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53 Cards in this Set

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Batteries
degree of hearing loss
normal=0-15 dB HL
slight=15-25
mild=26-40
moderate=41-55
moderate-servere=56-70
severe=70-90
profound=90+
ANSI standards
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%
ICD-9 codes
international classification of diseases. 9th revision
ICD-9 codes by
World Heath Organiation
ICD-9-CM
clinically modified for use in the US
not developed by WHO
Disease and Diag codes: pt signs/symptoms pt complaints, outcomes of procedure results
#s in ICD-9 codes
5 digit for more specificity
ICD-9 hearing loss
389
ICD-9 sensory HL bilteral
389.11
ICD-9 neural hearing loss bilateral
389.12
V codes
secondary diag code
do not describe disease but rater affects pt care
CPT codes
current procedural terminology
-refelects what you perform
-mechanisim for billing and tracking
who owns CPT codes
American Medical association
basic comprehensive audiometry
92557
HCPCS codes
healthcare common procedure coding system
who developed HCPCS
center for medicare and medicaid management system
what HCPCS codes does audio,ogg use
level II
examples of audiology HCPCS
monaral vs.binaural=
batteries=V5266
what must each invoice include
ICD-9-CM
S
O
A
P
S=subjective
O=objective
A=assessment
P=plan
practice a SOAP
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.
BTE hearing aid
receiver in the HA
standard earhook
standard tubing
custom made earmold
RITE HA general
receiver in the canal vs. the HA
open or closed dome
range of closed dome
full range
range of open dome
restricted dome
gain across frequencies: closed vs ear mold vs. slim tube
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
Verifit settings for BTE or RITE
BTE=choose BTE
RITE with open dome/open HA=choose open--->equalize sound filed (turns off reference mic)
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Question 8: Critical instruments must eventually be:
Answer A cleaned
Answer B disinfected
Answer C sterilized
Answer D disposed of
C
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
Answer A 20 minutes
Answer B 6 hours
Answer C 10 hours
Answer D Depends on the active ingredients of the cold sterilant
D
venting
up vent size= down low fq and up high fq
side branch venting
side vent=up high fq
occlusion effect
bone only
250 Hz=20 dB
500 Hz=15 dB
1000 Hz=5 dB
Gutherie Mackersie Method
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
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
probe tube lengths
<12 mo=15 mm
1-5 years=20 mm
>5 years=25-28 mm