Phone: 307-721-6212
Otoscopy
Immittance Screening
Otoacoustic Emissions
Pure Tone Screening
Audition / Hearing and Learning
Auditory Skill Development
Otoacoustic Emission (OAE) Screening
Learn how to screen a child’s hearing using OAE.
Immittance Pre-Quiz
Before watching the training videos, please take a few moments to complete the pre-quiz. These questions will help assess your familiarity with the topics.
Step 1 of 6
16%
Continuing Education Credit
STARS - 1.5 credit hour
Thank you for participating in the Immittance Training course. If you are registered to receive Continuing Education Units (CEUs), you must complete the post-quiz to attain your certification for this course from the Wyoming EHDI program. A grade of 90% or better will be considered passing. Otherwise, you are welcome to view the video and take the quizzes, but you will not receive credit for doing so.
STARS ID # (if applicable):
*
Name
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Alabama
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-- Please Choose One --
Administrator
Classroom Teacher at Early Intervention Center
Early Childhood Specialist
Early Childhood Special Education Teacher
Family Service Coordinator
Hearing Screening Technician
Nurse - School
Nurse - Public Health Nurse
Nurse - Hospital Nursery
Nurse - Physician’s Office
Nurse - Other
Occupational Therapist
Paraprofessional
Parent
Sign Language Interpreter
Speech Language Pathologist Assistant
Speech Language Pathologist
Teacher of the Deaf and Hard of Hearing
University/College Professor
Vision Screening Technician
Other
Job Title - Other
Employment Setting
*
-- Please Choose One --
Child Development Center
Government Agency
Head Start
Home
Hospital
Physicians Office
Private Business Owner
School District
University/College
Other
Immittance Quiz Introduction
These questions will help assess your familiarity with ear anatomy and the journey of sound.
Immittance equipment currently in Wyoming's Child Development Centers is appropriate for use with children:
9 months of age or older
3 months of age or older
3 years of age or older
What does immittance screen?
The status of the cochlea
The status of the Auditory Pathway
The status of the middle ear system
Immittance screening can also provide information regarding:
Vision
Impacted ear wax, perforated eardrums, and P.E. tubes
Hair cells in the cochlea
True or False: Immittance also screens for hearing acuity.
True
False
True or False: A person with profound, bilateral sensorineural hearing loss can pass immittance screening.
True
False
The Eustachian Tube and Air Pressure in the Middle Ear
These questions will help assess your familiarity with the eustachian tube, negative middle ear pressure, P.E. tubes, additional conditions or circumstances that may affect immittance screening results, occlusion, and perforations of the eardrum.
The job of the Eustachian tube is to:
Regulate the inner ear
Ventilate the middle ear cavity and equalize air pressure in the middle ear cavity so that it is equal to that of the environment in which a person is found
Divert sound energy
Negative middle ear pressure can cause:
The eardrum to be pushed outward, into the ear canal.
The Ossicles to crumple in upon themselves.
The eardrum to be pulled inward, away from its natural or more "neutral" position.
If negative middle ear pressure in the middle ear cavity continues for a period of time, what may be eventually drawn from the mucosal lining as a result?
More oxygen
Hair cells
Fluid
The accumulation of fluid in the middle ear space is called:
Occlusion
Effusion
Ossicular Flooding
True or False: A physician determines if fluid and/or infection is present, not the screener.
True
False
Understanding Immittance Screening
These questions will help assess your familiarity with immittance screening, otoscopy, probe tip fit, and tips for obtaining and maintaining a good seal.
True or False: Immittance screening requires a response from the child and background noise will affect the screening results.
True
False
True or False: If screening an infant or toddler, you may want them to sit on a familiar lap.
True
False
It is recommended that you:
Not ask the child for permission to begin immittance screening.
Ask the child for permission to begin immittance screening.
Inform the child the immittance screening will not hurt before beginning the screening.
Otoscopy refers to what?
A field of specialty within the practice of audiology.
Visually inspecting the ear canal, its size and direction, and the eardrum with an otoscope.
A surgical procedure.
If a foreign object or drainage is visualized during otoscopy:
Note the findings and proceed with the screening.
Do not proceed with the screening and make a referral to the child's primary care physician.
Tell the child to clean out his or her ears.
Understanding Immittance Screening Results: Tympanometry and Acoustic Reflexes
These questions will help assess your familiarity with how immittance results are derived, tympanometry and tympanograms, ear canal volume, middle ear pressure, tympanic membrane compliance, and acoustic reflexes.
Immittance screening equipment may also help determine ______________.
If any fluid in the middle ear is infected; if the inner ear is functioning properly.
If the eardrum is present; if all three Ossicles are in the correct place; if the auditory cortex is functioning properly.
If wax is occluding the ear canal; if there is a perforation of the eardrum; if ventilation tubes are working properly.
True or False: Understanding the relationship between Ear Canal Volume, Tympanic Membrane Compliance, and Middle Ear Pressure will be critical to understand immittance results.
True
False
A large Ear Canal Volume may reflect:
A perforation of the eardrum or an open P.E. tube.
That the eardrum is missing.
An abnormally large ear canal.
True or False: Values for both Middle Ear Pressure and Tympanic Membrane Compliance do not rely upon movement of the Tympanic Membrane.
True
False
True or False: For tympanograms with very low Tympanic Membrane Compliance (0.1ml or less) the absence or presence of the acoustic reflex is used to determine if the results are a pass or a refer.
True
False
Immittance Pass/Fail Criteria and Wyoming Developmental Screening Include Hearing Screening
These questions will help assess your familiarity with immittance pass/fail criteria.
Which of the following are the three components of a developmentally appropriate hearing screening for Wyoming children (ages 1-5)?
Otoscopy, Pure Tones or Otoacoustic Emissions (OAEs), Immittance
Otoscopy, Pure Tones, Otoacoustic Emissions (OAEs)
Otoscopy, Noise Makers, Immittance
Which of the following will not cause an ear canal volume to be large?
An open Pressure Equalization (P.E.) Tube
Impacted Ear Wax
A perforated eardrum
What is the acceptable range for Middle Ear Pressure to be considered a pass for Immittance screening?
+100 daPa to -250 daPa
-250 daPa to -400 daPa
+200 daPa to +100 daPa
True or False: When conducting a hearing rescreen, you only need to conduct the hearing screening component(s) that were failed.
True
False
True or False: When conducting a hearing rescreen, you only need to rescreen the ear that did not pass the previous screening(s).
True
False
True or False: If a child fails immittance and passes Pure Tones or Otoacoustic Emissions (OAEs) on two separate screenings, it is appropriate to make a medical referral.
True
False
True or False: If a child fails immittance and passes Pure Tones or Otoacoustic Emissions (OAEs) on two separate screenings, it is appropriate to make an audiological referral.
True
False
Which of the following ventilates the middle ear space and equalizes middle ear pressure?
The Ear Canal
The Eustachian Tube
The Tympanic Membrane
Another name for the ear drum is _______________.
The Cochlea
The Ear Barrier
The Tympanic Membrane
"TMC" stands for what?
Tympanic Motion Condition
Tympanic Membrane Compliance
The Mechanical Component
×
Immittance Post-Quiz
After watching the training videos, please take a few moments to complete this quiz. These questions will help assess your familiarity with the topics after the training.
Step 1 of 6
16%
Continuing Education Credit
STARS - 1.5 credit hour
Thank you for participating in the Immittance Training course. If you are registered to receive Continuing Education Units (CEUs), you must complete the post-quiz to attain your certification for this course from the Wyoming EHDI program. A grade of 90% or better will be considered passing. Otherwise you are welcome to view the video and take the quizzes but you will not receive credit for doing so.
STARS ID # (if applicable):
*
Name
First
Last
Email
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Job Title
*
-- Please Choose One --
Administrator
Classroom Teacher at Early Intervention Center
Early Childhood Specialist
Early Childhood Special Education Teacher
Family Service Coordinator
Hearing Screening Technician
Nurse - School
Nurse - Public Health Nurse
Nurse - Hospital Nursery
Nurse - Physician’s Office
Nurse - Other
Occupational Therapist
Paraprofessional
Parent
Sign Language Interpreter
Speech Language Pathologist Assistant
Speech Language Pathologist
Teacher of the Deaf and Hard of Hearing
University/College Professor
Vision Screening Technician
Other
Job Title - Other
*
Employment Setting
*
-- Please Choose One --
Child Development Center
Government Agency
Head Start
Home
Hospital
Physicians Office
Private Business
School District
University/College
Other
Immittance Quiz Introduction
These questions will help assess your familiarity with ear anatomy and the journey of sound.
Immittance equipment currently in Wyoming's Child Development Centers is appropriate for use with children:
9 months of age or older
3 months of age or older
3 years of age or older
What does immittance screen?
The status of the cochlea
The status of the Auditory Pathway
The status of the middle ear system
Immittance screening can also provide information regarding:
Vision
Impacted ear wax, perforated eardrums, and P.E. tubes
Hair cells in the cochlea
True or False: Immittance also screens for hearing acuity.
True
False
True or False: A person with profound, bilateral sensorineural hearing loss can pass immittance screening.
True
False
The Eustachian Tube & Air Pressure in the Middle Ear
These questions will help assess your familiarity with the eustachian tube, negative middle ear pressure, P.E. tubes, additional conditions or circumstances that may affect immittance screening results, occlusion, and perforations of the eardrum.
The job of the Eustachian tube is to:
Regulate the inner ear
Ventilate the middle ear cavity and equalize air pressure in the middle ear cavity so that it is equal to that of the environment in which a person is found
Divert sound energy
Negative middle ear pressure can cause:
The eardrum to be pushed outward, into the ear canal.
The Ossicles to crumple in upon themselves.
The eardrum to be pulled inward, away from its natural or more "neutral" position.
If negative middle ear pressure in the middle ear cavity continues for a period of time, what may be eventually drawn from the mucosal lining as a result?
More oxygen
Hair cells
Fluid
The accumulation of fluid in the middle ear space is called:
Occlusion
Effusion
Ossicular Flooding
True or False: A physician determines if fluid and/or infection is present, not the screener.
True
False
Understanding Immittance Screening
These questions will help assess your familiarity with immittance screening, otoscopy, probe tip fit, and tips for obtaining and maintaining a good seal.
True or False: Immittance screening requires a response from the child and background noise will affect the screening results.
True
False
True or False: If screening an infant or toddler, you may want them to sit on a familiar lap.
True
False
It is recommended that you:
Not ask the child for permission to begin immittance screening.
Ask the child for permission to begin immittance screening.
Inform the child the immittance screening will not hurt before beginning the screening.
Otoscopy refers to what?
A field of specialty within the practice of audiology.
Visually inspecting the ear canal, its size and direction, and the eardrum with an otoscope.
A surgical procedure.
If a foreign object or drainage is visualized during otoscopy:
Note the findings and proceed with the screening.
Do not proceed with the screening and make a referral to the child's primary care physician.
Tell the child to clean out his or her ears.
Understanding Immittance Screening Results: Tympanometry & Acoustic Reflexes
These questions will help assess your familiarity with how immittance results are derived, tympanometry and tympanograms, ear canal volume, middle ear pressure, tympanic membrane compliance, and acoustic reflexes.
Immittance screening equipment may also help determine ______________.
If any fluid in the middle ear is infected; if the inner ear is functioning properly.
If the eardrum is present; if all three Ossicles are in the correct place; if the auditory cortex is functioning properly.
If wax is occluding the ear canal; if there is a perforation of the eardrum; if ventilation tubes are working properly.
True or False: Understanding the relationship between Ear Canal Volume, Tympanic Membrane Compliance, and Middle Ear Pressure will be critical to understand immittance results.
True
False
A large Ear Canal Volume may reflect:
A perforation of the eardrum or an open P.E. tube.
That the eardrum is missing.
An abnormally large ear canal.
True or False: Values for both Middle Ear Pressure and Tympanic Membrane Compliance do not rely upon movement of the Tympanic Membrane.
True
False
True or False: For tympanograms with very low Tympanic Membrane Compliance (0.1ml or less) the absence or presence of the acoustic reflex is used to determine if the results are a pass or a refer.
True
False
Immittance Pass/Fail Criteria & Wyoming Developmental Screening Include Hearing Screening
These questions will help assess your familiarity with immittance pass/fail criteria.
Which of the following are the three components of a developmentally appropriate hearing screening for Wyoming children (ages 1-5)?
Otoscopy, Pure Tones or Otoacoustic Emissions (OAEs), Immittance
Otoscopy, Pure Tones, Otoacoustic Emissions (OAEs)
Otoscopy, Noise Makers, Immittance
Which of the following will not cause an ear canal volume to be large?
An open Pressure Equalization (P.E.) Tube
Impacted Ear Wax
A perforated eardrum
What is the acceptable range for Middle Ear Pressure to be considered a pass for Immittance screening?
+100 daPa to -250 daPa
-250 daPa to -400 daPa
+200 daPa to +100 daPa
True or False: When conducting a hearing rescreen, you only need to conduct the hearing screening component(s) that were failed.
True
False
True or False: When conducting a hearing rescreen, you only need to rescreen the ear that did not pass the previous screening(s).
True
False
True or False: If a child fails immittance and passes Pure Tones or Otoacoustic Emissions (OAEs) on two separate screenings, it is appropriate to make a medical referral.
True
False
True or False: If a child fails immittance and passes Pure Tones or Otoacoustic Emissions (OAEs) on two separate screenings, it is appropriate to make an audiological referral.
True
False
Which of the following ventilates the middle ear space and equalizes middle ear pressure?
The Ear Canal
The Eustachian Tube
The Tympanic Membrane
Another name for the ear drum is _______________.
The Cochlea
The Ear Barrier
The Tympanic Membrane
"TMC" stands for what?
Tympanic Motion Condition
Tympanic Membrane Compliance
The Mechanical Component
×