Title: HIS 250 Quiz 2.2
Course: 14FA-HIS-250-H1B1-REAL EAR MEASUREMENTS

Q: The acronym used for the assessment component of aural rehabilitation, as described in the Aural Rehabiliation power point (Ronald Schow’s textbook) regarding aural rehabilitation is:
- C.A.R.P.
- C.A.R.E.
- C.O.R.D.
- C.O.R.E.
A: C.O.R.E.

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 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">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 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">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 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">Which age group will often tolerate greater hearing loss/communication challenges?<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">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">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">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">A 48-year-old patient/client is accompanied by their visually impaired spouse to an appointment with a hearing healthcare professional. The spouse reports frustration with the patient's/client's non-responsiveness at home, church, and restaurants.<br>What should the hearing healthcare professional document prior to conducting a hearing evaluation?</span>
- <span style="font-size:12pt">the patient's/client's expected outcome of the office visit</span>
- <span style="font-size:12pt">the spouse's medical history</span>
- <span style="font-size:12pt">the patient's/client's level of education and employment status</span>
- <span style="font-size:12pt">the spouse's perception of hearing devices</span>
A: <span style="font-size:12pt">the patient's/client's expected outcome of the office visit</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">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">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">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 patient's/client's change in hearing?</span>
- <span style="font-size:12pt">presbycusis</span>
- <span style="font-size:12pt">otosclerosis</span>
- <span style="font-size:12pt">ototoxicity</span>
- <span style="font-size:12pt">Meniere's Disease</span>
A: <span style="font-size:12pt">otosclerosis</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">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 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">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">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">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">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>