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> When the turning fork is strike the sound is conducted via air and skull.

> The Rinne's test compares both air and bone conductions.

> Vibrations perceived through air are heard twice as long as those perceived through bone with normal individual, because the sound wave is not absorbed by tissue.

>If there is conductive deafness, bony conduction is either normal or slightly enhanced, whereas air conduction is decreased.

>If there is sensory deafness, both bone conduction and air conduction are equally suppressed.

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Terms in this set (17)

Name the three main parts of the ear

Outer ear; middle ear; inner ear

What is the connection between the inner ear and the brain?

Auditory nerve

What are the three main types of hearing loss?

Conductive; Sensory/neural; Mixed

Every tuning for is designed to vibrate at a single _____.

Frequency

The Schwabach test is designed to compare ______ to ______.

the patient's hearing by bone conduction; the examiner's hearing by bone conduction
longer conduction indicates conductive hearing loss
shorter conduction time indicates sensorineural hearing loss

The Rinne test is designed to compare the patient's hearing by _____ to his/her hearing by _______ .

air conduction; bone conduction

The Bing test determines the presence of the _____.

occlusion effect

The Weber test is one of ______.

lateralization

Sketch diagram of the ear. Mark the conductive and sensory/neural areas.

What information is derived from bone conduction that cannot be inferred from air conduction?

Air conduction comes from the functions of the outer, middle, and inner ear and beyond. Bone conduction occurs during the direct impact with and function of the inner ear and auditory nerve (sensory/neural). Rinne tuning-fork test distinguishes between conductive and sensory/neural hearing loss.

Why is it a good idea to use more than one tuning-fork when doing tuning-fork tests?

Many tuning-forks vary by pitch ranges and can be used to test hearing sensitivity.

Why are statements regarding the results of different tuning-fork tests limited to the pitch of the fork used?

Hearing sensitivity is often different for different pitches.

What are the probable results on the four tuning-fork tests described in this chapter for a person with a conductive hearing loss in the right ear? State results for both ears.

Conductive hearing loss - barrier to sound from in outer/middle ear causing weakness in sound strength but typical hearing from bone conduction.
Schwabach Test - tests bone conduction hearing; patient should have normal Schwabach results because the sensory/neural hearing should be unaffected
Rinne Test - compares bone conduction to air conduction for hearing sensitivity; patient should have negative Rinne results because hearing should be stronger behind the ear than with outer and middle ear
Bing Test - occlusion effect (bone conduction greater when ear canal closed) absence of this is result of conductive hearing loss
Weber Test - lateralization; tone would be heard better in right ear than left

What is implied if a person's hearing sensitivity is reduced by air conduction but is normal by bone conduction?

Damage to outer, middle, or inner ear but not the auditory nerve

What is implied if a person's hearing sensitivity is reduced by air conduction and is reduced by the same amount by bone conduction?

Profound hearing loss

What are some of the problems with tuning-fork tests?

Limited tuning-forks
Sensitivity of tool (dropping it would alter effective vibrations)

What is the Stenger principle?

If two tones that are identical in all ways except for loudness are introduced simultaneously into both ears, only the louder tone will be perceived

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Which tool is needed to perform the Weber test and the Rinne test?

Rinne and Weber tests both use 512-Hz tuning forks to test how you respond to sounds and vibrations near your ears.

What instrument is used for Weber test?

The Weber test is a screening test for hearing performed with a tuning fork. It can detect unilateral (one-sided) conductive hearing loss (middle ear hearing loss) and unilateral sensorineural hearing loss (inner ear hearing loss).

How is Rinne's test performed?

Rinne test: Place the base of a struck tuning fork on the mastoid bone behind the ear. Have the patient indicate when sound is no longer heard. Move fork (held at base) beside ear and ask if now audible. In a normal test, AC > BC; patient can hear fork at ear.

What is the Weber test quizlet?

Weber test. Test done by placing the stem of a vibrating tuning fork on the midline of the head and having the patient indicate in which ear the tone can be heard.