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Scientific study of hearing |
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Perception of sounds by the ear |
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Oscillation of molecules through medium with elastic forces |
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Study of the physical properties of sound |
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Measurement of hearing with calibrated signals |
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What is the most important test in audiology? |
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abnormality of either or both structure and function in the auditory system |
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disorders that do not have a specific underlying cause |
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transmitted by a genetic code that child inherits from parent |
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occurring before the development of speech and language |
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occurring after the development of speech and language |
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What are 4 types of interview? |
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Definition
1. Informal conversation 2. Interview guide 3. Standardized open-ended (case hx) 4. Closed quantitative |
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Things to know about an informal conversation |
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Definition
1. Questions and answers unprepared 2. Most difficult form to master 3. Creates rapport with client |
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Things to know about an interview guide |
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1. Questions prepared 2. Answers unprepared 3. Good qualitative data |
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Things to know about standardized open-ended |
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Definition
1. Questions predetermined 2. Answers unprepared 3. Doesn't leave out critical areas 4. Clients may feel unimportant areas are a waste of time |
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Things to know about closed quantitative |
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Definition
1. Questions and answers prepared 2. Quantifies progress, collects group data 3. Can be used for spousal/familial reflection 4. Ares covered may not be important to client |
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Areas that may be important to ask about in adult interviews |
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Definition
1. Family 2. Work 3. Health 4. Social life |
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Areas that may be important to ask about in child/parent interviews |
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Definition
1. Family 2. School 3. Pregnancy hx 4. Health (ear infections, allergies, etc.) |
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What are the 6 types of questions used during a client interview? |
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Definition
1. Behavioral 2. Opinion/Value 3. Feeling 4. Knowledge 5. Sensory 6. Demographic |
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Type of question concerning "actions taken when confronted with a problem" |
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Type of question concerning "age or D.O.B." |
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Type of question concerning "what a client knows already" |
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Type of question concerning "emotional affection/effect" |
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Type of question concerning "the ability to use sense to explain situation" |
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Type of question concerning "how important something is to client" |
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Prefacing a difficult conversation (e.g. "I know this is hard to talk about, but..." |
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Making an assumption the client may have experienced or thought about a situation before (e.g. "I've heard this before...how do you feel about it?") |
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Transition from one idea to another (e.g. "We've talked about Y, let's talk about Z...") |
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What does the x-axis on an audiogram define? |
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What does the y-axis on the audiogram define? |
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The HL that a person responds to a tone that's just barely heard at least 50% of the time |
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Frequency range of a normal audiogram |
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What inter-octaves are most commonly used? |
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Definition
1.5KHz, 3KHz, and 6KHz. 750Hz, rarely |
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What is the criteria for testing inter-octaves? |
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Definition
Test inter-octaves when there is a AC gap of 20+dB between octaves; do not test inter-octaves on BC |
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What frequencies are tested with BC? |
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Definition
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What are the four types of transducers used in testing? |
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Definition
1. Supra-aural earphones 2. Circum-aural earphones 3. Inserts 4. BC virbators |
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What is the other term used for "threshold"? |
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What is the term to describe "under the threshold"? |
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What type of measurement is SPL? |
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What type of measurement is HL? |
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Definition
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What type of measurement is SL? |
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Psycho-physical (individual) |
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What does 0dB HL respresent? |
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The average threshold for a group of young adults with supposedly good hearing and with no history of problems |
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How much above or below the individual's threshold a sound is presented |
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When doing a physical calibration, what HL do you set the attenuator? |
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When looking at a correction chart while doing SCREENING, what do you need to take into consideration that you normally wouldn't need to? |
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Definition
Change the sign of the corrected number |
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What colors do you use to record RE and LE data, respectively? |
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Definition
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What symbol represents LE AC UM? |
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Definition
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What symbol represents RE AC UM? |
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Definition
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What symbol represents RE AC MASKED? |
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Definition
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What symbol represents LE AC MASKED? |
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Definition
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What symbol represents RE BC UM? |
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Definition
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What symbol represents LE BC UM? |
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Definition
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What symbol represents RE BC MASKED? |
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Definition
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What symbol represents LE BC MASKED? |
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Definition
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T/F? Unmasked trumps masked? |
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With BC, what are the upper limits for dB HL testing? |
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Definition
250Hz: 40dB HL 500Hz-4KHz: 70db HL |
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What 2 major frequencies do you not test with BC? |
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Of the three procedures for pure-tone testing, which do we use? |
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Definition
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What particular ascending procedure do we use for testing? |
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What is the rule for obtaining thresholds in pure-tone testing? |
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Definition
Must have at least 2 responses at a certain intensity by ascending. |
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What frequencies are used to obtain a PTA-3? |
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Definition
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What frequencies are used to obtain a PTA-2? |
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Definition
The best two frequencies from a PTA-3 |
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Once a PTA number is obtained, what do we compare this to? |
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If the SRT>PTA, what might be the cause? |
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how softly a person can hear a sound |
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Severity/degrees based on dB HL |
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Definition
Normal (< OR =15) Slight (16-25) Mild (26-40) Moderate (41-55) Moderately Severe (56-70) Severe (71-90) Profound (91+) |
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Criteria for a sensorineural loss? |
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Definition
AC & BC are both outside of normal, but no significant ABGs |
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Criteria for a mixed loss? |
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Definition
AC & BC are both outside of normal with significant ABGs |
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Criteria for a conductive loss? |
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Definition
AC is out of normal, BC is normal--will have ABGs |
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Why won't BC be worse than AC in testing? |
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Definition
AC has to travel the whole ear and would pick up the damage of the inner ear or VIII CN |
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Term
Structures affected by a conductive loss |
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Definition
outer ear OR middle ear OR both |
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Structures affected by a sensorineural loss |
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Definition
inner ear OR VIII cranial nerve OR both |
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Structure affected by a mixed loss |
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Definition
outer ear OR middle ear OR both AND inner ear OR VIII cranial nerve OR both |
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What structures are part of the central auditory system? |
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Auditory pathways and structures within the brain |
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What does "relatively flat" mean when referring to an audiogram? |
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Definition
thresholds across frequencies that are within 20dB of each other. |
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What does "precipitous" mean when referring to an audiogram? |
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Definition
A drop of 40dB or more between major frequencies |
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Where do "notches" in an audiogram typically occur? |
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Definition
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Ultra-audiometric frequency |
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Definition
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Term
1.5 Channel/Pseudo 2 Channel |
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Definition
1 channel that can present 2 signals |
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2 parts of biological calibration |
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Definition
1. Visual inspection 2. Listening check |
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What are the steps for the listening check during a biological calibration? |
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Definition
1. Find threshold at 1000Hz 2. Move intensity up to check for issues 3. Move to 40dB and move across frequencies to check for issues 4. Switch to other phone and retest, but no need to check frequencies |
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Controls electrical supply of the audiometer |
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Turns test tones on and off |
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Includes frequencies from 125Hz+ and produced by a circuit called a pure-tone oscillator |
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Allows test tone to be presented as continuous or pulsing at regular intervals |
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Controls the intensity of the test signal |
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Directs the signal to the transducer of choice |
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Which is normally greater than the other? SPL or HL? |
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Pressure exerted by what may cause collapsed ear canals? |
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Definition
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Collapsed ear canals may give a false impression of what testing result? |
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Definition
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A BC vibrator may be place on what two areas of the head? |
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Definition
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What sort of things should a tester look for that may affect proper placement of a BC vibrator? |
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Definition
1. oily skin 2. hair under the BC vibrator 3. odd-shaped or small mastoid |
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The BC vibrator is held in place by what? |
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Definition
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This phenomenon occurs when a stronger signal reaches the cochlea when BC signals are presented with ears occluded |
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Definition
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What are some things to do before testing a client? |
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Definition
1. Interview 2. Observe client |
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What are some things to do before touching a client? |
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Definition
1. Assess for any structural abnormalities 2. Perform otoscopic observation and modify testing as needed |
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Pros of a client facing away from you during testing |
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Definition
1. May see tester's behavior 2. Reflections of indicator lamps 3. |
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Cons of a client facing away from you during testing |
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Definition
1. Not able to notice testee's subtle behavior 2. Less accurate responses during verbal testing |
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In what order do you test AC? |
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Definition
1-8KHz, retest 1KHz, 500Hz, and 250Hz |
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When retesting AC at 1KHz, we can expected the new threshold to be within how much of the initial threshold? |
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Definition
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Responding when there was not stimuli |
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Failure to respond when response should have occurred |
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When using numerical audiograms, how should one label a "no response"? |
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The distance covered by one octave on the audiogram must be equal to the distance covered by how many dB? |
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Definition
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What dB values may be shown to represent an insignificant ABG? |
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Definition
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What dB values may be shown to represent a significant ABG? |
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You do not need to make corrections to a frequency on the audiometer if it is within what range? |
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At what frequency do standing waves typically occur? |
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What is a tactile response? What symbol is used on the audiogram to show this? |
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Definition
The response happens during BC when a client feels but doesn't hear the signal. Represent this with a "T" next to the appropriate <,>,[, or ] symbol |
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