instructions “We’re going to play a listening game! You’ll hear a word in your ears (or through these headphones), and your job is to fi nd the picture that matches the word I say. There are six pictures on each page, but only one is the right one. I’ll say the word, and you point to the one you heard, okay?”

Answer 24

Ages 5-8yrs Only open set Requires a verbal response No CD???

Answer 25

Ages 5-8yrs Used to estimate SNR loss in children 5+ yrs and adults for which the QuickSIN is too difficult Set up: Channel 2 Ext B #19 & 20 - calibration #13 - List 13A Scoring Values were 14 for one test and 15 for another test Take 23.5-14= 9.5 Take 23.5-15= 8.5 Then add 9.5 + 8.5 = 18 Then 18/2 = 9 What does a BKBSIN of 9 mean? Why is it a high SNR?

Peds Practical COMP Flashcards

(50 cards)