Title: HIS- 230- Final Exam
Course: 14SU-HIS-230-GH101-ADVANCED AUDIOMETRY > Section: Lessons

This is a proctored exam.  The exam should be completed by Sunday October 13th.

Q: 500 Hz, 1000 Hz, and 2000 Hz are the frequencies commonly used for:
- Identifying a hearing loss
- Identifying a need for hearing instruments
- Identifying a need for medical referral
- Identifying a pure tone average
A: Identifying a pure tone average
If wrong: Identifying a pure tone average

Q: A 36-year-old female restaurant worker with a family history of hearing loss reports that she is unable to hear as well as she did two years ago.  Testing reveals a moderate conductive hearing loss. What is the likely cause of the client's change in hearing?
- Presbycusis
- Otosclerosis
- Ototoxicity
- Meniere's Disease
A: Otosclerosis
If wrong: Otosclerosis is more common in women than men and is a gradually worsening conductive hearing loss.

Q: When the eustachian tube is not functioning properly the tympanogram type will be:
- C
- Ad
- As
- A
A: C
If wrong: It will be a Type C tympanogram

Q: You are viewing the tympanic membrane during otoscopy and don't see the cone of light. How should you proceed?
- continue with the audiometric evaluation
- perform real ear measurement
- refer the client to an otolaryngologist
- attach a smaller speculum to the otoscope
A: continue with the audiometric evaluation
If wrong: continue with the audiometric evaluation

Q: A moderate signal-to-noise ratio hearing loss would be:
- 7 to 15 SNR loss
- 15 to 25 SNR loss
- 25 to 45 SNR loss
- 45 to 65 SNR loss
A: 7 to 15 SNR loss
If wrong: 7 to 15 SNR loss

Q: A client's audiometric test results indicate normal hearing through 1500Hz and moderate hearing loss in the higher frequencies. Which stimulus should the hearing healthcare professional use to measure the client's LDLs?
- phonetically balanced word list
- multi-talker noise
- cold running speech
- frequency-specific warble tones
A: frequency-specific warble tones
If wrong: LDLs should be measured frequency specific utilizing warble tones.

Q: A client comes to you for a hearing evaluation.  During the otoscopic examination you see a small abnormality on the surface of his eardrum.  You SHOULD advise the client:
- to use an earwax removal kit
- to consult with a physician
- that it won't be affected by the hearing instrument fitting
- that he has a perforated eardrum
A: to consult with a physician
If wrong: The client should be referrred.

Q: A client has abnormal air conduction thresholds and normal bone conduction thresholds. What do the test results indicate?
- no hearing loss
- conductive hearing loss
- sensorineural hearing loss
- mixed hearing loss
A: conductive hearing loss
If wrong: Conductive hearing loss

Q: A client complains of rapidly increasing hearing loss with pain bilaterally.  He currently wears BTE’s that are one year old.  The FIRST thing the hearing instrument specialist should do is:
- reprogram the hearing instruments.
- retest his thresholds.
- refer him to a physician.
- clean hearing instruments.
A: refer him to a physician.
If wrong: Refer to a physician

Q: A client reports hearing static in the right insert earphone during a pure tone air conduction test. How should the hearing healthcare professional proceed?
- Proceed with full audiometric test battery
- Perform a biologic check on the test equipment
- Replace the foam inserts with a different pair
- Perform all additional testing with the bone conduction oscillator
A: Perform a biologic check on the test equipment
If wrong: Perform a biologic check on the equipment

Q: The accuracy of a hearing test is affected by:
1. instructions to the client
2. visual impairment
3. audiometer calibration
4. test retest reliability
- 1, 2, and 3 are correct
- 1 and 3 are correct
- 2 and 4 are correct
- 4 only is correct
A: 1 and 3 are correct
If wrong: 1 and 3 are correct

Q: Ambient test room noise has the most effect upon:
- Low frequency test results
- High frequency test results
- Half octaves above 1K test results
- Octaves above 1K test results
A: Low frequency test results
If wrong: Low frequency test results

Q: An air-bone gap exists when:
- bone conduction is worse than air conduction
- bone conduction thresholds are at least 25dB better than air conduction
- bone conduction is at least 15dB better than air conduction
- air conduction and bone conduction are the same
A: bone conduction is at least 15dB better than air conduction
If wrong: bone conduction is at least 15dB better than air conduction

Q: A reduction in sound energy transmitted by bone conduction from one ear to the other is called:
- Air-bone gap
- Interaural attenuation
- Cross-over
- Masking
A: Interaural attenuation
If wrong: Interaural attenuation

Q: As sound energy crosses from one cochlea to the other through the skull, it is called:
- Interaural Attenuation
- Crossover
- Talk-back
- Tone Decay
A: Crossover
If right: Crossover

Q: At what decibel level can overmasking occur?
- 0 decibels
- 10 decibels
- 20 decibels
- 40 decibels
A: 40 decibels
If wrong: 40 decibels

Q: Masking is performed when there is:
1. a precipitous loss
2. a sensorineural hearing loss
3. a flat symmetrical sensorineural hearing loss
4. a bilateral asymmetrical loss
- 1, 2, and 3 are correct
- 1 and 3 are correct
- 2 and 4 are correct
- 4 only is correct
A: 4 only is correct
If wrong: 4 only is correct

Q: The initial presentation level of masking for pure tone bone conduction testing is determined by:
- the pure tone bone conduction threshold of the poorer ear
- the pure tone air conduction threshold of the better ear
- the pure tone bone conduction threshold of the better ear
- the pure tone air conduction threshold of the poorer ear
A: the pure tone air conduction threshold of the better ear
If wrong: the pure tone air conduction threshold of the better ear

Q: Impacted cerumen can result in:
1. conductive hearing loss
2. perforated ear drum
3. flat tympanogram
4. sensorineural hearing loss
- 1, 2, and 3 are correct
- 1 and 3 are correct
- 2 and 4 are correct
- 4 only is correct
A: 1 and 3 are correct
If wrong: 1 and 3 are correct

Q: Which of the following statements is NOT correct:
- Masking is unnecessary when testing for bone conducted thresholds.
- Masking for bone conduction testing is usually subject to a slight elevation of threshold measurements due to a "central masking" effect.
- Masking is necessary when testing for bone conducted thresholds that differ by 15 dB or more.
- Masking must be used in pure tone testing when the threshold in the test ear is more than 40 dB worse than the threshold by bone conduction in the non-test ear.
A: Masking is unnecessary when testing for bone conducted thresholds.
If wrong: Masking is unnecessary when testing for bone conducted thresholds.

Q: Interaural attenuation for bone conduction is considered to be:
- 0 decibels
- 20 decibels
- 40 decibels
- 60 decibels
A: 0 decibels
If wrong: 0 decibels

Q: Interaural attenuation for pure tone air conduction testing is considered to be:
- 0 decibels
- 20 decibels
- 40 decibels
- 60 decibels
A: 40 decibels
If wrong: 40 decibels

Q: Speech UCL’s are often used when attempting to measure the client’s:
- Word Recogntion Level
- Speech-in-noise Level
- Speech Recognition Level
- Loudness Discomfort Level
A: Loudness Discomfort Level
If wrong: Loudness Discomfort Level

Q: Most comfortable loudness level testing uses what kind of speech stimulus?
- Phonetically balanced words
- Spondaic words
- Cold running speech
- Speech masking
A: Cold running speech
If wrong: Cold running speech

Q: Speech recognition thesholds are obtained using:
- Phonetically balanced words
- Two syllable spondees
- Cold running speech
- Speech masking
A: Two syllable spondees
If wrong: Two syllable spondees

Q: The forehead and the _______ are the two most common oscillator placement areas for bone conduction testing.
- The temporal bone
- The pinna
- The mastoid
- The ossicles
A: The mastoid
If wrong: The mastoid

Q: The client’s audiogram indicate a thirty decibel flat sensorineural hearing loss in the left ear with an eighty decibel flat hearing loss in the right ear, masking is required for:
- Left ear pure tone air, but not for pure tone bone testing
- Left ear pure tone bone testing only
- Right ear pure tone air, but not for pure tone bone testing
- Right ear pure tone air and bone testing
A: Right ear pure tone air and bone testing
If wrong: Right ear pure tone air and bone testing

Q: Pure tone masking is calculated based on the non-test ear's pure tone threshold. This formula is:
- NTE + 10dB
- PL -  40dB
- NTE + 30dB
- PL + 10dB
A: NTE + 10dB
If wrong: NTE + 10dB

Q: For speech testing the masking formula is based on the presentation level of the test ear.  The formula is:
- NTE + 10dB
- PL - 20dB
- NTE + 30dB
- PL + 10dB
A: PL - 20dB
If wrong: PL - 20dB

Q: The standard audiometric test battery includes:
1. A complete history
2. An otoscopic examination.
3. Pure tone air/bone conduction testing
4. Loudness discomfort level testing
- 1, 2, and 3 are correct
- 1 and 3 are correct
- 2 and 4 are correct
- 1, 2, 3, and 4 are all correct.
A: 1, 2, 3, and 4 are all correct.
If wrong: 1, 2, 3, and 4 are all correct.

Q: The term “loudness recruitment” is defined as:
- a small increase in intensity results in a large increase in perceived loudness.
- a large increase in intensity results in a large increase in perceived loudness.
- uncomfortable loudness level is elevated.
- as the intensity increases, the dynamic range increases.
A: a small increase in intensity results in a large increase in perceived loudness.
If wrong: a small increase in intensity results in a large increase in perceived loudness.

Q: The masking noise for speech audiometry should be:
- narrow band noise
- white noise
- pink noise
- saw-tooth noise
A: white noise
If wrong: white noise

Q: To perform air conduction testing, headphones or an ________ may be used.
- Oscillator phone
- Pure tone phone
- Insert phone
- Frequency phone
A: Insert phone
If wrong: Insert phone

Q: According to the plateau method for masking, effective masking for pure tone testing is achieved when the masking level is increased by ________ and there is no shift in the test ear threshold.
- 5dB
- 10dB
- 15dB
- 20dB
A: 15dB
If wrong: 15dB

Q: The initial presentation level of masking for pure tone air conduction is determined by:
- the bone conduction threshold of the better ear
- the air conduction threshold of the better ear
- the bone conduction threshold of the poorer ear
- the air conduction threshold of the poorer ear
A: the air conduction threshold of the better ear
If wrong: the air conduction threshold of the better ear

Q: When bone conduction testing indicates no air/bone gap the type of hearing loss is considered to be:
- Conductive hearing loss.
- Pure tone hearing loss.
- Sensorineural hearing loss.
- Mixed hearing loss.
A: Sensorineural hearing loss.
If wrong: Sensorineural hearing loss.

Q: When there is a moderate sloping hearing loss with an air/bone gap, the hearing loss is considered to be:
- Conductive hearing loss.
- Pure tone hearing loss.
- Sensorineural hearing loss.
- Mixed hearing loss.
A: Mixed hearing loss.
If wrong: Mixed hearing loss.

Q: When there is a perforation in the tympanic membrane, the expected type of tympanogram will be:
- Type B
- Type AS
- Type C
- Type D
A: Type B
If wrong: Type B

Q: Of the following tests which one identifies the signal-to-noise ratio hearing ability of the client?
- Speech Recognition Score
- Acceptable Noise Level
- QuikSIN
- Speech Recognition Threshold
A: QuikSIN
If wrong: QuickSIN

Q: Which of the following tests involve the scoring of correct words within a sentence?
- Speech Recognition Score
- Acceptable Noise Level
- QuikSIN
- Loudness Discomfort Level
A: QuikSIN
If wrong: QuikSIN

Q: Which speech test requires its results to be recorded as a percentage?
- QuickSIN
- Word Threshold
- Word Recognition
- Speech Awareness
A: Word Recognition
If wrong: Word Recognition

Q: Which tool can be used to perform a Weber test?
- tympanometer
- circumaural headphone
- insert earphone
- bone oscillator
A: bone oscillator
If wrong: bone oscillator

Q: The presentation level for word recognition scores that is most useful for hearing instrument selection is:
- MCL
- SRT + 40 dB
- UCL - 10 dB
- SRT + 10 dB
A: MCL
If wrong: MCL

Q: Word recognition testing uses what kind of speech stimulus?
- Phonetically balanced words
- Spondaic words
- Cold running speech
- Speech masking
A: Phonetically balanced words
If wrong: Phonetically balanced words

Q: ______________________  is required for accuracy of testing results.
- Sterilization of testing equipment
- Calibration of testing equipment
- Maintenance of testing equipment
- Cleaning of testing equipment
A: Calibration of testing equipment
If wrong: Calibration of testing equipment

Q: When completing immpedance testing, an abnormally small physical volume indicates:
- a possible eardrum perforation
- the probe tip is against the canal wall
- it happens with a type A tympanogram
- it happens with a type B tympanogram
A: the probe tip is against the canal wall
If wrong: the probe tip is against the canal wall

Q: Effective masking is:
- any amount of noise you decide to put in the nontest ear
- the minimum amount of noise required to shift the threshold in the TE 20dB
- the minimum amount of noise required to keep the nontest ear busy
- the maximum amount of noise required to keep the nontest ear busy
A: the minimum amount of noise required to keep the nontest ear busy
If wrong: the minimum amount of noise required to keep the nontest ear busy

Q: The Acceptable Noise Level (ANL) is a test for:
- measuring the level of background noise the client finds acceptable
- measuring the client's ability to understand in background noise
- measuring the level a client can no longer repeat single syllable words
- measures speech understanding in noise and annoyance level of noise
A: measuring the level of background noise the client finds acceptable
If wrong: measuring the level of background noise the client finds acceptable

Q: When seating the client in the test environment you should:
- seat the client facing you
- look at the client each time a tone is presented
- seat the client at a right angle
- all of the above are acceptable procedures
A: seat the client at a right angle
If wrong: seat the client at a right angle

Q: Interaural attenuation is greater for:
- headphones
- inserts
- it is the same for both
- it depends on how the headphones are calibrated
A: inserts
If wrong: inserts