Title: HIS 170 Final Exam
Course: 14SP-HIS-170-G101-CLINICAL PRACTICUM I

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: What is the primary reason a hearing healthcare professional should use disposable specula, wear disposable gloves, and sanitize equipment?
- to prevent infection from osteomas
- to prevent infection of the middle ear
- to prevent transfer of middle ear effusion
- to prevent transmission of the flu virus
A: to prevent transfer of middle ear effusion

Q: Universal Precautions were developed based on which assumption?
- patients may be concerned about allergic reactions
- patients may be concerned about office cleanliness
- patients may be hosts for infections
- patients may be hosts for osteomas
A: patients may be hosts for infections

Q: A caregiver has stopped by the clinic to drop off a patient/client’s hearing instrument.  What should the hearing healthcare professional do first?
- check the battery and battery connections
- place instrument in a container or cloth
- schedule an appointment for the patient/client
- discuss maintenance schedule with patient/client
A: place instrument in a container or cloth

Q: A hearing healthcare professional is conducting a routine cleaning of a patient/client's behind-the-ear hearing aids.  Upon removal of the earmolds, the hearing healthcare professional notices a foul odor coming from the ear.<br>What special precaution should the hearing healthcare professional immediately take?
- isolate client in a private room
- perform otoscopic inspection
- clean hands with liquid sanitezer
- disinfect/sterilize the work area
A: disinfect/sterilize the work area

Q: In order to properly sanitize auditory test equipment, it is necessary to use:
- alcohol wipes
- zephiran chloride
- spectrocide
- viruside
A: viruside

Q: A clinician routinely cleans all office equipment with alcohol wipes. Specula and ear tips are routinely replaced.  Gloves are used while handling all hearing instruments as well as during patient/client contact. Even so, there appears to be a higher than usual number ear infections and colds at the office.<br>What should be done to reduce the number of infections and colds?
- use gloves while wiping down equipment
- use viricide spray on testing equipment
- use viricide chloride on chairs and equipment
- use spectracide spray on testing equipment
A: use viricide spray on testing equipment

Q: Which of the following items can be sanitized between patients and reused on a daily basis?
- otoscope tip
- circum-aural speaker
- impression syringe
- bone oscillator
- insert earphone
A: insert earphone

Q: What should be used to clean circumaural headphones?
- hydrogen peroxide
- disinfectant spray
- isopropyl alcohol
- disinfectant towelette
A: disinfectant towelette

Q: A patient/client with a history of ear discharge arrives at a hearing healthcare professional's office for testing.<br>Which two precautions should the hearing healthcare professional take?
- sanitize the equipment that has been in contact with the patient/client
- minimize patient/client exposure to staff and other patient/clients
- make minimal contact with patient/client during otoscopy and wear a surgical mask during otoscopy
- sanitize all office equipment
A: sanitize the equipment that has been in contact with the patient/client

Q: A patient/client was referred for a hearing test by a Primary Care Physician. The patient/client reports a history of noise exposure at work and medications for blood pressure and cholesterol.  The patient's/client's spouse reports that the patient/client has hearing trouble at home and in social settings. Test results indicate asymmetrical hearing loss.<br>What should the hearing healthcare professional recommend?
- monaural amplification
- custom hearing protection
- ENT consultation
- reevaluation in six months
A: ENT consultation

Q: 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?
- the patient's/client's expected outcome of the office visit
- the spouse's medical history
- the patient's/client's level of education and employment status
- the spouse's perception of hearing devices
A: the patient's/client's expected outcome of the office visit

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: How does an osteoma present?
- dark, irregular demarcation of the pinna
- bony growth in the external auditory canal
- occlusion of external auditory canal
- calcification of tympanic membrane
A: bony growth in the external auditory canal

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: 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?
- red and bulging outward
- red and normal
- opaque and bulging outward
- opaque and normal
A: opaque and normal

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: What is the typical tympanogram for an ear with untreated acute otitis media?
- Ad
- As
- A
- B
- C
A: B

Q: A hearing healthcare professional is performing tympanometry on a patient/client who has a malfunctioning eustachian tube. Which type of tympanogram can be anticipated?
- A
- Ad
- As
- C
A: C

Q: A patient/client has been diagnosed with ossicular discontinuity. Which type of tympanogram would be anticipated?
- A
- As
- Ad
- B
A: Ad

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

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: 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 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 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?
- presbycusis
- otosclerosis
- ototoxicity
- Meniere's Disease
A: otosclerosis

Q: What is the function of the stria vascularis?
- supplies endolymph and oxygen for the cochlea
- supports the Organ of Corti
- connects both the scala tympani and the scala vestibuli
- separates the scala vestibuli and the scala media
A: supplies endolymph and oxygen for the cochlea

Q: What is the function of the helicotrema?
- generates the electrical charge that drives the function of the scala media
- supports the Organ of Corti
- connects both the scala tympani and the scala vestibuli
- seperates the scala vestibuli and the scala media
A: connects both the scala tympani and the scala vestibuli

Q: What is the function of Reissner's Membrane?
- generates the electrical charge that drives the functions of the scala media
- supports the Organ of Corti
- connects both the scala tympani and the scala vestibuli
- separates the scala vestibuli and the scala media
A: separates the scala vestibuli and the scala media

Q: What is the function of the basilar membrane?
- generates the electrical charge that drives the function of the scala media
- supports the Organ of Corti
- connects both the scala tympani and the scala vestibuli
- separates the scala vestibuli and the scala media
A: supports the Organ of Corti

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: What is the function of the stapedius and tensor muscles?
- to contract in response to soft stimulus
- to contract in response to loud stimulus
- to expand in response to soft stimulus
- to expand in response to loud stimulus
A: to contract in response to loud stimulus

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: What is the pathway of sound through the conductive mechanism?
- concha, aperture, isthmus
- tympanic membrane, ossicular chain, oval window
- stapes, malleus, incus
- scala vestibuli, scala media, scala tympani
A: tympanic membrane, ossicular chain, oval window

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: What does the inner two-thirds of the external auditory canal pass through?
- mastoid process
- temporal bone
- isthmus
- eighth cranial nerve
A: temporal bone

Q: The "Impedance Matching Transformer" action of the middle ear refers to:
- correcting the impedance 'mismatch' between the outside world and the neural hearing.
- correcting the analog to digital disparity
- converting the sound pressure level at the TM to that at the Oval Window Membrane.
- Transducing the aerodynamic energy into neural energy.
- Transducing the energy in air to mechanical energy.
A: converting the sound pressure level at the TM to that at the Oval Window Membrane.

Q: Your patient/client was having trouble locating her cat in her house, even when the cat had a bell on his collar.  Which statement BEST explains this phenomenon?
- High frequency sounds are easier to localize due to their longer wavelength
- Low frequency sounds are more difficult to localize due to their shorter wavelength
- High frequency sounds are more difficult to localize due to their shorter wavelength
- High frequency sounds are more difficult to localize due to their longer wavelength
- High frequencies are easier to localize due to their shorter wavelength
A: High frequency sounds are more difficult to localize due to their shorter wavelength

Q: Which of the following statements would be included when explaining the function of the stapedius and tensor muscles:<br>1.      Acts to stiffen the ossicular chain<br>2.      Contracts in response to soft sounds<br>3.      Contracts in response to loud sounds<br>4.      Becomes flaccid under stimulus
- 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 and 3 are correct

Q: High fevers associated with viral infections can produce hearing loss because:<br>1. the fever 'cooks' the hair cells.<br>2. the virus toxins 'poison' many hair cells. <br>3. fevers remove oxygen from the blood.<br>4. viral infections don't respond to antibiotics.
- 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: A patient/client describes  roaring tinnitis and episodic vertigo. Which of the following are indicative of the symptoms demonstrated?
- Central auditory processing problem
- Stroke
- Acoustic neuroma
- Meniere’s
- All of the above
A: Meniere’s

Q: Which statement BEST describes otitis media?<br>1. Presents with Ad tympanogram<br>2. May be caused by a malfunctioning eustachian tube <br>3. May cause sensorineural hearing loss <br>4. Air conduction may be affected
- 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: 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 distribution of frequency along the basalar membrane is from low at the apex to high at the base.  This distribution gives rise to the ________________ theory.<br>1. volley<br>2. Resonance<br>3. Helmholtz<br>4. place
- 1, 2, and 3 are correct
- 1 and 2 are correct
- 2 and 3 are correct
- 4 only is correct
- 1, 2, 3, and 4 are all correct.
A: 4 only is correct

Q: Type A Tympanograms require:<br>1. an intact TM<br>2. air in the middle ear<br>3. bone, muscles, ligaments, tendons of the middle ear be present<br>4. non-blocked ear canal
- 1, 2, and 3 are correct
- 1 and 2 are correct
- 2 and 3 are correct
- 4 only is correct
- 1, 2, 3, and 4 are all correct.
A: 1, 2, 3, and 4 are all correct.

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: Mrs. Clark says that she takes a lot of medication.  Which of the following is the LEAST likely cause of her sensorineural hearing loss?<br>1. Quinine<br>2. Aspirin <br>3. Neomycin<br>4. Drixoral
- 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: A patient/client is referred to you by her ear specialist for an amplification assessment.  Her past otologic history includes a myringotomy on her right ear and bilateral otitis media.<br>A myringotomy is performed:<br>1. to repair a perforation.<br>2. to provide ventilation throughout the middle ear cavity.<br>3. in cases of extreme otitis externa.<br>4. to allow drainage from the middle ear through the tympanic membrane.
- 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: Mrs. Smith's daughter has noticed that Mrs. Smith no longer hears well. She accompanies her mother to her appointment for a hearing check.  As she listens to the dispenser take a case history, she learns that her grandparents, two of her aunts and her mother's sister all have hearing problems. She is sure that her mother has a hearing problem and wonders if she might develop a hearing problem also.  She asks the dispenser about this and the dispenser tells her that the possibility that she may develop a hearing problem.  This statement is:
- true, because everyone develops hearing problems as they get older.
- true, because hereditary factors are a common contributor to hearing loss.
- false, because all her relatives had high response to noise and she has not.
- false, because hereditary factors contribute little to hearing loss.
A: true, because hereditary factors are a common contributor to hearing loss.

Q: Expecting the hearing instrument to restore hearing to normal and to suppress all background noise is an example of:
- realistic expectations.
- unrealistic expectations.
- outcome of appropriate counseling.
- the principle of demand.
- outcome of ethical dispenser advice.
A: unrealistic expectations.

Q: In general, which of the following is a contra-indication for an ear impression procedure without medical clearance?
- Prolapsed canal
- Discharge
- Warts
- Non-impacted cerumen
- Torturous canal
A: Discharge

Q: Which earmold/shell option would provide the greatest benefit to a patient/client with a medically-cleared, chronically draining ear?
- external vent
- very short canal
- extremely soft material
- smallest style possible
A: external vent

Q: A hearing healthcare professional is conducting a post-testing interview with a patient/client.  After reviewing the history form and audiogram, the hearing healthcare professional provides a recommendation to the patient/client.<br>What factor will most affect the selection of a hearing instrument?
- technology level
- device size
- device financing
- patient motivation
A: patient motivation

Q: A patient/client reports a longstanding history of untreated hearing loss. Testing confirms that the patient/client would benefit from amplification.<br>Which information should be acquired from the patient/client before making a hearing instrument model recommendation?
- dominant hand
- style preference
- patient/client age
- medications
A: style preference

Q: Which factor will affect a patient's/client's acceptance and use of hearing instruments?
- presence of small children in home
- patient's/client's dominant hand
- patient's/client's cosmetic preferences
- frequency and duration of hearing instrument use
A: patient's/client's cosmetic preferences

Q: Which issue negatively effects patient/client need for hearing instruments?
- use time
- handedness
- medication
- cosmetics
A: cosmetics

Q: A patient/client arrives at a hearing healthcare professional's office with non-programmable, in-the-ear hearing instruments that belonged to someone else.  Test box analysis reveals output of 132 dB SPL.  The patient/client has been wearing the instruments for two weeks and intends to continue wearing them, but would like the instruments cleaned and checked.   A pure tone screening indicates the patient/client has normal low-frequency hearing with a mild high-frequency hearing loss.  <br>What should the hearing healthcare professional recommend to this patient/client?
- continue using the hearing instruments
- schedule an appointment for a complete hearing evaluation
- recase/reshell the instruments for better fit
- discontinue use of the hearing instruments
A: discontinue use of the hearing instruments

Q: Which of the following criteria is most important when selecting a hearing instrument style for a patient/client?
- Speech recognition scores and lifestyle.
- Lifestyle and speech reception scores.
- Family expectations and lifestyle.
- Speech recognition scores and speech reception values.
- Financial considerations
A: Speech recognition scores and lifestyle.

Q: The most important factor in a successful hearing instrument fitting is based upon the patient's_____________:
- cosmetic consideration.
- hearing instrument experience.
- audiometric thresholds.
- motivation.
- social activities
A: motivation.

Q: A son brings his mother in for an evaluation.  Test results indicate a 35 dB bilateral sensorineural hearing loss.  During your explanation of results the son insisted that his mother who lives alone needs amplification.  Which is the BEST recommendation?
- fit the ear which has the best word discrimination (WD) for now only
- recommend doing nothing for now
- suggest a binaural fitting
- demo new digital technology
- referral to physician
A: suggest a binaural fitting

Q: A 28-year old woman comes into your office complaining of having trouble understanding conversation in noise.  After completing a hearing assessment questionnaire and history you find she has a mother and aunt (Mother's sister) who have otosclerosis.  You should:
- test and refer.
- test and fit binaurally.
- test mother and aunt.
- test REUR.
- counsel.
A: test and refer.

Q: The patient/client displays a relatively flat profound sensorineural loss, and poor discrimination bilaterally, which are secondary to ototoxicity from medications for her meningitis.  Even though the meningitis is resolved, the residual hearing loss remains.  This 29-year old patient/client needs to have specific help to continue her career.  She could be an excellent candidate for:
- completely-in-the-canal (CIC) instruments.
- cochlear multichannel implants.
- a body instrument with Y cord.
- BICROS instruments.
- eyeglass instruments.
A: cochlear multichannel implants.

Q: When determining the size of a vent to order, you would consider the client's threshold:
- Between 250Hz and 500Hz
- Below 500 Hz
- Below 1000 Hz
- Between 1000 Hz and 2000 Hz
- Above 2000 Hz
A: Below 500 Hz

Q: Assuming 65 dB SPL input, about how much gain would be needed if MCL = 105 dB SPL?
- 20 dB
- 35 dB
- 40 dB
- 50 dB
- 65 dB
A: 40 dB

Q: The peak SPL of a hearing instrument should:
- be between 500 Hz and 2000 Hz.
- should equal gain plus 17 dB.
- should be the same as the peak gain.
- not exceed the client's UCL/TD.
- not exceed the client's MCL.
A: not exceed the client's UCL/TD.

Q: What is the hearing level of 105dB SPL?
- 65dB HL
- 85dB HL
- 105dB HL
- 125dB HL
A: 85dB HL

Q: What is the most important contributor to successful hearing instrument use?
- conducting annual audiograms
- achieving formula target
- choosing a proper matrix
- conducting post-fitting care
A: conducting post-fitting care

Q: Which two pieces of information should a hearing healthcare professional acquire through otoscopic examination prior to taking an ear impression?
- unusual contours or landmarks
- amount of impression material needed
- general diameter, length, and direction of ear canal
- location of the acoustic seal
A: unusual contours or landmarks
If right: C
If wrong: C

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

Q: Which step should a hearing healthcare professional complete immediately after removing an impression from a patient's/client's ear?
- visually inspect ear impression for flaws
- use otoscope to verify complete removal and condition of canal
- use earlight to check for bleeding deep in the canal
- use tissue to wipe oil from the concha and canal
A: use otoscope to verify complete removal and condition of canal

Q: When delivering a hearing instrument to the patient/client, the first item of importance before the end of the delivery is?
- Noise control
- Patient/client manipulation
- Comfort
- Echo
A: Comfort

Q: 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>How should the hearing healthcare professional make the hearing instruments more satisfactory?
- add a feedback ring
- increase the vents
- decrease the canal diameter
- reduce the canal tip
A: increase the vents

Q: Which frequencies will parallel venting predominately affect?
- 125Hz through 8000Hz
- 250Hz through 750Hz
- 1000Hz through 4000Hz
- 2000Hz through 8000Hz
A: 250Hz through 750Hz

Q: A patient/client with a long medical history of a discharging ear comes to your office for his test.  You should:<br>1. disinfect all equipment and hands prior to proceeding with test.<br>2. proceed with test and dispose of all infectious equipment after you have completed testing.<br>3. disinfect all equipment after you have completed testing.<br>4. disinfect or dispose of all equipment and surfaces when you have completed test.
- 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 and 3 are correct

Q: Disposable gloves are required:
- by the FDA.
- by CDC.
- by FTC.
- for sanitary measures.
- to prevent presbyopia.
A: for sanitary measures.

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: The MOST important reason to wash your hands before and after each service is:
- It helps prevent the spread of infectious disease.
- It is the only protection available for both specialist and patient/client.
- It is mandated by insurance companies.
- It is required by state licensure.
- It is a health department requirement.
A: It helps prevent the spread of infectious disease.

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: 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: Infection control is a very real consideration in every practice.  Some procedures available are:<br>1. wipe cushions with antiviral liquid.<br>2. use viricide on tympanometry and otoscope tips.<br>3. wash hands in view of patient/client.<br>4. wear disposable gloves.<br>5. remove and discard gloves in view of patient/client.<br>The BEST sequence for using these procedures is:
- 3, 4, 1, 2, 5
- 4, 4, 5, 3, 2
- 5, 4, 2, 3, 1
- 3, 4, 1, 5, 2
- All of the above as sequence does NOT matter.
A: 3, 4, 1, 2, 5

Q: In order to properly sanitize auditory test equipment, it is necessary to use:<br>1. alcohol<br>2. zephiran chloride<br>3. spectrocide<br>4. viruside
- 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: 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: Mr. Hill has been using hearing instruments for many years.  His hearing continues to get worse.  His last audiogram showed a severe mixed hearing loss and he was fitted with unvented earmolds to help control feedback.  He comes into your office complaining that his hearing has gotten worse.  When you do otoscopy you discover that he has an apparent external otitis. You should:
- vent his earmolds so his ear can drain
- refer him to a physician
- tell him not to wear his hearing instruments until his ears close up
- fit him with a body instrument
- fit him with a bone conduction instrument
A: refer him to a physician

Q: Which of the following statements is/are TRUE regarding occlusion?<br>1. May be an indication of not enough gain in the hearing instrument<br>2. Can usually be reduced by making the vent smaller<br>3. Can be measured using a probe microphone<br>4. Is rarely experienced by hearing instrument users
- 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 and 3 are 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: The patient/client is a 56-year old male who reports that "when he inserts his hearing instruments (or noise plugs) at work, he develops upset stomach and pain in his chest within 30 to 40 minutes.  You should adjust the shell of the instruments and/ or plugs to relieve pressure of the:
- 5th Cranial Nerve.
- 7th Cranial Nerve.
- 10th Cranial Nerve
- Trigeminal Nerve.
- None of the above.
A: 10th Cranial Nerve

Q: Which of the following conditions would LEAST likely occur from wearing a hearing instrument for the first time?
- Barrel effect
- Cholesteatoma
- Occlusion
- External otitis
- Contact dermatitis
A: Cholesteatoma

Q: The feeling of "hollowness" or "occlusion" may BEST be successfully reduced by:<br>1. lengthening the canal.<br>2. increasing output.<br>3. enlarging the vent size.<br>4. changing to screw set V.C.
- 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 and 3 are correct

Q: A 47-year old male comes to your office complaining he has hearing instrument feedback all the time. Otoscopic examination indicates an occluded ear.  You would:<br>1. eliminate occlusion.<br>2. listen to hearing instrument, check for internal feedback, and eliminate occlusion.<br>3. send hearing instrument for repairs and refer him to a physician for medical attention.<br>4. listen to hearing instrument, check for internal feedback, and refer to physician for medical attention.
- 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: Wax would MOST LIKELY affect which of the following hearing instrument components:
- Receiver
- Microphone
- Volume control
- Amplifier
- All of the above
A: Receiver

Q: The patient/client is a 34-year old male who presents at the clinic with "serious hearing loss".  He states that he is HIV positive and is being treated with the "cocktail".  It has caused severe hearing loss, bilaterally.  Audiometric data indicate a severe-to-profound mid-to-high frequency sensorineural loss. His binaural word discrimination scores are worse than his best monaural score.  In addition, his SRT is poorer than his speech frequency averages by about 10 dB. The hearing instrument specialist should:<br>1. Wash the hands before and after working with the patient's ears.<br>2. Wear latex gloves for the protection of the patient/client and others.<br>3. Clean headphone cushions, immittance probe tips, specula and earlight tips with viricide after use.<br>4. Inform the factory (at the time of order) to use Infection Control Procedures when working with the impression.
- 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: Selective amplification procedures assume that differences:<br>1. in hearing aids exist.<br>2. in amplification for patients exist.<br>3. can be measured.<br>4. are often negligible.
- 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, and 3 are correct

Q: Which of the following would be LEAST effective in promoting hearing health and community relations?<br>1. Offer free hearing screenings at a local health fair.<br>2. Offer free foam ear plugs for local sporting events or concerts.<br>3. Donate a hearing aid to a needy child and get local newspaper coverage.<br>4. Offer free hearing tests in your yellow pages advertising.
- 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: Confidential records include:<br>1. Audiograms.<br>2. Medical waivers.<br>3. Case histories.<br>4. hearing instrument pricing.
- 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, and 3 are correct

Q: To protect valuable information stored in their computer, a specialist should:
- make frequent data backups and store off site
- use an uninterruptible power supply to prevent electrical damage
- use an automatic virus protection program daily
- turn off the power immediately upon hearing thunder
A: make frequent data backups and store off site

Q: Patient records are:
- confidential but not subject to the requirements of the federal Freedom of Information Act.
- confidential and subject to FDA inspections.
- required to be kept ONLY for hearing instrument purchases.
- confidential and must be kept for the life of the patient/client.
- protected from inspection by federal or state agencies because of their confidentiality.
A: confidential and subject to FDA inspections.