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53 Cards in this Set
- Front
- Back
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Batteries
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degree of hearing loss
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normal=0-15 dB HL
slight=15-25 mild=26-40 moderate=41-55 moderate-servere=56-70 severe=70-90 profound=90+ |
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ANSI standards
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OSPL=+3
HFA OSPL 90=+/-4 HFA full on gain=+/-5 EIN=+3 Distortion=+3% SPLITS/HFA mag=+/-6 RSETS/STS=HFA mag-HFA acoustic Battery=+20% |
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ICD-9 codes
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international classification of diseases. 9th revision
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ICD-9 codes by
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World Heath Organiation
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ICD-9-CM
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clinically modified for use in the US
not developed by WHO Disease and Diag codes: pt signs/symptoms pt complaints, outcomes of procedure results |
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#s in ICD-9 codes
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5 digit for more specificity
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ICD-9 hearing loss
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389
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ICD-9 sensory HL bilteral
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389.11
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ICD-9 neural hearing loss bilateral
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389.12
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V codes
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secondary diag code
do not describe disease but rater affects pt care |
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CPT codes
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current procedural terminology
-refelects what you perform -mechanisim for billing and tracking |
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who owns CPT codes
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American Medical association
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basic comprehensive audiometry
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92557
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HCPCS codes
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healthcare common procedure coding system
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who developed HCPCS
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center for medicare and medicaid management system
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what HCPCS codes does audio,ogg use
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level II
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examples of audiology HCPCS
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monaral vs.binaural=
batteries=V5266 |
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what must each invoice include
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ICD-9-CM
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S
O A P |
S=subjective
O=objective A=assessment P=plan |
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practice a SOAP
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S=pt denied hearing loss, communication difficulties, tinnitus, dizziness, or neck injuries
O/A:Otoscopy revealed normal appearing EAC and TM AU. Tymps WNL AU. Thresolds WNL AU, WRS WNL AU. All results WNL. P: Return for audiological evaluation as medically necessary. |
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BTE hearing aid
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receiver in the HA
standard earhook standard tubing custom made earmold |
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RITE HA general
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receiver in the canal vs. the HA
open or closed dome |
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range of closed dome
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full range
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range of open dome
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restricted dome
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gain across frequencies: closed vs ear mold vs. slim tube
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closed: most gain across all frequencies
earomld with large vent/open dome=reduces available low fq gain open fitting/slim tube=provides no gain below about 1500 Hz |
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Verifit settings for BTE or RITE
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BTE=choose BTE
RITE with open dome/open HA=choose open--->equalize sound filed (turns off reference mic) |
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Question 1: The immune system defends and protects the body from infection via:
A: natural immunity B: responses provided by the adaptive immune system C: reliance on proliferation of antigen-specific antibody D: all of the above |
D: all of the above
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Question 2: Lymphocytes are:
A red blood cells that manage all activities of the immune system Answer B white blood cells that manage all activities of the immune system Answer C a sub-category of eurythrocytes involved in adaptive immune responses Answer D a type of antibody |
B: white blood cells that manage all actives of the immune system
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Question 3: Antigen refers to:
Answer A Substances recognized by the immune system as foreign Answer B Substance that proliferates throughout the body’s fluids to fight off infection Answer C Any bodily fluid Answer D A type of lymphocyte |
A
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Question 4: Antibody refers to:
Answer A Substances recognized by the immune system as foreign Answer B Substance that proliferates throughout the body’s fluids to fight off infection Answer C Any bodily fluid Answer D A type of lymphocyte |
B
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Question 5: The main target of HIV is:
Answer A CD-4 B-cell Answer B CD-4 T-cell Answer C CD-4 erythrocytes Answer D None of the above |
Answer B CD-4 T-cell
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Question 6: Infection control is necessary in clinical environments where audiological services are provided because:
Answer A it is the law Answer B patients may exhibit both overt and covert levels of immunocompromise Answer C nature of audiological practice increases potential for cross-contamination Answer D all of the above |
D
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Question 7: Mode of disease transmission refers to:
Answer A portal of entry into the body Answer B how a microbe moves from one location to the next Answer C guidelines on how to reduce exposure to infectious agents Answer D disease conditions that originate from common place microorganisms |
B
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Question 8: Route of disease transmission refers to:
Answer A portal of entry into the body Answer B how a microbe moves from one location to the next Answer C guidelines on how to reduce exposure to infectious agents Answer D disease conditions that originate from common place microorganisms |
A
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Question 9: Disinfection means:
Answer A removing gross contamination Answer B killing germs Answer C killing 100% of germs, including endospores Answer D none of the above |
B
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Question 10: Sterilization means:
Answer A removing gross contamination Answer B killing germs Answer C killing 100% of germs, including endospores Answer D none of the above |
C
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Question 1: Audiologists involved in the provision of clinical services, including cerumen management and fitting of hearing instruments, will most likely be classified in the following employee exposure classification category:
Answer A Category 1 Answer B Category 2 Answer C Category 3 Answer D Potentially any of the above |
B
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Question 2: HBV vaccination must be offered to all:
Answer A Category 1 employees Answer B Category 2 employees Answer C Category 3 employees Answer D Both A & B |
D
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Question 3: Each clinic must conduct and document completion of infection control training:
Answer A at the initial hire of an employee and annually Answer B when new diagnostic procedures are offered by the staff Answer C when an employee changes exposure classification status Answer D all of the above |
D
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Question 4: OSHA required element of a written infection control plan that integrates clinic-specific work practice controls is:
Answer A Employee exposure classification Answer B Plan for annual training and records for training Answer C Plan for accidents and accidental exposure follow-up Answer D Implementation Protocols |
C
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Question 5: The MSDS refers to:
Answer A an informational document that outlines hazards associated with chemical products Answer B a package insert accompanying chemical products that outlines instructions for use Answer C a document that specifies expiration dates of chemicals Answer D a grading system established by the EPA |
A
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Question 6: Profession specific procedures designed to reduce the likelihood of cross-contamination are called:
Answer A standard precautions Answer B work practice controls Answer C training plans Answer D emergency procedures |
B
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Question 7: Hands must be washed:
Answer A immediately after glove removal Answer B during initiation of patient appointment Answer C at any time the clinician feels it necessary Answer D all of the above |
D
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Question 8: Critical instruments must eventually be:
Answer A cleaned Answer B disinfected Answer C sterilized Answer D disposed of |
C
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Question 9: An EPA approved sterilant must contain concentrations of the active ingredient:
Answer A 2% glutaraldehuyde or 7.5% hydrogen peroxide Answer B 2% hydrogen peroxide or 7.5% glutaraldehyde Answer C 7.5% glutaraldehyde or 7.5% hydrogen peroxide Answer D 2% glutaraldehyde or 2% hydrogen peroxide |
A
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Answer A 20 minutes
Answer B 6 hours Answer C 10 hours Answer D Depends on the active ingredients of the cold sterilant |
D
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venting
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up vent size= down low fq and up high fq
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side branch venting
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side vent=up high fq
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occlusion effect
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bone only
250 Hz=20 dB 500 Hz=15 dB 1000 Hz=5 dB |
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Gutherie Mackersie Method
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WRS presentation level
based off 2 kHz if normal hearing use about 50 dB HL (conversational speech level of about 65 dB SPL) <50dB HL=25 dB SL 50-55 dB HL=20 dB SL 60-65 dB HL=15 dB SL 70-75 dB HL=10 dB SL |
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CONTA means always:
CONTRA on otoflex means: CONTRA on tympstar means: |
CONTA R means always: stimR
CONTRA R on otoflex: stimR CONTRA R on tympstar: probeR |
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probe tube lengths
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<12 mo=15 mm
1-5 years=20 mm >5 years=25-28 mm |