Title: 4.3- Midterm Exam- Senay
Course: 14SP-HIS-170-G101-CLINICAL PRACTICUM I

This is a proctored exam.  It consists of 50 objective questions.  Multiple Choice and True/False.

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

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: 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: 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: 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: 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: 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 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: 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: 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: 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 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: 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: 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: 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: During air conduction testing sounds arrive at the auditory cortex via:
- the outer and middle ear
- the inner ear and along the eighth nerve
- the entire auditory system
- the outer ear, middle ear and cochlea
A: the entire auditory system
If wrong: the entire auditory system

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: 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: 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: Business has been a little down this month.  It is time for the annual calibration of your audiometer.  Since your budget is tight it is ok to delay calibration for a few months.
- True
- False
A: False
If wrong: False

Q: When performing an Audiometric Weber, the tone lateralizes to the better ear, the type of hearing loss is probably:
- sensorineural
- conductive
- mixed
- either a or b
A: sensorineural
If wrong: sensorineural

Q: The reference for the intensity dial on the audiometer is:
- SPL
- SSPL
- HL
- SL
A: HL
If wrong: HL

Q: A bone ossilator is calibrated utilizing a:
- artificial mastoid
- testing 10 normal hearing individuals
- sound level meter
- either b or c
A: artificial mastoid
If wrong: artificial mastoid

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: 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