Audiology Praxis Test Questions and Answers All Correct
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Audiology Praxis
Audiology Praxis Test Questions and Answers All Correct
A patient who has a moderate sensorineural hearing loss also complains of bothersome tinnitus. Which of the following is the most appropriate recommendation for treatment for the patient? - Answer-Fitting the patient with a tinnitus instrume...
Audiology Praxis Test Questions
and Answers All Correct
A patient who has a moderate sensorineural hearing loss also complains of bothersome
tinnitus. Which of the following is the most appropriate recommendation for treatment
for the patient? - Answer-Fitting the patient with a tinnitus instrument. A tinnitus
instrument is a device that combines a tinnitus masker, which will help relieve the
patient from tinnitus, and a hearing aid, which will help with the hearing loss.
An infant who was referred on a first screening for automated auditory brainstem
response testing (AABR) passes on a second screening with DPOAEs before discharge
from the hospital. The parents bring the infant to the clinic because the infant is still not
responding consistently to sound. Which of the following is the audiologist's best next
step? - Answer-Rescreen with an ABR. The child needs a diagnostic evaluation before
being referred out and before meaningful counseling can take place.
An audiologist performing otoscopy on an adult noted that the first ear examined had
obvious evidence of redness, swelling, and moisture. Based on that finding, what is the
best next step for the audiologist to take? - Answer-Changing speculum and checking
other ear. Use of a clean speculum will prevent spreading any infection from one ear to
the other.
A 79-year-old patient who lives alone has returned to the audiologist following a two-
week trial use of new hearing aids. The patient reports trying the hearing aids for the
first couple of days, becoming frustrated, and deciding to return them. Which of the
following is the best way for the audiologist to help the patient deal with frustration and
dissatisfaction? - Answer-Having the patient complete a self-assessment of hearing
difficulties and a questionnaire that asks questions about hearing aid benefits.
The patient's self-assessment of hearing difficulties will provide an audiologist with
information about areas where improvement is needed, and the questionnaire will allow
the patient to see how much benefit the hearing aids are providing.
A 1000 Hz tympanogram is obtained on a 1-month-old infant by an audiologist, who
reports a flat tympanogram. The parents seek a second opinion from another
audiologist, who performs a low-frequency 226 Hz 226 hertztympanogram and reports a
normal tympanogram. The discrepancy in the tympanograms is most likely the result of
- Answer-The decreased reliability of low-frequency tympanograms on infants.
The middle-ear system of an infant is mass dominated with a lower resonant frequency;
thus, a 1000 Hz1000 hertz probe frequency would be more appropriate for detecting
changes in middle-ear function than a 226 Hz 226 hertzprobe tone.
,Which of the following is the most appropriate reason for an audiologist to monitor and
evaluate the vestibular function of a patient who has undergone intravenous gentamicin
treatment? - Answer-The patient exhibits ataxia of gait or stance. Gentamicin is in a
class of antibiotics (aminoglycosides) that are known to cause bilateral vestibular loss
due to ototoxicity. A sign of bilateral vestibular loss is unsteadiness (ataxia) when
standing and walking.
While making an earmold impression for a patient, an audiologist allowed the
impression material to go beyond the cotton block, resulting in trauma to the tympanic
membrane of the patient. The audiologist explained the situation to the patient and
made an appropriate referral for follow-up medical care. Which of the following
statements about the situation is most accurate? - Answer-The audiologist may be
subject to litigation for malpractice. The audiologist should have received appropriate
training for the procedure so that it is always performed correctly. The mistake could be
construed as malpractice.
Which of the following always applies to nystagmus caused by a labyrinthine lesion? -
Answer-It is suppressed by visual fixation. Visual fixation always suppresses nystagmus
caused by a peripheral lesion, such as a labyrinthine lesion.
A patient comes to a clinic complaining of short, intense dizzy spells. An audiologist
suspects that the patient may have benign paroxysmal positional vertigo (BPPV). Which
of the following tests is most appropriate to use to confirm the diagnosis? - Answer-Dix-
Hallpike test
0 dB0 decibels HL is best described by which of the following? - Answer-0 dB0 decibels
HL on an audiometer represents the minimum audible pressure needed at each
frequency for an individual with normal hearing to detect a pure tone. This value varies
with frequency due to the anatomic and physiologic properties of the auditory system.
An audiologist fit a patient with binaural, digital, behind-the-ear hearing aids three weeks
ago. The patient reports that the devices have provided suitable amplification in most
environments but also complains that soft background noise is distracting.
To reduce the adverse noise effect, which of the following is the best adjustment for the
audiologist to make to the hearing aids? - Answer-Enable expansion. Expansion
reduces the gain of low-level ambient sounds.
Individuals with normal hearing sensitivity in one ear and a severe hearing loss in the
other ear experience which of the following? - Answer-For individuals with unilateral
hearing loss, speech intelligibility improves when the ear with better hearing is closer to
the noise source. When this occurs, the signal-to-noise ratio improves in the better ear.
A patient is seen for a vestibular evaluation with the primary complaint of persistent
imbalance for the past six months. The patient reports one severe attack of true rotary
vertigo six months ago and since then fears that another will occur. The patient has
limited many activities because quick head movements increase symptoms.
, Videonystagmography (VNG) results indicate normal saccade, optokinetic, and smooth
pursuit testing. A left-beating nystagmus is observed during gaze testing without
fixation. Post-headshake nystagmus reveals a left-beating nystagmus. No positioning or
positional nystagmus is observed. Bilateral bithermal caloric test results indicate a 50
percent right weakness with no significant directional preponderance.
Based on the preceding information, the patient most likely has which of the following? -
Answer-Videonystagmography (VNG) results normally provide site-of-lesion specific
information to determine the probable side of weakness. In this example, the patient
had a 50 percent right peripheral vestibular weakness, suggesting a peripheral
pathology affecting the right side. The post-headshake left-beating nystagmus suggests
that the lesion is dynamically uncompensated.
Research shows that people wait as long as seven years before they seek hearing
health care services due to the negative stigma associated with hearing loss. Which of
the following is most likely to occur with untreated hearing loss? - Answer-The
consequences of untreated hearing loss include lower signal quality in the brain (leading
to a higher cognitive load), a change in the structure of the brain, social disengagement,
behavior changes, and health issues like dementia, depression, fatigue, and anxiety.
A 65-year-old woman is fitted with her first pair of hearing aids. She and her husband
are attending their first audiologic rehabilitation session about communication
strategies. She states that she struggles to understand what her husband says
"because he uses too many words." Which of the following facilitative strategies would
be the most appropriate to improve the situation? - Answer-Ask the partner to talk in
short phrases and take pauses. She should use a message-tailoring strategy that
teaches her communication partner to use simple syntax and multiple shorter phrases
rather than one longer one.
A patient with new hearing aids complains of difficulty understanding speech in noisy
environments such as restaurants. The audiologist verifies that the cardioid polar plots
with fixed directionality are working appropriately. Which of the following is the most
appropriate action for the audiologist to take when counseling the patient? - Answer-
Counseling patients about where to sit in noisy environments will maximize the
capability of the directionality feature of the hearing aids. Cardioid microphones in
hearing aids pick up sounds with sensitivity from the front and sides but poorly from the
rear. It is therefore best to sit or stand with the back to the noise that is interfering with
hearing and let the sound come from the front or sides.
A 5-year-old child was recently diagnosed with a bilateral, moderately severe
sensorineural hearing loss after a bout of meningitis. She had typically developing
speech and language before her illness but now has significant difficulty communicating
because of her hearing loss. She also has other comorbidities as a result of the
meningitis. Knowledge of which of the following would assist other professionals who
are working with this child? - Answer-Use of communication strategies. Knowledge and
application of repair and facilitative strategies would assist interprofessional practice
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