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AUDIOLOGY REVIEW
Preparing for the Praxis and Comprehensive Examinations
Jeremy J. Donai Katharine Fitzharris
Companion Website
AUDIOLOGY REVIEW
Preparing for the Praxis
and Comprehensive Examinations
Editor-in-Chief for Audiology
Brad A. Stach, PhD
AUDIOLOGY REVIEW
Preparing for the Praxis
and Comprehensive Examinations
Jeremy J. Donai, AuD, PhD
Katharine Fitzharris, AuD, MS, PhD, CCC-A
9177 Aero Drive, Suite B
https://t.me/medicina_free
San Diego, CA 92123
email: information@pluralpublishing.com website: https://www.pluralpublishing.com
Copyright © 2024 by Plural Publishing, Inc.
Typeset in 12/14 Adobe Garamond by Flanagan’s Publishing Services, Inc. Printed in the United States of America by Integrated Books International
All rights, including that of translation, reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording, or otherwise, including photocopying, recording, taping, web distribution, or information storage and retrieval systems without the prior written consent of the publisher.
For permission to use material from this text, contact us by Telephone: (866) 758-7251 Fax: (888) 758-7255 email: permissions@pluralpublishing.com
Every attempt has been made to contact the copyright holders for material originally printed in another source. If any have been inadvertently overlooked, the publisher will gladly make the necessary arrangements at the first opportunity.
Audiology review: preparing for the praxis and comprehensive examinations Library of Congress Cataloging-in-Publication Control Number: 2023042392 ISBN-13: 978-1-63550-552-8 ISBN-10: 1-63550-552-6
Audiology Review: Preparing for the Praxis and Comprehensive Examinations
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Contents
Preface xi Acknowledgments Contributors Reviewers
xvii
Section I. Test-Taking Strategies and What to Expect
Chapter 1. Test-Taking Strategies 3
Kay T. Payne
Introduction 3 Understanding the Question 4 Selecting the Answer 8 Taking the Praxis 13 Practice Questions 16 Answers 18 Acknowledgment 19
xiii
xv
Section II. Foundational Knowledge
Chapter 2. Anatomy, Physiology, and Relevant Pathologies 23
Jackie L. Clark and Katharine Fitzharris
Auditory System 23 Anatomical Terms of Orientation 23 Typical Anatomy of the Auditory Mechanism 24 Central Auditory Nervous System: Vestibular System Peripheral Vestibular System 42 Disorders of the Vestibular System 52 Genetics Major Embryological Developments 53 Postnatal Development 58 Lifetime Changes of the Auditory and Vestibular Systems 60 Recommended Readings 61 References 61 Practice Questions 63 Appendix Key 66 Appendix 2–A. Outer Ear Disorders 67 Appendix 2–B. Middle Ear Disorders 70
52
42
Auditory Nerve to Cortex 37
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Audiology Review: Preparing for the Praxis and Comprehensive Examinations
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Appendix 2–C. Inner Ear Disorders 73 Appendix 2–D.
Retrocochlear Disorders (Auditory Nerve and Central Auditory 77
Nervous System) Appendix 2–E. Vestibular Pathologies 79 Appendix 2–F.
Genetic Disorders and Syndromes 83
Chapter 3.
Acoustics, Psychoacoustics, and Instrumentation 87
Jenna Cramer, Katharine Fitzharris, and Jeremy J. Donai
Principles of Sound 87 Digital Signal Processing (DSP) Signal Detection Theory (SDT)
90
94
d-prime (dʹ ) and Receiver Operating Characteristic (ROC) Curves Psychophysical Methods Validity and Reliability Sensitivity and Specificity
99
100
102 Psychoacoustics 103 Auditory Recruitment and Outer Hair Cell (OHC) Function 115 Perception of Pitch and Timbre 115 Theories of Pitch Perception
116 Cochlear Dead Regions and Perceptual Considerations 118 Instrumentation in Audiology 119 Immittance Equipment 125 Hearing Aid Verification Equipment 126 Recommended Readings 129 References 130 Practice Questions 131
98
Chapter 4. Communication Across the Lifespan: Typical vs. Disordered 135
Angela Van Sickle and Brittany Hall
Typical Language Development 135 Morphological Development 139 Language and Speech Disorders in Children 143 Language and Speech Disorders Throughout the Lifespan
145 Auditory Hierarchy 148 Ling 6 Sounds 150 Effects of Hearing Loss in Children 151 Formal Ways to Assess Communication in Children With Hearing Loss
157 Effects of Hearing Loss in Adults 158 Communication Assessment for an Adult With Hearing Loss 159 Conclusions 160 Recommended Readings 161 References 161 Practice Questions 164 Appendix 4–A. Overview of Language Development Across a Lifespan 168
Contents
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Section III. Assessment and Differential Diagnosis
Chapter 5. Adult Assessment and Differential Diagnosis 173
Karah Gottschalk and Trey Cline
Introduction 173 Audiology Case History Otoscopy
173 Adult Behavioral Techniques Physiological Techniques Testing for Specific Pathologies Special Populations Differential Diagnoses Conclusions
230 Recommended Readings References 231 Practice Questions 235 Appendix 5–A. Objective Assessment, Clinical Utility, and Anatomical Sites 239
of Testing
Appendix 5–B.
Differential Diagnosis 241
173
174
191
214
227
230
231
Chapter 6. Pediatric Assessment and Differential Diagnosis 247
Tori J. S. Gustafson and Candace Bourland Hicks
Case History Considerations 247 Functional Questionnaires 251 Testing Considerations 252 Physiological Evaluation 262 Etiology of Pediatric Hearing Loss 275 (Central) Auditory Processing Disorder ((C)APD) 280 Educational Audiology 290 Theory of Mind 300 Recommended Readings 302 References 303 Practice Questions
307
Appendix 6–A. Abnormal Auditory Electrophysiological Findings 311
Chapter 7. Vestibular Assessment and Differential Diagnosis 313
Jamie M. Bogle
Introduction 313 Vestibular System Anatomy and Physiology
313 Vestibular Reflexes 316 Vestibular Nystagmus 317 Vestibular Case History and Questionnaires 318 Bedside Evaluation 320 Electronystagmography/Videonystagmography (ENG/VNG) 320
Audiology Review: Preparing for the Praxis and Comprehensive Examinations
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Rotational Chair Assessment 332 Video Head Impulse Test (vHIT) Vestibular Evoked Myogenic Potentials (VEMPs) Electrocochleography (ECochG) Functional Assessment
340 Vestibular System Pathologies Vestibular Rehabilitation Recommended Readings References
367
Practice Questions
363 367
371
334
336
340
342
Section IV. Prevention, Identification, and Treatment
Chapter 8. Screening and Hearing Conservation 377
Leigh Ann Reel
Introduction 377 Screening Measures for Auditory and Balance Disorders Hearing Conservation 381 Overview of NIHL 382 Industrial Audiology 384 Noise Measurement and Exposure Analysis 386 Noise Control 391 Audiometric Monitoring 398 Hearing Conservation Education and Training 404 Recommended Readings 404 References 404 Practice Questions 409 Appendix 8–A. Comparison of the OSHA Noise Standard and the NIOSH 413
Noise Recommendations
377
Chapter 9. Treatment: Topics in Amplification 417
Emily Jo Venskytis and Melanie Lutz
Introduction to Hearing Aids 417 Special Populations 442 Introduction to Cochlear Implants Bone-Conduction Devices 463 Auditory Brainstem Implants 470 Middle Ear Implants 472 Recommended Readings 474 References 474 Practice Questions 478 Appendix 9–A. Hearing Aid Styles/Types 482 Appendix 9–B. Cochlear Implant Programming Parameters 483
444
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Chapter 10. Treatment: Topics in Aural Rehabilitation 487
Laura N. Galloway
Introduction 487 Defining AR AR Components Pediatric AR Cultural Responsiveness, Competence, and Humility Interprofessional Approach to AR Summary Recommended Readings References Practice Questions
488
488
505
514
515
516
516
517
520
Chapter 11.
Counseling and Audiological Documentation 525
Alex Meibos
Importance of Audiological Counseling and Documentation 525 Audiological Counseling 525 Basic Theories of Counseling 526 Audiological Counseling Approaches 526 Addressing the Functional and Social Impacts of Auditory and Vestibular Disorders 534 Cultural and Linguistic Diversity (CLD) 540 Audiological Documentation 543 Recommended Readings 547 References 547 Practice Questions 549
Section V. Research and Professional Topics
Chapter 12. Research Applications and Evidence-Based Practice 555
Katharine Fitzharris, Jenna Cramer, and Jeremy J. Donai
Research Principles 555 Variable Levels 555 Variable Types 556 Study Design 557 Hypothesis Testing 559 Statistical Analyses 559 Types of Statistics Probability Testing 566 Measures of Effect Size 566 Statistical Significance Versus Clinical Significance (Effect Sizes) 567 Sensitivity and Specificity 567 Ceiling and Floor Effects 568 Norm- Versus Criterion-Referenced Tests 568 Systematic Reviews and Meta-Analyses 569
559