Title: HIS 250 Midterm
Course: 14FA-HIS-250-H1B1-REAL EAR MEASUREMENTS > Section: Dropbox

Q: <span style="font-size:12pt">The acronym used for the assessment component of aural rehabilitation, as described in Ronald Schow’s textbook regarding aural rehabilitation is:<br> </span>
- <span style="font-size:12pt">C.A.R.P.</span>
- <span style="font-size:12pt">C.A.R.E.</span>
- <span style="font-size:12pt">C.O.R.D.</span>
- <span style="font-size:12pt">C.O.R.E.</span>
A: <span style="font-size:12pt">C.O.R.E.</span>

Q: <span style="font-size:12pt">The acronym used for the management component of aural rehabilitation, as described in Ronald Schow’s textbook regarding aural rehabilitation is:<br></span>
- <span style="font-size:12pt">C.A.R.P.</span>
- <span style="font-size:12pt">C.A.R.E.</span>
- <span style="font-size:12pt">C.O.R.D.</span>
- <span style="font-size:12pt">C.O.R.E.</span>
A: <span style="font-size:12pt">C.A.R.E.</span>

Q: <span style="font-size:12pt">You are integrating aural rehabilitation into your dispensing of hearing instrument(s).  In the assessment portion of this process, the letter C represents the identification of the patient/client’s __________ .<br></span>
- <span style="font-size:12pt">Counseling status</span>
- <span style="font-size:12pt">Communication status</span>
- <span style="font-size:12pt">Characteristic status</span>
- <span style="font-size:12pt">Confusion status</span>
A: <span style="font-size:12pt">Communication status</span>

Q: <span style="font-size:12pt">You are integrating aural rehabilitation into your dispensing of hearing instrument(s).  In the management portion of this process, the letter C represents the identification of the patient/client’s __________ .<br></span>
- <span style="font-size:12pt">Counseling status</span>
- <span style="font-size:12pt">Communication status</span>
- <span style="font-size:12pt">Characteristic status</span>
- <span style="font-size:12pt">Confusion status</span>
A: <span style="font-size:12pt">Counseling status</span>

Q: <span style="font-size:12pt">During both the assessment and management components of aural rehabilitation, the patient/client’s ___________ is either addressed or assessed. <br> </span>
- <span style="font-size:12pt">Personality</span>
- <span style="font-size:12pt">Decisions</span>
- <span style="font-size:12pt">Environment</span>
- <span style="font-size:12pt">Record</span>
A: <span style="font-size:12pt">Environment</span>

Q: <span style="font-size:12pt">During aural rehabilitation, factors involving visual and auditory acuity and language development would be considered part of the ________________ assessment.<br></span>
- <span style="font-size:12pt">Communication factors</span>
- <span style="font-size:12pt">Related personal factors</span>
- <span style="font-size:12pt">Environmental factors</span>
- <span style="font-size:12pt">Overall emotional factors</span>
A: <span style="font-size:12pt">Communication factors</span>

Q: <span style="font-size:12pt">During aural rehabilitation, factors involving age, race, and IQ would be considered part of the ________________ assessment.<br></span>     
- <span style="font-size:12pt">Communication factors</span>
- <span style="font-size:12pt">Related personal factors</span>
- <span style="font-size:12pt">Environmental factors</span>
- <span style="font-size:12pt">Overall emotional factors</span>
A: <span style="font-size:12pt">Related personal factors</span>

Q: <span style="font-size:12pt">During aural rehabilitation, factors involving systems, acoustic conditions and barriers would be considered part of the ________________ assessment.<br></span>           
- <span style="font-size:12pt">Communication factors</span>
- <span style="font-size:12pt">Related personal factors</span>
- <span style="font-size:12pt">Environmental factors</span>
- <span style="font-size:12pt">Overall emotional factors</span>
A: <span style="font-size:12pt">Environmental factors</span>

Q: <span style="font-size:12pt">A patient/client psychosocial aspect which involves input and feedback by observing reactions from those around them would be counseled as:<br></span>
- <span style="font-size:12pt">Self concept</span>
- <span style="font-size:12pt">Emotional Status</span>
- <span style="font-size:12pt">Family Concerns</span>
- <span style="font-size:12pt">Social Competencies</span>
A: <span style="font-size:12pt">Self concept</span>

Q: <span style="font-size:12pt">A patient/client psychosocial aspect which involves maintaining healthy relationships with others would be counseled as:<br></span><span style="font-size:12pt">      </span>     
- <span style="font-size:12pt">Self concept</span>
- <span style="font-size:12pt">Emotional Status</span>
- <span style="font-size:12pt">Family Concerns</span>
- <span style="font-size:12pt">Social Competencies</span>
A: <span style="font-size:12pt">Social Competencies</span>

Q: <span style="font-size:12pt">The Silverman study revealed that, on average, permanent effects of auditory deprivation upon the brain occurred as early as the _________ year of deprived acoustic stimulation.<br> </span>
- <span style="font-size:12pt">First</span>
- <span style="font-size:12pt">Second</span>
- <span style="font-size:12pt">Third</span>
- <span style="font-size:12pt">Fourth</span>
A: <span style="font-size:12pt">Third</span>

Q: <span style="font-size:12pt">A psychoemotional aspect of hearing loss often involves:<br></span>
- <span style="font-size:12pt">Lifestyle modifications</span>
- <span style="font-size:12pt">Anger</span>
- <span style="font-size:12pt">Deafness</span>
- <span style="font-size:12pt">Sickness</span>
A: <span style="font-size:12pt">Anger</span>

Q: <span style="font-size:12pt">A psychosocial aspect of hearing loss often involves:<br></span>
- Lifestyle modifications
- Anger
- Deafness
- Sickness
A: Lifestyle modifications

Q: <span style="font-size:12pt">During aural rehabilitation, personal adjustment counseling and _________ are commonly used.<br></span>
- <span style="font-size:12pt">Family counseling</span>
- <span style="font-size:12pt">Informational counseling</span>
- <span style="font-size:12pt">Social counseling</span>
- <span style="font-size:12pt">Depression counseling</span>
A: <span style="font-size:12pt">Informational counseling</span>

Q: <span style="font-size:12pt">Counseling that is most easily recognized involves the professional doing most of the talking.  This type of counseling is considered.<br></span>
- <span style="font-size:12pt">Family counseling</span>
- <span style="font-size:12pt">Informational counseling</span>
- <span style="font-size:12pt">Social counseling</span>
- <span style="font-size:12pt">Depression counseling</span>
A: <span style="font-size:12pt">Informational counseling</span>

Q: <span style="font-size:12pt">During aural rehabilitation, when you begin to feel uncomfortable with the counseling portion, you should:<br></span>
- <span style="font-size:12pt">Refer to another healthcare provider</span>
- <span style="font-size:12pt">Change the subject</span>
- <span style="font-size:12pt">Refer to family member</span>
- <span style="font-size:12pt">Immediately terminate the session</span>
A: <span style="font-size:12pt">Refer to another healthcare provider</span>

Q: <span style="font-size:12pt">When dispensing hearing instruments, you are creating communication sensations and opportunities in a manner which never before existed for your patient/client.  This event is known as:<br></span>
- <span style="font-size:12pt">Therapeutic intervention</span>
- <span style="font-size:12pt">Electroacoustic therapy</span>
- <span style="font-size:12pt">Aural rehabilitation</span>
- <span style="font-size:12pt">Habilitation</span>
A: <span style="font-size:12pt">Habilitation</span>

Q: <span style="font-size:12pt">When dispensing hearing instruments, which of the following age groups are least likely to be encountered by a hearing instrument specialist?<br></span>
- <span style="font-size:12pt">Infants</span>
- <span style="font-size:12pt">School age</span>
- <span style="font-size:12pt">Adults</span>
- <span style="font-size:12pt">Elderly</span>
A: <span style="font-size:12pt">Infants</span>

Q: <span style="font-size:12pt">The counseling aspect involving the development of social skills would most often be addressed with which age group?<br></span>
- <span style="font-size:12pt">Infants</span>
- <span style="font-size:12pt">School age</span>
- <span style="font-size:12pt">Adults</span>
- <span style="font-size:12pt">Elderly</span>
A: <span style="font-size:12pt">School age</span>

Q: <span style="font-size:12pt">The counseling aspect regarding hazardous exposure to work place and recreational noise would most often be addressed with which age group?<br></span>
- <span style="font-size:12pt">Infants</span>
- <span style="font-size:12pt">School age</span>
- <span style="font-size:12pt">Adults</span>
- <span style="font-size:12pt">Elderly</span>
A: <span style="font-size:12pt">Adults</span>

Q: <span style="font-size:12pt">The counseling aspect involving reduced cognition and motor skills would most often be addressed with which age group?<br></span>
- Infants
- School age
- Adults
- Elderly
A: Elderly

Q: <span style="font-size:12pt">Presbycusis and phonemic regression are often encountered with which age group?<br></span>
- <span style="font-size:12pt">Infants</span>
- <span style="font-size:12pt">School age</span>
- <span style="font-size:12pt">Adults</span>
- <span style="font-size:12pt">Elderly</span>
A: <span style="font-size:12pt">Elderly</span>

Q: <span style="font-size:12pt">When an individual’s emotional, cognitive, social and linguistic performance becomes modified, it is often as a result of:<br></span>
- <span style="font-size:12pt">Untreated heart disease</span>
- <span style="font-size:12pt">Untreated hearing loss</span>
- <span style="font-size:12pt">Untreated motor skills</span>
- <span style="font-size:12pt">Untreated vision loss</span>
A: <span style="font-size:12pt">Untreated hearing loss</span>

Q: <span style="font-size:12pt">Often, the most motivating factor for a hearing impaired individual to seek help for their communication challenge is their perceived:<br></span>
- <span style="font-size:12pt">hearing loss</span>
- <span style="font-size:12pt">social status</span>
- <span style="font-size:12pt">lifestyle handicap</span>
- <span style="font-size:12pt">family insistence</span>
A: <span style="font-size:12pt">lifestyle handicap</span>

Q: <span style="font-size:12pt">The validation “tools” most often used in the process of aural rehabilitation are the:<br></span>
- <span style="font-size:12pt">COSI & HHIE</span>
- <span style="font-size:12pt">APHAB & COSI</span>
- <span style="font-size:12pt">HHIE & HII</span>
- <span style="font-size:12pt">APHAB & HHIE</span>
A: <span style="font-size:12pt">APHAB & COSI</span>

Q: <span style="font-size:12pt">During the management portion of aural rehabilitation, the portion addressing hearing instrument fitting and function is performed as __________ counseling.<br></span>
- <span style="font-size:12pt">Audibility</span>
- <span style="font-size:12pt">Participation</span>
- <span style="font-size:12pt">Activity</span>
- <span style="font-size:12pt">Social</span>
A: <span style="font-size:12pt">Audibility</span>

Q: <span style="font-size:12pt">During the management portion of aural rehabilitation, the portion addressing how to use other amplification strategies is considered to be  __________ counseling.<br></span>     
- <span style="font-size:12pt">Audibility</span>
- <span style="font-size:12pt">Participation</span>
- <span style="font-size:12pt">Activity</span>
- <span style="font-size:12pt">Social</span>
A: <span style="font-size:12pt">Activity</span>

Q: <span style="font-size:12pt">During the management portion of aural rehabilitation, the portion addressing their family environment is considered to be  __________ counseling.<br></span>           
- <span style="font-size:12pt">Audibility</span>
- <span style="font-size:12pt">Participation</span>
- <span style="font-size:12pt">Activity</span>
- <span style="font-size:12pt">Social</span>
A: <span style="font-size:12pt">Participation</span>

Q: <span style="font-size:12pt">Of the four common complaints by hearing instrument users, which of the following was ranked fourth on their list?<br> </span>
- <span style="font-size:12pt">Hearing in background noise</span>
- <span style="font-size:12pt">Physical comfort and sound of HI</span>
- <span style="font-size:12pt">HI provides too little benefit</span>
- <span style="font-size:12pt">Daily HI use too expensive</span>
A: <span style="font-size:12pt">Daily HI use too expensive</span>

Q: <span style="font-size:12pt">Of the four common complaints by hearing instrument users, which of the following was first on their list?<br> </span>     
- <span style="font-size:12pt">Hearing in background noise</span>
- <span style="font-size:12pt">Physical comfort and sound of HI</span>
- <span style="font-size:12pt">HI provides too little benefit</span>
- <span style="font-size:12pt">Daily HI use too expensive</span>
A: <span style="font-size:12pt">Hearing in background noise</span>

Q: <span style="font-size:12pt">When doing a case history for a new client, it is important to obtain related health history information such as medications or illness. This statement is:</span>
- <span style="font-size:12pt">True, because medication and illness can affect hearing.</span>
- <span style="font-size:12pt">True, because they might have had a childhood illness.</span>
- <span style="font-size:12pt">False, because you are only concerned with their hearing.</span>
- <span style="font-size:12pt">False, because health history information is confidential.</span>
A: <span style="font-size:12pt">True, because medication and illness can affect hearing.</span>

Q: <span style="font-size:12pt">A patient/client has an 85 dB sensorineural hearing loss.  What earmold configuration is MOST appropriate for the power BTE you are ordering for her?</span>
- <span style="font-size:12pt">Receiver (standard)</span>
- <span style="font-size:12pt">Non-occluding</span>
- <span style="font-size:12pt">Skeleton</span>
- <span style="font-size:12pt">Shell</span>
- <span style="font-size:12pt">Libby horn</span>
A: <span style="font-size:12pt">Shell</span>

Q: <span style="font-size:12pt">Which verification method can be effectively performed in a sound field environment?</span>
- <span style="font-size:12pt">COSI</span>
- <span style="font-size:12pt">IHAFF</span>
- <span style="font-size:12pt">NU-6</span>
- <span style="font-size:12pt">REAR</span>
A: <span style="font-size:12pt">REAR</span>

Q: <span style="font-size:12pt">The reason REM is so important is that the response of a hearing instrument in the ear is:</span>
- <span style="font-size:12pt">a function of frequency.</span>
- <span style="font-size:12pt">individual loudness growth.</span>
- <span style="font-size:12pt">a match of target.</span>
- <span style="font-size:12pt">unique to the individual.</span>
- <span style="font-size:12pt">a match of gain.</span>
A: <span style="font-size:12pt">unique to the individual.</span>

Q: <span style="font-size:12pt">What is the primary limitation of using an earlight to examine the ear?</span>
- <span style="font-size:12pt">the light provides insufficient visualization</span>
- <span style="font-size:12pt">the light will not reach the tympanic membrane</span>
- <span style="font-size:12pt">the tip is too large to reach far enough into the canal</span>
- <span style="font-size:12pt">the light provides insufficient illumination</span>
A: <span style="font-size:12pt">the light provides insufficient visualization</span>

Q: <span style="font-size:12pt">Which two measurements are essential when verifying a fitting using compression instruments?</span>
- <span style="font-size:12pt">word recognition scores</span>
- <span style="font-size:12pt">most comfortable levels</span>
- <span style="font-size:12pt">uncomfortable listening levels</span>
- <span style="font-size:12pt">aided SRT in noise scores</span>
A: <span style="font-size:12pt">most comfortable levels</span>
If right: C
If wrong: C

Q: <span style="font-size:12pt">Tympanometry is the algebraic sum of everything going on in the middle ear.  If there is a perforation in the tympanic membrane, the tympanogram, in an otherwise healthy individual,  should present:</span>
- <span style="font-size:12pt">Type A Tympanogram.</span>
- <span style="font-size:12pt">Type Ad Tympanogram.</span>
- <span style="font-size:12pt">Type As Tympanogram.</span>
- <span style="font-size:12pt">Type B Tympanogram.</span>
- <span style="font-size:12pt">Type C Tympanogram.</span>
A: <span style="font-size:12pt">Type Ad Tympanogram.</span>

Q: <span style="font-size:12pt">A patient/client with a moderate bilateral loss has been evaluated for hearing instruments.  The patient/client has requested small instruments in order to avoid a plugged sensation.  The hearing healthcare professional and the patient/client agree that mini BTE instruments would be acceptable.<br></span><span style="font-size:12pt">Which style should the hearing healthcare professional recommend?</span>
- <span style="font-size:12pt">RIC with open fit</span>
- <span style="font-size:12pt">RIC with SAV custom mold</span>
- <span style="font-size:12pt">RIC with double domes</span>
- <span style="font-size:12pt">RIC with open custom mold</span>
A: <span style="font-size:12pt">RIC with SAV custom mold</span>

Q: <span style="font-size:12pt">Where in a large or high ceilinged room will better hearing occur?</span>
- <span style="font-size:12pt">directly in front of a window</span>
- <span style="font-size:12pt">in the middle of the room</span>
- <span style="font-size:12pt">near a wall</span>
- <span style="font-size:12pt">near an archway</span>
A: <span style="font-size:12pt">near a wall</span>

Q: <span style="font-size:12pt">Why should an otoblock be placed just beyond the second bend of the ear canal during preparation for taking an ear impression?</span>
- <span style="font-size:12pt">prevents the otoblock from moving during the impression process</span>
- <span style="font-size:12pt">results in a complete impression of the canal cross section</span>
- <span style="font-size:12pt">results in a complete impression of the outer ear</span>
- <span style="font-size:12pt">prevents cerumen from interfering with the impression</span>
A: <span style="font-size:12pt">results in a complete impression of the canal cross section</span>

Q: <span style="font-size:12pt">What may result when insertion of an otoblock exerts pressure on a branch of the vagus nerve?</span>
- <span style="font-size:12pt">dizziness</span>
- <span style="font-size:12pt">nausea</span>
- <span style="font-size:12pt">edema</span>
- <span style="font-size:12pt">cough</span>
A: <span style="font-size:12pt">cough</span>

Q: <span style="font-size:12pt">Your patient/client has repeatedly suffered strokes effecting his motor skills on the left side.  He comes to you complaining that the canal instrument you fitted on the left ear 3 years ago is no longer helping him. You should FIRST:</span>
- <span style="font-size:12pt">test his hearing instrument for proper operation.</span>
- <span style="font-size:12pt">add more gain to existing instrument.</span>
- <span style="font-size:12pt">retest his pure tone air conduction thresholds.</span>
- <span style="font-size:12pt">refer him to a physician.</span>
- <span style="font-size:12pt">perform tympanometry.</span>
A: <span style="font-size:12pt">retest his pure tone air conduction thresholds.</span>

Q: <span style="font-size:12pt">What must a hearing healthcare professional ensure when checking the directional microphone of a hearing instrument?</span>
- <span style="font-size:12pt">the hearing instrument has at least 3 microphone holes</span>
- <span style="font-size:12pt">the sound behind the hearing instrument is louder</span>
- <span style="font-size:12pt">the hearing instrument has only 1 microphone hole</span>
- <span style="font-size:12pt">the sound in front of the hearing instrument is louder</span>
A: <span style="font-size:12pt">the sound in front of the hearing instrument is louder</span>

Q: <span style="font-size:12pt">What does live speech mapping measure?</span>
- <span style="font-size:12pt">Arnold's "cough" reflex</span>
- <span style="font-size:12pt">gain of the hearing aid</span>
- <span style="font-size:12pt">ear canal volume with hearing aid in the ear</span>
- <span style="font-size:12pt">proximity of aid to tympanic membrane</span>
A: <span style="font-size:12pt">gain of the hearing aid</span>

Q: <span style="font-size:12pt">A patient/client comes to you complaining that his hearing instrument must be defective because it uses too many batteries.  Which ONE of the following tests would be MOST appropriate?</span>
- <span style="font-size:12pt">Mechanical drain</span>
- <span style="font-size:12pt">SSPL90</span>
- <span style="font-size:12pt">Test battery</span>
- <span style="font-size:12pt">Current drain</span>
- <span style="font-size:12pt">Full on gain</span>
A: <span style="font-size:12pt">Current drain</span>

Q: <span style="font-size:12pt">A patient/client is referred by a physician who diagnosed mucoid otitis media the previous day. How will the patient's/client's tympanic membrane likely appear?</span>
- <span style="font-size:12pt">red and bulging outward</span>
- <span style="font-size:12pt">red and normal</span>
- <span style="font-size:12pt">opaque and bulging outward</span>
- <span style="font-size:12pt">opaque and normal</span>
A: <span style="font-size:12pt">opaque and normal</span>

Q: <span style="font-size:12pt">What is one advantage of an open-jaw impression compared to a closed-jaw impression?</span>
- <span style="font-size:12pt">It provides greater canal length.</span>
- <span style="font-size:12pt">It provides greater feedback control.</span>
- <span style="font-size:12pt">It provides less acoustic resonance.</span>
- <span style="font-size:12pt">It provides less occlusion effect.</span>
A: <span style="font-size:12pt">It provides greater feedback control.</span>

Q: <span style="font-size:12pt">During patient/client orientation, a hearing healthcare professional notices a whistling sound when a phone is held to the patient's/client's ear/instrument.<br></span><span style="font-size:12pt">How can the hearing healthcare professional alleviate the whistling sound?</span>
- <span style="font-size:12pt">deactivate telecoil</span>
- <span style="font-size:12pt">activate directional microphone</span>
- <span style="font-size:12pt">deactivate compression</span>
- <span style="font-size:12pt">activate feedback control</span>
A: <span style="font-size:12pt">activate feedback control</span>

Q: <span style="font-size:12pt">What should a hearing healthcare professional do immediately after placing an otoblock?</span>
- <span style="font-size:12pt">use alcohol wipe to sanitize the tip of the impression tool</span>
- <span style="font-size:12pt">pull tube or thread to test tightness of the otoblock</span>
- <span style="font-size:12pt">use earlight to verify that the otoblock is deep enough</span>
- <span style="font-size:12pt">use the otoscope to check for gaps around the canal wall</span>
A: <span style="font-size:12pt">use the otoscope to check for gaps around the canal wall</span>

Q: <span style="font-size:12pt">A patient/client with moderate presbycusis has been using amplification for six months. The patient/client reports that noise is very clear, but people's voices in crowds are indistinct. A hearing healthcare professional verifies the fitting using speech mapping equipment.<br></span><span style="font-size:12pt">Which information should the hearing healthcare professional expect to discover regarding gain targets?</span>
- <span style="font-size:12pt">low frequency gain below target with high frequency gain above target</span>
- <span style="font-size:12pt">low frequency gain on target with high frequency above target</span>
- <span style="font-size:12pt">low frequency gain on target with high frequency gain below target</span>
- <span style="font-size:12pt">low frequency gain below target with high frequency gain on target</span>
A: <span style="font-size:12pt">low frequency gain on target with high frequency gain below target</span>

Q: <span style="font-size:12pt">Hearing instrument verification can be accomplished using:<br></span><span style="font-size:12pt">1. APHAB.<br>2. COSI.<br>3. HHIEE.<br>4. REM.</span>
- <span style="font-size:12pt">1, 2, and 3 are correct</span>
- <span style="font-size:12pt">1 and 3 are correct</span>
- <span style="font-size:12pt">2 and 4 are correct</span>
- <span style="font-size:12pt">4 only is correct</span>
- <span style="font-size:12pt">1, 2, 3, and 4 are all correct.</span>
A: <span style="font-size:12pt">4 only is correct</span>

Q: <span style="font-size:12pt">A hearing healthcare professional is delivering new instruments to a patient/client who is a long-time hearing instrument wearer.  The patient/client indicates that the fit is very comfortable, but also reports a "plugged ear" sensation.<br></span><span style="font-size:12pt">How should the hearing healthcare professional make the hearing instruments more satisfactory?</span>
- <span style="font-size:12pt">add a feedback ring</span>
- <span style="font-size:12pt">increase the vents</span>
- <span style="font-size:12pt">decrease the canal diameter</span>
- <span style="font-size:12pt">reduce the canal tip</span>
A: <span style="font-size:12pt">increase the vents</span>

Q: <span style="font-size:12pt">A patient/client is being fitted with a behind the ear hearing instrument with a skeleton mold.  The patient/client has difficulty inserting the helix portion of the mold.   <br></span><span style="font-size:12pt">What should the hearing healthcare professional do to assist the patient/client?</span>
- <span style="font-size:12pt">modify the earmold</span>
- <span style="font-size:12pt">take a second impression</span>
- <span style="font-size:12pt">encourage continued practice</span>
- <span style="font-size:12pt">switch to a different instrument</span>
A: <span style="font-size:12pt">modify the earmold</span>

Q: <span style="font-size:12pt">Which is/are not used to manage feedback in hearing instruments?</span>
- <span style="font-size:12pt">Combining the transducers</span>
- <span style="font-size:12pt">Adaptive notch filters</span>
- <span style="font-size:12pt">Feedback suppression</span>
- <span style="font-size:12pt">Static notch filters</span>
- <span style="font-size:12pt">Separating the transducers</span>
A: <span style="font-size:12pt">Combining the transducers</span>

Q: <span style="font-size:12pt">When counseling a patient/client, you SHOULD:<br></span><span style="font-size:12pt">1. schedule follow-up appointments.<br>2. exclude her family.<br>3. discuss reasonable expectations.<br>4. counsel patient/client about mastectomy.</span>
- <span style="font-size:12pt">1, 2, and 3 are correct</span>
- <span style="font-size:12pt">1 and 3 are correct</span>
- <span style="font-size:12pt">2 and 4 are correct</span>
- <span style="font-size:12pt">4 only is correct</span>
- <span style="font-size:12pt">1, 2, 3, and 4 are all correct.</span>
A: <span style="font-size:12pt">1 and 3 are correct</span>

Q: <span style="font-size:12pt">A patient/client should be able to understand speech most clearly in which environment?</span>
- <span style="font-size:12pt">an open, outdoor area</span>
- <span style="font-size:12pt">a carpeted room with drapes and upholstered furniture</span>
- <span style="font-size:12pt">a kitchen with indoor/outdoor carpeting and curtains on the windows</span>
- <span style="font-size:12pt">an auditorium, in front of wall-mounted speakers</span>
A: <span style="font-size:12pt">a carpeted room with drapes and upholstered furniture</span>

Q: <span style="font-size:12pt">An elderly patient/client reports having had a fenestration performed in the past. No chronic infection is reported. The information provided by the patient/client is supported by otoscopic inspection.<br></span><span style="font-size:12pt">How should the hearing healthcare professional proceed?</span>
- <span style="font-size:12pt">inform patient/client amplification is contraindicated for a fenestrated ear</span>
- <span style="font-size:12pt">refer the patient/client to a physician for an ear impression</span>
- <span style="font-size:12pt">use multiple otoblocks when taking the ear impression</span>
- <span style="font-size:12pt">use a non-occluding otoblock when taking the ear impression</span>
A: <span style="font-size:12pt">use multiple otoblocks when taking the ear impression</span>

Q: <span style="font-size:12pt">Real ear measurement provides which benefit over sound field measurement?</span>
- <span style="font-size:12pt">It is ear-specific.</span>
- <span style="font-size:12pt">It can be performed in a noisy environment.</span>
- <span style="font-size:12pt">It provides functional gain.</span>
- <span style="font-size:12pt">It can be used with more types of instruments.</span>
A: <span style="font-size:12pt">It is ear-specific.</span>

Q: <span style="font-size:12pt">A patient/client with digital BTE hearing instruments with dual microphones reports difficulty hearing in noisy environments. <br></span><span style="font-size:12pt">Which parameter should the hearing healthcare profession adjust when reprogramming the hearing instrument?</span>
- <span style="font-size:12pt">compression</span>
- <span style="font-size:12pt">directionality</span>
- <span style="font-size:12pt">expansion</span>
- <span style="font-size:12pt">output</span>
A: <span style="font-size:12pt">directionality</span>

Q: <span style="font-size:12pt">Which statement BEST defines recruitment?</span>
- <span style="font-size:12pt">The need for greater intensity to make a loud sound louder then to make a soft sound louder.</span>
- <span style="font-size:12pt">A small increase in intensity produces a large increase in loudness.</span>
- <span style="font-size:12pt">A small increase in loudness produces a large increase in intensity.</span>
- <span style="font-size:12pt">Low tolerance threshold (A large increase in intensity produces a small increase in loudness).</span>
- <span style="font-size:12pt">All sounds are too loud.</span>
A: <span style="font-size:12pt">A small increase in intensity produces a large increase in loudness.</span>

Q: <span style="font-size:12pt">The MOST effective method for the masking of pure tones is:</span>
- <span style="font-size:12pt">Harford</span>
- <span style="font-size:12pt">Carhart-Jerger</span>
- <span style="font-size:12pt">Hood's plateau</span>
- <span style="font-size:12pt">Studebaker</span>
- <span style="font-size:12pt">Weber</span>
A: <span style="font-size:12pt">Hood's plateau</span>

Q: <span style="font-size:12pt">Harold has had his new ITE hearing instruments for about six months.  He has a history of wax problems and has been very conscientious about cleaning his hearing instruments.  He comes into your office complaining about short battery life.  When you check the hearing instrument you get a battery current reading of 6.8 mA.  The MOST likely cause of this is:</span>
- <span style="font-size:12pt">a damaged microphone.</span>
- <span style="font-size:12pt">moisture build up.</span>
- <span style="font-size:12pt">bad batteries.</span>
- <span style="font-size:12pt">a damaged amplifier.</span>
- <span style="font-size:12pt">a broken battery door.</span>
A: <span style="font-size:12pt">a damaged amplifier.</span>

Q: <span style="font-size:12pt">Which step should a hearing healthcare professional take after performing a 2cc coupler hearing aid test on a repaired BTE hearing instrument?</span>
- <span style="font-size:12pt">print out the data for the patient/client</span>
- <span style="font-size:12pt">retube the BTE instrument with #13HW tubing</span>
- <span style="font-size:12pt">compare 2cc data to original specifications</span>
- <span style="font-size:12pt">recalibrate the test equipment</span>
A: <span style="font-size:12pt">compare 2cc data to original specifications</span>

Q: <span style="font-size:12pt">A 51-year old female wakes on a weekend morning with a right, unilateral, severe, essentially flat, sensorineural loss.  The left is within normal limits.  She should:</span>
- <span style="font-size:12pt">go to the emergency room.</span>
- <span style="font-size:12pt">have an audiometric evaluation.</span>
- <span style="font-size:12pt">have cerumen removed.</span>
- <span style="font-size:12pt">wait for 24 hours and reevaluate.</span>
- <span style="font-size:12pt">purchase an over-the-counter antihistamine.</span>
A: <span style="font-size:12pt">go to the emergency room.</span>

Q: <span style="font-size:12pt">Where should the Cone of Light be visualized during the inspection of a healthy right ear?</span>
- <span style="font-size:12pt">superior/anterior</span>
- <span style="font-size:12pt">inferior/anterior</span>
- <span style="font-size:12pt">superior/posterior</span>
- <span style="font-size:12pt">inferior/posterior</span>
A: <span style="font-size:12pt">inferior/anterior</span>

Q: <span style="font-size:12pt">A hearing healthcare professional is preparing to make an ear impression. Otoscopic inspection reveals cerumen accumulation beyond the second bend in a patient's/client's ear canal.  The cerumen blocks the view of the bottom half of the tympanic membrane.How should the hearing healthcare professional proceed?</span>
- <span style="font-size:12pt">place the otoblock short of the second bend</span>
- <span style="font-size:12pt">recommend cerumen removal</span>
- <span style="font-size:12pt">place the otoblock above the cerumen</span>
- <span style="font-size:12pt">proceed with no otoblock</span>
A: <span style="font-size:12pt">recommend cerumen removal</span>

Q: <span style="font-size:12pt">Why is it important to properly manipulate the pinna during otoscopy?</span>
- <span style="font-size:12pt">to aid in the viewing of the vestibule</span>
- <span style="font-size:12pt">to aid in the viewing of the first bend of ear canal</span>
- <span style="font-size:12pt">to aid in the viewing of the tympanic membrane</span>
- <span style="font-size:12pt">to aid in the viewing of the oval window</span>
A: <span style="font-size:12pt">to aid in the viewing of the tympanic membrane</span>

Q: <span style="font-size:12pt">A hearing healthcare professional is adjusting a digital BTE. The feedback manager for the hearing instrument is unable to completely manage hearing instrument feedback.<br></span><span style="font-size:12pt">How should the hearing healthcare professional proceed?</span>
- <span style="font-size:12pt">increase the earmold vent</span>
- <span style="font-size:12pt">decrease the gain</span>
- <span style="font-size:12pt">install horn tubing</span>
- <span style="font-size:12pt">reduce the high frequencies</span>
A: <span style="font-size:12pt">reduce the high frequencies</span>

Q: <span style="font-size:12pt">The ANSI specifications on a hearing instrument will show measured distortion levels at:</span>
- <span style="font-size:12pt">300 Hz, 1000 Hz and 3000 Hz.</span>
- <span style="font-size:12pt">800 Hz, 1600 Hz and 2700 Hz.</span>
- <span style="font-size:12pt">500 Hz, 800 Hz and 1600 Hz.</span>
- <span style="font-size:12pt">250 Hz, 800 Hz and 1500 Hz.</span>
- <span style="font-size:12pt">500 Hz, 1000 Hz and 2000 Hz.</span>
A: <span style="font-size:12pt">500 Hz, 800 Hz and 1600 Hz.</span>

Q: <span style="font-size:12pt">Earmold venting will predominantly affect which frequencies?</span>
- <span style="font-size:12pt">125Hz through 8000Hz</span>
- <span style="font-size:12pt">250Hz through 750Hz</span>
- <span style="font-size:12pt">1000Hz through 4000Hz</span>
- <span style="font-size:12pt">2000Hz through 8000Hz</span>
- <span style="font-size:12pt">1000Hz through 2000Hz</span>
A: <span style="font-size:12pt">250Hz through 750Hz</span>

Q: <span style="font-size:12pt">For profound losses, BTE fittings are generally preferred over in-the-canal fittings because: <br></span><span style="font-size:12pt">1. they will probably require a telephone coil<br>2. it is easier for the client to manipulate the controls.<br>3. there is less chance of feedback<br>4. the receiver and microphone are closer giving more useable gain.</span>
- <span style="font-size:12pt">1, 2, and 3 are correct</span>
- <span style="font-size:12pt">1 and 3 are correct</span>
- <span style="font-size:12pt">2 and 4 are correct</span>
- <span style="font-size:12pt">4 only is correct</span>
- <span style="font-size:12pt">1, 2, 3, and 4 are all correct.</span>
A: <span style="font-size:12pt">1 and 3 are correct</span>

Q: <span style="font-size:12pt">A patient/client with a bilateral loss that is moderate in the low frequencies and severe in the high frequencies is being evaluated for hearing instruments.  The patient/client will accept the most appropriate hearing instruments for the loss, but would prefer the smallest hearing instruments possible.<br></span><span style="font-size:12pt">Which hearing instrument style should the hearing healthcare professional recommend?</span>
- <span style="font-size:12pt">small BTEs with skeleton molds</span>
- <span style="font-size:12pt">ITEs with large vents</span>
- <span style="font-size:12pt">half-shells with small vents</span>
- <span style="font-size:12pt">CICs with pressure vents</span>
A: <span style="font-size:12pt">CICs with pressure vents</span>

Q: <span style="font-size:12pt">The patient/client is a 54-year old male.  Four months ago, he awoke with severe, left unilateral, "roaring" tinnitus, mild vertigo and the feeling of "fullness" in his ear.  He went immediately to the Emergency Room of his local hospital where he was started on blood thinners and a vasodilator.  This resulted in the reduction of his vertigo, a quieting of his tinnitus, and a continuing perception that he "cannot hear" out of his left ear.  He has seen and ENT and has had no improvement in his hearing.<br></span><span style="font-size:12pt">He has come to your office to find out what can be done about his hearing.  A new evaluation finds no response in the left ear, and a mild high-frequency sensori-neural loss on the right.  You should:</span>
- <span style="font-size:12pt">recommend a tinnitis masking ITE.</span>
- <span style="font-size:12pt">suggest "grief counseling" for the relief of his anxiety.</span>
- <span style="font-size:12pt">recommend a CROS (BICROS) or Trans-Cranial CROS instrument for this patient/client.</span>
- <span style="font-size:12pt">write a letter identifying "Reasonable Accomodation" steps for the employer to take for this kind of problem.</span>
- <span style="font-size:12pt">All of the above.</span>
A: <span style="font-size:12pt">recommend a CROS (BICROS) or Trans-Cranial CROS instrument for this patient/client.</span>

Q: <span style="font-size:12pt">A patient's/client's audiometric test results indicate the following:<br></span><span style="font-size:12pt">Normal hearing through 1000Hz with a precipitous drop to moderately-severe to severe high-frequency hearing loss bilaterally. <br>Bone conduction thresholds are 5-10dB better than air conduction thresholds. <br>Speech Reception Thresholds of 25dB HL are significantly better than pure tone averages. <br>Word recognition presented at 75dB HL indicates good understanding in quiet. <br></span><span style="font-size:12pt">Which testing procedure requires masking?</span>
- <span style="font-size:12pt">pure tone air conduction</span>
- <span style="font-size:12pt">pure tone bone conduction</span>
- <span style="font-size:12pt">speech reception threshold</span>
- <span style="font-size:12pt">word recognition</span>
A: <span style="font-size:12pt">word recognition</span>

Q: <span style="font-size:12pt">A hearing healthcare professional removes an impression from a patient's/client's ear one minute after inserting the impression material.<br></span><span style="font-size:12pt">What is the likely outcome?</span>
- <span style="font-size:12pt">There will be correctable distortion of the impression</span>
- <span style="font-size:12pt">There will be uncorrectable distortion of the impression.</span>
- <span style="font-size:12pt">There will be air bubbles within the impression.</span>
- <span style="font-size:12pt">There will be correctable separation of the otoblock from the impression</span>
A: <span style="font-size:12pt">There will be uncorrectable distortion of the impression.</span>

Q: <span style="font-size:12pt">What is required when testing for harmonic distortion?</span>
- <span style="font-size:12pt">attach stethoscope to hearing instrument</span>
- <span style="font-size:12pt">attach the hearing instrument to a harmonic balancer</span>
- <span style="font-size:12pt">perform real ear measurements with narrow band noise</span>
- <span style="font-size:12pt">attach the hearing instrument to a 2cc coupler</span>
A: <span style="font-size:12pt">attach the hearing instrument to a 2cc coupler</span>

Q: <span style="font-size:12pt">Which two characteristics should be observed when critiquing an ear impression?</span>
- <span style="font-size:12pt">impression material extending beyond the otoblock</span>
- <span style="font-size:12pt">a full-diameter ear canal that includes the second bend</span>
- <span style="font-size:12pt">smooth marbling throughout the impression</span>
- <span style="font-size:12pt">a completely-filled concha</span>
A: <span style="font-size:12pt">a full-diameter ear canal that includes the second bend</span>
If right: D
If wrong: D

Q: <span style="font-size:12pt">A new earmold, for a post auricular hearing instrument, that is tight in the helix area will cause which of the following?</span>
- <span style="font-size:12pt">A better acoustic seal to prevent feedback.</span>
- <span style="font-size:12pt">A more comfortable and secure fitting earmold.</span>
- <span style="font-size:12pt">Less resonance and "down in a well" effect.</span>
- <span style="font-size:12pt">An increased likelihood of a sore spot in the ear.</span>
- <span style="font-size:12pt">Will cause mold to work out of ear.</span>
A: <span style="font-size:12pt">An increased likelihood of a sore spot in the ear.</span>

Q: <span style="font-size:12pt">How can a hearing healthcare professional alleviate tinny sounds in a BTE hearing instrument?</span>
- <span style="font-size:12pt">change to dri-tubing</span>
- <span style="font-size:12pt">change to filtered earhook</span>
- <span style="font-size:12pt">change to skeleton earmold</span>
- <span style="font-size:12pt">change to pressure vent</span>
A: <span style="font-size:12pt">change to filtered earhook</span>

Q: <span style="font-size:12pt">Warm temperatures will cause powder and liquid ear impression materials to set:</span>
- <span style="font-size:12pt">more slowly.</span>
- <span style="font-size:12pt">more quickly.</span>
- <span style="font-size:12pt">more accurately.</span>
- <span style="font-size:12pt">less accurately.</span>
- <span style="font-size:12pt">Have no effect.</span>
A: <span style="font-size:12pt">more quickly.</span>

Q: <span style="font-size:12pt">Reference test gain position is determined by:</span>
- <span style="font-size:12pt">HFA OSPL 90 - 12 dB.</span>
- <span style="font-size:12pt">HFA OSPL 90 - 17 dB.</span>
- <span style="font-size:12pt">HFA OSPL 60 - 17 dB.</span>
- <span style="font-size:12pt">HFA HTL   90 - 77 dB.</span>
- <span style="font-size:12pt">HFA HTL   60 - 12 dB.</span>
A: <span style="font-size:12pt">HFA OSPL 90 - 17 dB.</span>

Q: <span style="font-size:12pt">A 59-year old male, who works in a busy mall kiosk, has a moderate bilateral sloping loss.  He knows he needs a second instrument to match with his current ITE programmable one, but won't invest in another instrument until satisfied with the current unit. He is bothered by the general noise in the mall, his inability to tell sound direction and sudden loud sounds that hurt his ear. In order to try to help this patient/client tell sound direction and hear better in noise, you could:<br></span><span style="font-size:12pt">1. cut output to limit discomfort of loud sounds.<br>2. cut lows to reduce ambient mall noises.<br>3. decrease compression ratio to increase comfort in noise.<br>4. counsel patient/client that a single unit will not be satisfactory.</span>
- <span style="font-size:12pt">1, 2, and 3 are correct</span>
- <span style="font-size:12pt">1 and 3 are correct</span>
- <span style="font-size:12pt">2 and 4 are correct</span>
- <span style="font-size:12pt">4 only is correct</span>
- <span style="font-size:12pt">1, 2, 3, and 4 are all correct.</span>
A: <span style="font-size:12pt">4 only is correct</span>

Q: <span style="font-size:12pt">In general, which of the following is a contra-indication for an ear impression procedure without medical clearance?</span>
- <span style="font-size:12pt">Prolapsed canal</span>
- <span style="font-size:12pt">Discharge</span>
- <span style="font-size:12pt">Warts</span>
- <span style="font-size:12pt">Non-impacted cerumen</span>
- <span style="font-size:12pt">Torturous canal</span>
A: <span style="font-size:12pt">Discharge</span>

Q: <span style="font-size:12pt">The otoscopic evaluation shows a "cone of light" on the left, absent on the right.  The right tympanic membrane appears to be scarred with abnormal appearance;  the left tympanic membrane appears unremarkable.  These findings are consistent with:</span>
- <span style="font-size:12pt">normal left middle ear function.</span>
- <span style="font-size:12pt">normal right middle ear function.</span>
- <span style="font-size:12pt">bilateral sensorineural function.</span>
- <span style="font-size:12pt">abnormal sensorineural function single tone.</span>
- <span style="font-size:12pt">abnormal bilateral middle ear function.</span>
A: <span style="font-size:12pt">normal left middle ear function.</span>

Q: <span style="font-size:12pt">Capacity of button cell batteries are rated by their:</span>
- <span style="font-size:12pt">Milliamps</span>
- <span style="font-size:12pt">Voltage</span>
- <span style="font-size:12pt">Color</span>
- <span style="font-size:12pt">Size</span>
A: <span style="font-size:12pt">Milliamps</span>

Q: <span style="font-size:12pt">You can calculate the expected battery life for hearing instrument use by:</span>
- <span style="font-size:12pt">Dividing battery capacity into the hearing instrument circuit drain.</span>
- <span style="font-size:12pt">Multiplying the hearing instrument circuit drain by the battery capacity.</span>
- <span style="font-size:12pt">Dividing the hearing instrument circuit drain into the battery capacity.</span>
- <span style="font-size:12pt">Multiplying the battery capacity by the hearing instrument circuit drain.</span>
A: <span style="font-size:12pt">Dividing the hearing instrument circuit drain into the battery capacity.</span>

Q: <span style="font-size:12pt">The two couplers most often used in the test box analysis are:</span>
- <span style="font-size:12pt">HA-3 and HA-4</span>
- <span style="font-size:12pt">HA-1 and HA-2</span>
- <span style="font-size:12pt">HA- 2 and HA-3</span>
- <span style="font-size:12pt">HA-4 and HA-1</span>
A: <span style="font-size:12pt">HA-1 and HA-2</span>

Q: <span style="font-size:12pt">The coupler most often used to test BTE style hearing instruments is:</span>
- <span style="font-size:12pt">HA-3</span>
- <span style="font-size:12pt">HA-1</span>
- <span style="font-size:12pt">HA- 2</span>
- <span style="font-size:12pt">HA-4</span>
A: <span style="font-size:12pt">HA- 2</span>

Q: <span style="font-size:12pt">A control microphone and _______ microphone are used inside a test box.</span>
- <span style="font-size:12pt">Reference</span>
- <span style="font-size:12pt">Calibration</span>
- <span style="font-size:12pt">Directional</span>
- <span style="font-size:12pt">Performance</span>
A: <span style="font-size:12pt">Reference</span>

Q: <span style="font-size:12pt">High frequency average gain is a reference used to determine:</span>
- <span style="font-size:12pt">The hearing instrument output.</span>
- <span style="font-size:12pt">The hearing instrument distortion.</span>
- <span style="font-size:12pt">The hearing instrument battery size.</span>
- <span style="font-size:12pt">The hearing instrument frequency response.</span>
A: <span style="font-size:12pt">The hearing instrument frequency response.</span>

Q: <span style="font-size:12pt">In ANSI test box analysis, the standard input decibel level to determine the hearing instrument gain is:</span>
- <span style="font-size:12pt">Twenty decibels.</span>
- <span style="font-size:12pt">Forty decibels.</span>
- <span style="font-size:12pt">Sixty decibels.</span>
- <span style="font-size:12pt">Ninety decibels.</span>
A: <span style="font-size:12pt">Sixty decibels.</span>

Q: <span style="font-size:12pt">In ANSI test box analysis, the standard input decibel level to determine the hearing instrument output is:</span>
- <span style="font-size:12pt">Twenty decibels.</span>
- <span style="font-size:12pt">Forty decibels.</span>
- <span style="font-size:12pt">Sixty decibels.</span>
- <span style="font-size:12pt">Ninety decibels.</span>
A: <span style="font-size:12pt">Ninety decibels.</span>

Q: <span style="font-size:12pt">The electroacoustic output of a hearing instrument represents the:</span>
- <span style="font-size:12pt">Sound distortion of the hearing instrument.</span>
- <span style="font-size:12pt">Sound pressure of the hearing instrument.</span>
- <span style="font-size:12pt">Sound frequency of the hearing instrument.</span>
- <span style="font-size:12pt">Sound watts of the hearing instrument.</span>
A: <span style="font-size:12pt">Sound pressure of the hearing instrument.</span>

Q: <span style="font-size:12pt">When two holes are found in an acoustic coupler, one might be used for:</span>
- <span style="font-size:12pt">Acoustic rarefaction.</span>
- <span style="font-size:12pt">Acoustic ventilation.</span>
- <span style="font-size:12pt">Acoustic resistance.</span>
- <span style="font-size:12pt">Acoustic envelope.</span>
A: <span style="font-size:12pt">Acoustic ventilation.</span>

Q: <span style="font-size:12pt">The design of an earmold is to reduce the acoustic effects of _________ and the electroacoustic effects of _________</span>
- <span style="font-size:12pt">Non-occlusion and resonance.</span>
- <span style="font-size:12pt">Phase and resistance.</span>
- <span style="font-size:12pt">Occlusion and resonance.</span>
- <span style="font-size:12pt">Occlusion and feedback.</span>
A: <span style="font-size:12pt">Occlusion and feedback.</span>

Q: <span style="font-size:12pt">When you increase the sound bore you modify the hearing instrument’s ____________ response.</span>
- <span style="font-size:12pt">Harmonic</span>
- <span style="font-size:12pt">Distortion</span>
- <span style="font-size:12pt">Low frequency</span>
- <span style="font-size:12pt">High frequency</span>
A: <span style="font-size:12pt">High frequency</span>

Q: <span style="font-size:12pt">The slim tube and ________ are two types of B.T.E. acoustic couplers.</span>
- <span style="font-size:12pt">Receiver-in-helix</span>
- <span style="font-size:12pt">Receiver-in-tragus</span>
- <span style="font-size:12pt">Receiver-in-canal</span>
- <span style="font-size:12pt">Receiver-in-concha</span>
A: <span style="font-size:12pt">Receiver-in-canal</span>