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A 54-year-old male patient/client with normal hearing through 1KHz followed by a precipitous
drop in thresholds would do best with
a. Non-occluding earmolds
b. Skeleton earmolds with select-a-vent
c. ITC instruments
d. A compression circuit - ✔✔a
Impacted cerumen
a. Will not interfere with impression taking
b. Should be surgically removed
c. Will have little effect on audiometric tests
d. Should be removed prior to audiometric evaluation - ✔✔d
Your patient/client has a very soft, flaccid outer ear. Due to the shape of the pinna it is
recommended h have a skeleton ear mold made. What earmold material would work best
for his ear texture, AND what anatomical sections of the outer ear must be included in the
ear impression in order for the skeleton m to be a success?
a. Acrylic material; antitragus, concha bowl, triangular fossa
b. Silicone material; concha bowl, antitragus, helix
c. Acrylic material; antitragus, concha bowl, antihelix
Your patient/client is concerned that when their hearing aids are off during the night they will
not hear alarm clock in the morning. What are two assistive devices that could help them?
a. Alarm clock with bed shaker
b. Alarm clock with high frequency alarm signal
c. Sound signaler that activates bedside lamp to
flash d. Telephone wake-up call - ✔✔A & C
You are performing a first fit with a BTE and custom earmold with SAV venting. Although
you have run your feedback manager they are still getting a lot of feedback. You do not
want to them to lose any mo gain in the high frequencies. What should you do?
A. Make a new earmold as it must be a poor fit issue
B. Tell them that their hearing aid is just going to feedback
C. Use vent plugs to reduce the vent size until feedback is reduced
D. Fill their vent with glue so that they do not get feedback - ✔✔C
What type of earmold should you use when fitting a CROS hearing device?
A. full shell
b. half shell
c. free field
c. full shell with SAV venting - ✔✔c
Endolymph can be found in which part of the cochlea?
a. scala vestibuli
,b. scala media
c. scala tympani
d. all chambers of the cochlea - ✔✔b
Which size of venting would be most appropriate for a patient client with thresholds from
250-1K Hz between 0 to 25 dB HL?
a. IROS
b. Small
c. Medium
d. Pressure Vent - ✔✔a
Which of the following causes of feedback might you need to send the HA in for repair?
a. Tubing is cracked or split
b. Earhook is split
c. Vent is too large
d. Microphone is loose within the BTE case - ✔✔d
Your client reports difficulty hearing words like sip/tip/ship but can hear words
like door/floor/more easier. What type of hearing loss would this indicate?
a. hearing loss in the low frequencies
b. hearing loss in the mid frequencies
c. hearing loss in the high frequencies
d. hearing loss cannot be determined from this - ✔✔c
Narrow band noise is
, a. Actually a variation of brown noise
b. Produced by selective warble pulses
c. Considered more effective for pure tone masking
d. Considered more effective for speech masking - ✔✔c
While speech discrimination in a moderate conductive hearing loss is generally
excellent, discriminatio a moderate sensorineural loss can best be described as
a. Excellent
b. Good
c. Fair to good
d. Poor - ✔✔c
Your patient/client has been referred to you by his ENT physician to obtain amplification. He
recently experienced a sudden sensorineural hearing loss in his right ear and has 8% WRS in
that ear. His left ear has a mild to moderate sensorineural hearing loss from 1-8K Hz, with
normal hearing in the low frequencies and has 84% WRS. What type of hearing aid would
you recommend for him based on his hearing loss?
a. A high power BTE for the right ear with a full shell earmold; no hearing aid for the left ear
b. A high power BTE for the right ear with a full shell earmold; an open fit BTE for the left ear
c. A CROS open fit hearing
d. A BiCROS open fit hearing aid - ✔✔d
TYMPANOGRAM - ✔✔SEE BOOK
Inter-octaves should be tested when there is a
A. 5-10 dB HL difference between adjoining octaves
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