Final Test 3

One of the ways to remove cholesteatoma from the tympanic membrane would be:

Inflammation of the inner ear can be called

One of the ways to have a high frequency hearing loss is to have:

The exam that has your patient recognizing signals as speech is called:

Tone decay exam is used in what following manner:

Before each exam it is best to do a biological calibration in which of the following:

You may want to perform a new hearing exam on your patient when:

Placing the head phone on the NTE is the best way to:

Diabetes will cause:

When a patient has had fenestration one of the things that you have to be aware of is:

A person with at least some degree of sensorineural hearing loss would be at what dB:

Mr. Smith comes into your office and says that he just started to get tinnitus.
During your taking of his history you found out that one of the following has changed in his life that may be the cause:

Mary, a long time patient comes into your office and says that her right ear has been hurting for the past few days and wants you to take a look. When you look into her right ear you notice that she has a very red swollen canal and some whitish growth. What would you do:
1) tell her that she has external otitis and refer her to a doctor
2) refer her to a doctor
3) tell her to not use her hearing instrument until her doctor has the problem under control
4) clean her ear out for her and modify the shell of her hearing instrument so that it will fit now

90 dB is used with which of the following:
1) harmonic distortion
2) HFA
3) MPO
4) UCL

The SSPL-90 curve is run using which of the following frequency ranges:

You should refer your patient to his doctor if he has which of the following conditions:

Your patient’s doctor referred him to you and asked for you to do a complete hearing exam. During the exam you find that he needs to be fit with hearing instruments, what is your next step?

What would be the best company to deal with when you need help with your business, marketing, sales and overall training?

Which of the following are real ear measurements:
1) REIG
2) REAR
3) REUR
4) REIR

Which of the following are prescriptions used to be fit hearing instruments:
1) NAL and NAL-R
2) POGO I and POGO II
3) 1/3, 1/2 and Fig 6
4) BBS

A condition that could create a hearing problem by restricting the conversion of acoustical to mechanical could be:
1) acoustic neuroma
2) cholesteatoma
3) otosclerosis
4) labyrinthitis

Exam to indicate retro cochlear pathway problems would be:

A patient picks up a recently repaired aid and comes back in two days saying it is not the same aid he gave you to be repaired. What would be your best step:
1) show him your bill from the manufacturer
2) check the serial number and warranty card to verify
3) check repair authorization form
4) call manufacturer and complain

If a patient has a stopped up ear and the canals appear normal and clear, what type of tympanogram would you have:

If the hearing instrument is found to be with in the manufacturer requirements and your patient has a complaint of a stopped up feeling, (she recently had a head cold). Which of the following would give you more information about the complaint:

A patient comes in saying their hearing instrument is whistling all the time. What do you do to check the aid:

If you have a patient with a fit problem what type of things would you look for:

When doing otoscopic exams for ear impressions you must look for:

When using real ear measurement you will be able to see what frequency change when you change the vent size:

At what point would you deal with limitations of amplification and expectations of hearing instruments:

Which condition will have some effect on real ear measurements:
1) age of patient
2) physical shape and condition of canal
3) canal diameter
4) ossicular discontinuity

2cc conversion from real ear measurement is used for:

An advantage of real ear is:
1) you can see if your patient will meet target gain
2) you can see if your patient will have trouble with certain sounds
3) you can see if your patient will have an occlusion effect
4) you can see what effect changing the vent will do to the performance

One of the things that real ear can not do for you is:

Real ear can be used as:

One of the following would be associated with a unilateral hearing loss:

Acoustic neuroma maybe found by which exams:

Which type of audiometric exam should be used with the pure tone exam to give a better evaluation:

If you were to do speech exam with a score of 40% at 40 dB above SRT, the patient would have scored how many PB words correctly:

With otosclerosis you would have:

One of the factors associated with a unilateral hearing loss would be:

One of the main audiometric procedures used to help evaluate hearing loss in conjunction with pure tone exams would be:

What would be semi-translucent pearly gray:

Making sure that you maintain the VU meter at presentation peak you would be performing which type of exam:

Excessive use of aspirin will cause:

Counseling by the hearing care professional will help to:

When masking the non-test ear, you would be doing with type of exam:

40 dB is:

4000 Hz is the most important in:

5 milliseconds is considered:

Will not pick up conversation well can be said of:

A hearing loss that is hereditary in origin would be:

A patient who would have nausea that can have vertigo associated with it:
1) the cochlea or vestibular part of the inner ear
2) Meniere’s syndrome
3) endolymphatic or paralymphatic hydrops
4) labyrinthitis

To reduce acoustical or mechanical leakage/feedback:

The place at where the patient wears his/her hearing instrument to function with their hearing loss would be:

A patient that has lower discrimination in all types of environments or settings
would have:

If your patient is having trouble getting sound vibrations from the stapes through
the oval window to the cochlear, what would they have:

If your patient tells you that they have tinnitus you would consider this:

Atresia would be:

Otosclerosis would be:

Patient is complaining of having equalization middle ear problem, what would be
the method(s): used to help:

Outcome measurement(s) can be used to find out why a patient is having
troubles. Outcome measurement would be considered:
1) aided minus unaided speech discrimination
2) sound field or free field speech discrimination using HINT exam
3) real ear measurement function
4) In-Situ and MCL/UCL audiometry

To help in finding a site lesion we could use:
1) comparison of discrimination scores between ears
2) tone decay
3) reflex
4) PI-PB rollover

When you examine your patients hearing instrument you find that it has a 2.5K
to 3K frequency peak. Which type of amplifier would you expect to find:

In using real ear measurement to try and estimate word discrimination would give you an:

Biological examination of a hearing instrument would give you:

PI-PB rollover would show up as:

Programmable / digital hearing aids give you:

Compression circuits should be used for:

Real ear measurements would give you:

Sounds that are made by the tongue, lips and teeth are called:

When doing counseling of any patient on the use of their new hearing instrument it is best to go over its proper use:

By using real ear measurement it will give you the:

When a new patient comes into your office one of the new problems that may arise is:

Family members should be part of the counseling for:

When dealing with your patients own doctor, immediate family or another hearing
health care professional, patient records should be accessible only with:

Your equipment needs to be biologically calibrated:

A new patient calls your office to set an appointment. During the conversation they let you know they have a hepatitis infection. Your best means to protect yourself would be:

Bill comes into your office complaining about not being able to hear at the table during dinner, but can hear people across the room. He also complains his voice sounds like he is in a barrel.
1) shorten the canal
2) add more gain at peak frequencies
3) raise knee point and give less compression
4) lengthen canal

Bob, a long time patient walks into your office. He has been wearing the same body aid for the last 15 years. He tells you that he has been having trouble with an on and off again working hearing instrument with a cackling noise. What would you look at first:

Bob also lets you know that his aid has just started to give him feedback, what
would you look for first:

Making sure the patient’s family also understands the fitting instructions will help
you with:

If your patient had high PI-PB scores what would you not find:

Having staff educated and involved would be necessary:

Martha is in your office and you are going over a wearing schedule. At the same
time you are giving her instructions about battery insertion and removal. you happen to be also telling her how to clean and adjust the units. What part in the hearing experience would this take place:

Feedback in a CIC may be due to:

First thing you would do for feedback for any type of hearing instrument would be:

The author of the NBC-HIS exam thinks the best circuit to order is:

When delivering a repaired hearing instrument you should:

Performing a sound field or free field UCL would help you with finding:

If a patient comes into your office and wants to be fitted with a new hearing
instrument and it has been only 6.5 months since the last exam you should first:

Which on of the following is not a prescriptive method:

Telling the patient about the types of exam you are going to perform and how
you are going to be doing them would help:

Extending the receiver tube past the isthmus will:
1) give more high frequencies
2) give more power
3) help stop feedback
4) help with wax problems

Sometimes ordering two different styles of hearing instruments will help with
what type of patient:

A patient has a severe mixed hearing loss and you are fitting a power BTE hearing aid with a gain of 74 dB and an output of 140 dB. In order to obtain an earmold that would assure the least amount of feedback the most appropriate type for this loss would be:

In ordering an appropriate earmold, which one of the following would be most
useful:

An earmold with a short canal and large vent would be recommended on which
one of the following audiogram types:

Which of the following is NOT a characteristic of a “high frequency mold”:

A damper can:

Which of the following is not a commonly used earmold material:

A __________ earmold is typically used on the “good ear” side in a CROS fitting:

Which one of the following is NOT an earmold acoustical difference option:

Which of the following would be a function of an earmold:

Which of the following would not be a common earmold physical difference
option:

Which of the following would not be considered a non-occluding earmold:

To decrease high frequencies for those persons with rising audiograms, the sound channel of the earmold should be:

A longer canal on an earmold:

With normal hearing up to 2000 Hz, then dropping sharply to 45 dB at 3000 Hz
and 60 dB at 4000 Hz, what earmold style would be the most appropriate in a BTE fitting

If a patient/client has a hearing loss much greater in the higher frequencies, it
would be advised to order an earmold with:

In a non-occluding earmold, the effect on the low frequencies (below 750 Hz)
would be:

Placing an earmold in the ear canal will:

A larger bore diameter through an earmold canal has what effect on frequencies
above 3000 Hz:

What effect does smaller diameter tubing have on frequencies about 3000 Hz:

What effect does a longer canal have on low frequencies below 750 Hz:

A 64dB gain BTE with an output of 124 dB SSPL-90 would use which of the
following types of earmolds:

What is the use for a Libby horn:

Which is a non-occluding earmold:

What is the effect of a larger bore above 3000:

What consideration must be given when otitis media is present? what earmolds
should be used:

Which earmold is used for a high frequency loss:

Why use a short canal:

What is used in the good ear in a CROS fitting:

What is the effect below 750 Hz when a non-occluding earmold is used:

Which is not a HF earmold:

BTE earmold used for normal hearing to 1000 Hz and a ski slope loss at 4000 Hz:

What is the effect of a long canal when used below 750 Hz:

If you have a BTE with an HFA SSPL 90 of 117 dB, Frequency range of 140-5600
Hz an an HFA FOG of 46 dB this would be for a:

Which is used with a high frequency loss:

When fitting a patient with a draining ear you should consider which type of vent:

When fitting a patient with a PTA greater than 70 dB the best type of mold would
be:

When you are fitting a patient that needs a body instrument the best type of
mold would be:

A tube fitting could be used for what type of hearing loss:

A long canal with a medium parallel vent would be used for what type of hearing loss:

If a patient comes into your office with an audiogram showing a sensorineural PTA of 45 dB AD and 70 dB AS a complaining of being dizzy with a 20 percent difference in SDT scores, what would you be looking at:

If a patient comes into your office with an audiogram showing a sensorineural PTA 50 dB AU with a notch at 4000 Hz and reduced SDT scores you would be looking at:

If a patient comes into your office with an audiogram showing a sensorineural
PTA 50 dB AU with a rising/reverse slope, and reduced SDT scores you would be looking at:

If a patient comes into your office with a audiogram showing a sensorineural PTA
50 dB AU with a sloping configuration and reduced SDT scores you would be looking at:

If a patient comes into your office with an audiogram showing a PTA 10 dB AD and 40 dB AS with a gradual sloping configuration, conductive component and normal SDT scores you would be looking at:

If a patient comes into your office with an audiogram showing a PTA 40 dB AU
with a rising/reverse configuration, conductive component and normal SDT scores you would be looking at:

If a patient comes into your office with an audiogram showing a PTA 10 dB AD
and 50 dB AS with a flat configuration and 2K 5 dB peak, sensorineural and reduced SDT scores you would be looking at :

A patient comes into your office complaining of having hearing problems in social situations. After you finish with the hearing test you find that the patient has a sensorineural hearing loss that was caused by occupational noise exposure. Your next course of action would include:

One of the ways to have the hearing instrument response to give a more normal
sound to the patient would be:

If after doing a complete hearing exam you find that your patient has mild
hearing loss AS and has no residual hearing AD; what would be the best type of hearing instrument to fit on your patient:

You just completed a full hearing evaluation. Your patient states that they need a
copy to take with them, you must: