Course: 14SP-HIS-170-G101-CLINICAL PRACTICUM I

Q: A false negative response suggests hearing is:
- better than it actually is
- worse than it actually is
- an accurate pure tone threshold
- thresholds are about 10dB better than reported
A: worse than it actually is
If wrong: worse than it actually is

Q: 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?
- place the otoblock short of the second bend
- recommend cerumen removal
- place the otoblock above the cerumen
- proceed with no otoblock
A: recommend cerumen removal

Q: A hearing healthcare professional is viewing the tympanic membrane during otoscopy.  The hearing healthcare professional is unable to see the cone of light. How should the hearing healthcare professional proceed?
- proceed with audiometric evaluation
- perform real ear measurement
- refer the patient/client to an otolaryngologist
- attach a smaller speculum to the otoscope
A: proceed with audiometric evaluation

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">A normal ear canal is about the diameter of a pencil and has two bends.</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">True</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">False</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">True</span></span>

Q: A patient/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

Q: A patient/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 test battery
- perform a biological test on the equipment
- replace the set of inserts with a different pair
- perform all additional testing with the bone conduction oscillator
A: perform a biological test on the equipment

Q: A sound level meter is:
- a device for measuring the vibration of sound.
- a device for measuring the intensity of sound waves in the air.
- a device for measuring the difference between sound waves in the air and vibrations of the mastoid.
- none of the above.
A: a device for measuring the intensity of sound waves in the air.
If wrong: a device for measuring the intensity of sound waves in the air.

Q: A threshold in audiometry is defined as:
- the level at which a stimuls is perceptible 25% of the time.
- the level at which a stimulus is perceptible 50% of the time.
- the level at which a stimulus is perceptible 75% of the time.
- the level at which a stimulas is perceptible 100% of the time.
A: the level at which a stimulus is perceptible 50% of the time.
If wrong: the level at which a stimulus is perceptible 50% of the time.

Q: A tone that is described at 125dB (no other information) is
- a low pitch tone
- a high pitch tone
- a loud tone
- a soft tone
A: a loud tone
If wrong: a loud tone

Q: Acceptable client responses to pure tones include:
- raising hand or finger
- saying yes
- either a or b
- neither a or b
A: either a or b
If wrong: either a or b

Q: Bone conductions refers to:
- sounds that are conducted to the inner ear by way of the temporal bone.
- sounds that are conducted to the inner ear by way of the outer ear and the middle ear.
- sounds that are conducted to the inner ear by way of the bones of the skull.
- sounds that are conducted to the inner ear by way of the middle ear.
A: sounds that are conducted to the inner ear by way of the bones of the skull.
If wrong: sounds that are conducted to the inner ear by way of the bones of the skull.

Q: Biologic checks are important because:
- are only important if you haven't had your equipment calibrated.
- you are required to do them by most facilities and some state laws.
- you are required to do them for this program.
- improperly working equipment can affect test results.
A: improperly working equipment can affect test results.
If wrong: improperly working equipment can affect test results.

Q: The IA for bone conduction pure tone testing is 40dB
- True
- False
A: False
If right: It's 0 dB - the generally accepted value

Q: If you are testing in the same room as your patient, you should position the patient so that he cannot see your hands
- True
- False
A: True

Q: Audiometers should be calibrated every __________ .
- month
- day
- annually
- bi-annually
A: annually
If wrong: annually

Q: Audiometer headsets should be cleaned:<br>1. as needed.<br>2. daily.<br>3. Unplugged.<br>4. between patients.
- 1, 2, and 3 are correct
- 1 and 3 are correct
- 2 and 4 are correct
- 4 only is correct
- 1, 2, 3, and 4 are all correct.
A: 4 only is correct

Q: An otoscopic examination is necessary before taking an ear impression to determine which of the following?<br>1. The shape of the ear canal<br>2. The presence of a prolapsed ear canal<br>3. The presence of a monomeric membrane<br>4. The presence of cerumen
- 1, 2, and 3 are correct
- 1 and 3 are correct
- 2 and 4 are correct
- 4 only is correct
- 1, 2, 3, and 4 are all correct.
A: 1, 2, 3, and 4 are all correct.

Q: Air conduction refers to:
- sounds that are conducted to the inner ear by way of the eighth nerve.
- sounds that are conducted the inner ear by way of the middle ear.
- sounds that are conducted to the inner ear by way of the outer ear.
- sounds that are conducted to the inner ear by way of the outer ear and the middle ear.
A: sounds that are conducted to the inner ear by way of the outer ear and the middle ear.
If wrong: sounds that are conducted to the inner ear by way of the outer ear and the middle ear.

Q: After initial placement of an otoscope, a hearing healthcare professional is unable to visualize the tympanic membrane during otoscopy.<br>How should the hearing healthcare professional proceed?
- recheck using an otolight
- note failure to visualize on the audiogram
- refer patient/client to a physician
- reposition the otoscope
A: reposition the otoscope

Q: Advantages of insert earphones include:
- improved thresholds over TDH 39 headphones
- better attenuation of ambient room noise
- elimination of collapsed canals
- both b and c
A: both b and c
If wrong: both b and c

Q: Contact with which anatomical feature can cause a cough reflex?
- Arnold's branch of the vagus nerve
- the anterior portion of the tympanic membrane
- the center of the umbo
- the wandering branch of the fifth nerve
A: Arnold's branch of the vagus nerve

Q: Disorders of the inner ear most commonly cause what type of hearing loss?
- Sensorineural
- Conductive
- Mixed
- None
A: Sensorineural

Q: Disorders of the outer and middle ear most commonly result in what type of hearing loss?
- Conductive
- Sensorineural
- Mixed
- None
A: Conductive

Q: Disposable gloves, wiping ear cushions with antiseptic, disposing of used specula for the otoscope, and disinfecting impedance probe tips are excellent examples of:
- personal hygiene preference.
- infection control.
- the method of choice.
- psychological concern.
- paranoid practice.
A: infection control.

Q: During otoscopy you notice white patches on the tympanic membrane and it appears dull.  This is most likely:
- exotosis
- typanosclerosis
- cerumen
- none of the above
A: typanosclerosis
If wrong: typanosclerosis

Q: During otoscopy, a hearing healthcare professional notes the appearance of bubbles behind a tympanic membrane that is otherwise unremarkable.  This presentation is a symptom of which condition?
- ossicular discontinuity
- middle ear effusion
- tympanosclerosis
- mastoiditis
A: middle ear effusion

Q: Excessive cerumen in the ear canal can cause what type of hearing loss:
- sensorinerual hearing loss
- mixed hearing loss
- conductive hearing loss
- a or c are possible
A: conductive hearing loss
If wrong: conductive hearing loss

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">For best observation of an adult eardrum during otoscopy, you would:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Pull the pinna down and forward</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Pull the pinna up and back</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Pull the pinna forward</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Pull the pinna down</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Pull the pinna up and back</span></span>

Q: If the bone ossillator is placed on the left mastoid you are stimulating:
- the left cochlea
- the right cochlea
- the better cochlea
- none of the above
A: the better cochlea
If wrong: the better cochlea

Q: If the client responds when no tone has been presented this is called a:
- no response
- false negative response
- hyperactive response
- false positive response
A: false positive response
If wrong: false positive response

Q: If you have several audiometers in your office, it is ok to switch headsets from one audiometer to another, but you cannot just switch headsets to inserts
- True
- False
A: False
If wrong: False

Q: If you are having a particularly busy week it is ok to skip the daily biologic check as long as you did it on Monday of that week.
- True
- False
A: False
If wrong: False

Q: If your client reports ringing or other noises in their ears they have:
- tinnitus
- vertigo
- otolagia
- stenosis
A: tinnitus
If wrong: tinnitus

Q: It is important to be constantly aware of infection control measures because:
- you want to protect yourself.
- you want to protect your next (and subsequent) patient/client.
- you want to protect your patient/client.
- All of the above.
- None of the above.
A: All of the above.

Q: It is important to know the amount of ambient noise in the test environment because:
- the client may not hear the instructions clearly.
- it may affect the accuracy of the test results.
- it may distract the client during the testing procedures.
- it may distract the tester during test procedures.
A: it may affect the accuracy of the test results.
If wrong: it may affect the accuracy of the test results.

Q: It is ok to do air conduction first, then otoscopy and the case history.
- True
- False
A: False
If wrong: False, otoscopy and the case history should always be done first.

Q: We have been taught to determine a pure tone threshold using the bracketing technique.
- True
- False
A: True

Q: Results obtained during bone-conduction testing do not reflect any outer or middle ear condition.
- True
- False
A: True

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Specula are found on the ear canal wall.</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">True</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">False</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">False</span></span>

Q: The definition of hearing level (HL) is:
- the number of decibels below an average normal threshold for a given signal.
- the number of decibels above an average normal threshold for a given signal.
- the loss of sensitivity at a specific frequency.
- the number of decibels averaged from 1500 hearing impaired subjects.
A: the number of decibels above an average normal threshold for a given signal.
If wrong: the number of decibels above an average normal threshold for a given signal.

Q: The definition of intensity is:
- the amount of sound energy per unit of area.
- the amount of sound vibration squared.
- the amount of sound energy measured on 100 normal hearing individuals.
- all of the above.
A: the amount of sound energy per unit of area.
If wrong: the amount of sound energy per unit of area.

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The cochlea houses the:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Middle ear bones</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Inner ear components</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Outer ear components</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The earwax components</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Inner ear components</span></span>

Q: The case history questions help predict to some degree:
- the type of hearing loss
- the amount of hearing loss
- the configuration of the hearing loss
- all of the above
A: all of the above
If wrong: all of the above

Q: The average interaural attenuation of bone conduction testing is:
- 0 dB
- 40 dB
- 55 dB
- None of the above
A: 0 dB

Q: The audiometer has many parts, some essential parts are:
- on/off switch, frequency dial, intensity dial, stimulus button and masking selection button.
- parts vary from audiometer to audiometer.
- on/off switch and earphones are the only required parts.
- parts vary based on manufacturer.
A: on/off switch, frequency dial, intensity dial, stimulus button and masking selection button.
If wrong: on/off switch, frequency dial, intensity dial, stimulus button and masking selection button.

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The adult ear canal is an irregular tube that varies in length from approximately one inch to one and one half inches.</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">True</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">False</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">True</span></span>

Q: The absence of an external auditory meatus is referred to as:
- congenlal exostosis.
- conjunctivitis.
- hereditary anomaly.
- congenital atresia.
- hereditary otosclerosis.
A: congenital atresia.

Q: The AudSIM software allows the student to:
- simulate air conduction, bone conduction and speech audiometry testing.
- simulate bone conduction testing
- simulate air conduction and bone conduction testing.
- air conduction testing.
A: simulate air conduction and bone conduction testing.
If wrong: simulate air conduction and bone conduction testing.

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The dividing line between the external ear and the middle ear is the:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Malleus</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The Eustachian tube</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The oval window</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The eardrum</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The eardrum</span></span>

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The external auditory meatus is more commonly referred to as the:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The pinna</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The oval window</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The ear canal</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The eardrum</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The ear canal</span></span>

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The primary function of the pinna is to:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Collect acoustic energy</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Enhance the body-baffle effect</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Transmit and amplify low frequencies</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Create the occlusion effect</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Collect acoustic energy</span></span>

Q: The procedure for testing bone conduction is:
- different than air conduction testing
- a modified air conduction procedure
- to test the right ear first
- identical to air conduction testing
A: identical to air conduction testing
If wrong: identical to air conduction testing

Q: The pure tone average is typically the average of which frequencies:
- 500Hz, 1000Hz, 1500Hz
- 1000Hz, 2000Hz, 4000Hz
- 500Hz, 2000Hz, 4000Hz
- 500Hz, 1000Hz, 2000Hz
A: 500Hz, 1000Hz, 2000Hz
If wrong: 500Hz, 1000Hz, 2000Hz

Q: The standard symbol for air conduction that represents the responses from the right ear is a:
- Δ- triangle
- <- less than sign
- Ο- circle
- Γ- right angle
A: Ο- circle
If wrong: Ο- circle

Q: <b><span style="font-family:'Tahoma'"><span style="font-size:12pt">The structure of the skull where the mastoid is located is the:</span></span></b>
- <b><span style="font-family:'Tahoma'"><span style="font-size:12pt">The Parietal bone</span></span></b>
- <b><span style="font-family:'Tahoma'"><span style="font-size:12pt">The Temporal bone</span></span></b>
- <b><span style="font-family:'Tahoma'"><span style="font-size:12pt">The Occipital bone</span></span></b>
- <b><span style="font-family:'Tahoma'"><span style="font-size:12pt">The Sphenoid bone</span></span></b>
A: <b><span style="font-family:'Tahoma'"><span style="font-size:12pt">The Temporal bone</span></span></b>

Q: <b><span style="font-family:'Tahoma'"><span style="font-size:12pt">The structure of the skull which contains the internal auditory meatus is:</span></span></b>
- <b><span style="font-family:'Tahoma'"><span style="font-size:12pt">The Parietal bone</span></span></b>
- <b><span style="font-family:'Tahoma'"><span style="font-size:12pt">The Temporal bone</span></span></b>
- <b><span style="font-family:'Tahoma'"><span style="font-size:12pt">The Occipital bone</span></span></b>
- <b><span style="font-family:'Tahoma'"><span style="font-size:12pt">The Sphenoid bone</span></span></b>
A: <b><span style="font-family:'Tahoma'"><span style="font-size:12pt">The Temporal bone</span></span></b>

Q: The tympanic membrane attaches to the:
- Malleus
- Incus
- Stapes
- Oval window
A: Malleus

Q: The typical bone ossilator placements are:
- forehead only
- mastoid or forehead
- mastoid only
- mastoid or teeth
A: mastoid or forehead
If wrong: mastoid or forehead

Q: Thickening of the tympanic membrane or a perforation of the tympanic membrane will most likely cause:
- sensorineural hearing loss
- mixed hearing loss
- conductive hearing loss
- conductive or sensorineural hearing loss
A: conductive hearing loss
If wrong: conductive hearing loss

Q: Threshold is defined as the softest level that a patient can hear:
- 25% of the time
- 50% of the time
- 75% of the time
- 100% of the time
A: 50% of the time

Q: To ensure that your audiometer is working properly you MUST:<br>1. perform a biologic check annually.<br>2. perform a biologic check daily.<br>3. perform an electroacoustic calibration daily.<br>4. perform an electro-acoustic calibration annually.
- 1, 2, and 3 are correct
- 1 and 3 are correct
- 2 and 4 are correct
- 4 only is correct
- 1, 2, 3, and 4 are all correct.
A: 2 and 4 are correct

Q: What is the primary limitation of using an earlight to examine the ear?
- the light provides insufficient visualization
- the light will not reach the tympanic membrane
- the tip is too large to reach far enough into the canal
- the light provides insufficient illumination
A: the light provides insufficient visualization

Q: What is the purpose of proper bracing during otoscopy?
- the otoscope cannot move
- the professional's hand is held steady
- the patient's/client's head cannot move into the speculum
- the patient's/client's canal is held open by the speculum
A: the patient's/client's head cannot move into the speculum

Q: What may result when insertion of an otoblock exerts pressure on the vagus nerve?
- dizziness
- nausea
- edema
- cough
A: cough

Q: When air-conduction and bone-conduction thresholds are equal and better than 15 dB, the type of hearing loss is:
- Sensorineural
- Conductive
- Mixed
- None
A: None

Q: When air-conduction and bone-conduction thresholds are equal and less than 15 dB, the type of hearing loss is:
- Sensorineural
- Conductive
- Mixed
- None.
A: None.

Q: When air-conduction thresholds are ≥15 dB poorer than bone-conduction thresholds and when bone-conduction thresholds are better than 15 dB, the type of hearing loss is:
- Sensorineural
- Conductive
- Mixed
- None
A: Conductive

Q: When air-conduction thresholds are ≥15 dB poorer than bone-conduction thresholds and when both air-conduction and bone-conduction thresholds are worse than 15 dB, the type of hearing loss is:
- Sensorineural
- Conductive
- Mixed
- None
A: Mixed

Q: When completing your morning biologic check you notice fraying on the earphone cables and static in the left earphone.  You should:
- continue testing that day and get the earphones replaced when you can
- continue testing that day and get the earphones replaced within a week
- take the earphones off another audiometer you have in the office and use them until you can get a new pair of earphones for the damaged ones
- discontinue testing, contact your equipment company and get the earphones replaced as soon as possible including checking calibration with the new earphones
A: discontinue testing, contact your equipment company and get the earphones replaced as soon as possible including checking calibration with the new earphones
If wrong: discontinue testing, contact your equipment company and get the earphones replaced as soon as possible including checking calibration with the new earphones

Q: 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:
- True, because medication and illness can affect hearing.
- True, because they might have had a childhood illness.
- False, because you are only concerned with their hearing.
- False, because health history information is confidential.
A: True, because medication and illness can affect hearing.

Q: When hearing loss is present, air conduction and bone conduction are equal, the type of hearing loss is described as:
- conductive hearing loss
- sensorineural hearing loss
- mixed hearing loss
- either a or b
A: sensorineural hearing loss
If wrong: sensorineural hearing loss

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">When observing a healthy eardrum during otoscopy, you often observe:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Red striations</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">A cone of light</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">A cone of calcium</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">A cone of blood</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">A cone of light</span></span>

Q: When performing an audiometric evaluation, which of the following procedures could create the occlusion effect?
- use of insert earphones
- incorrect oscillator placement
- DROP
- impedance of the ear canal
- frequency being tested
A: use of insert earphones

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">When performing an otoscopic examination what anatomical feature are you unable to observe?</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The eardrum</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The malleus</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The earwax</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The stapes</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The stapes</span></span>

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">When placing an otoblock into a patient/client’s ear canal, the patient/client begins to cough.  This coughing may be caused by:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Stapedial reflex</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Patellar reflex</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Mandibular reflex</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Arnolds reflex</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Arnolds reflex</span></span>

Q: When positioning a client for testing it is important to:
- position the person at a 90 degrees angle away from you
- position the person facing you so you can see their face
- have the person close their eyes during testing
- turn the person 180 degrees away from you to ensure they can't see your face
A: position the person at a 90 degrees angle away from you
If wrong: position the person at a 90 degrees angle away from you

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">When you perform otoscopy you are:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Observing facial expressions</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Observing the ear canal</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Observing the oval window</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Observing the hearing loss</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Observing the ear canal</span></span>

Q: Where should the Cone of Light be visualized during the inspection of a healthy right ear?
- superior/anterior
- inferior/anterior
- superior/posterior
- inferior/posterior
A: inferior/anterior

Q: Which portion of the ear contains sebaceous glands?
- inferior section of middle ear cavity
- inner portion of external auditory canal
- anterior portion of internal auditory canal
- outer portion of external auditory canal
A: outer portion of external auditory canal

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

Q: Which two actions must a hearing healthcare professional perform before testing an existing patient's/client's hearing?
- clean hands in view of patient/client
- clean patient's/client's hearing instruments
- clean patient's/client's canal of obstructive cerumen
- clean or replace speculum from otoscope
- Both A and D
A: Both A and D

Q: Why is it important to properly manipulate the pinna during otoscopy?
- to aid in the viewing of the vestibule
- to aid in the viewing of the first bend of ear canal
- to aid in the viewing of the tympanic membrane
- to aid in the viewing of the oval window
A: to aid in the viewing of the tympanic membrane

Q: Why it is important to see all four quadrants of the tympanic membrane before attempting to make an ear impression?
- it ensures that ear canal abnormalities can be seen
- it ensures that ossicular abnormalities can be seen
- it ensures that external ear abnormalities can be seen
- it ensures that cochlear abnormalities can be seen
A: it ensures that ear canal abnormalities can be seen

Q: The most common abnormality you will see on otoscopy is cerumen
- True
- False
A: True
If wrong: True

Q: Who is protected under Title IX?
- Everyone
- Boys
- Girls
- Animals
A: Everyone

Q: Does Title IX include sexual harassment?
- It only applies to sports.
- No.
- "Title IX regulations explicitly prohibit sex discrimination which includes harassment, and a number of recent U.S. Supreme Court decisions have clarified how the law should be applied in this area. "
- What the heck is Title IX?
A: "Title IX regulations explicitly prohibit sex discrimination which includes harassment, and a number of recent U.S. Supreme Court decisions have clarified how the law should be applied in this area. "

Q: Does Title IX only benefit women in sports?
- Of course!
- "Title IX benefits everyone—girls and boys, women and men. The law requires educational institutions to maintain policies, practices, and programs that do not discriminate against anyone on the basis of gender.
- It's only for girl's who think they can play sports.
A: "Title IX benefits everyone—girls and boys, women and men. The law requires educational institutions to maintain policies, practices, and programs that do not discriminate against anyone on the basis of gender.