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MANUAL PHYSIOLOGY PRACTICAL - Repository:The Medical ...

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FM/UOJ<br />

Audiometry<br />

Audiometer is an instrument which has several facilities for objective assessment<br />

of hearing ability. It has two types of graded out-puts. One out-put goes to earphones for<br />

testing air conduction. <strong>The</strong> other output goes to a vibrator which can be fitted over the<br />

mastoid process for assessment of bone conduction. <strong>The</strong> instrument can generate pure<br />

tones at selected frequencies which covers the hearing range. Complicated inputs from<br />

tape recorders or conversation are also possible: this facility is not used for routine<br />

testing.<br />

Method:<br />

Seat the subject comfortably and switch on the audiometer. Turn the amplitude<br />

knob to the maximum. Initiate the sounds of pure tones and let the subject to familiarize<br />

with sounds of various frequencies. <strong>The</strong>n explain to the subject that during testing, the<br />

subject will have to indicate as the sound is recognized through the hearing aid.<br />

Reduce the amplitude to the lowest level and fit the earphones. Select the output<br />

to one ear and select the lowest frequency. Switch on the sound generating mechanism<br />

and go on increasing the amplitude slowly. As the subject signals of hearing the sound,<br />

note the amplitude and enter it on the record sheet against that frequency. Repeat the<br />

procedure with the next frequency until all are tested.<br />

<strong>The</strong>n perform the test for the other ear and follow it with test for bone conduction<br />

on both sides. At the end a record of minimum amplitude of the sound heard by the<br />

subject at each frequency by each ear through air and bone conduction is made out.<br />

Exercise: Describe the findings in possible lesions:<br />

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Neurology<br />

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