Title: HIS 280 Final
Course: 14SP-HIS-280-G101-CLINICAL PRACTICUM III > Section: Dropbox

Q: Which alternate test should a hearing healthcare professional conduct when SRT scores cannot be obtained?
- MCL
- PTA
- LDL
- SAT
A: SAT

Q: A patient/client complains of a foul-smelling fluid coming from the right ear. Otoscopy reveals debris and fluid originating from the superior portion of the tympanic membrane. <br>What is the likely cause of these symptoms?
- Cholesteatoma
- Eczema
- Otitis Media
- Tympanosclerosis
A: Cholesteatoma

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 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: 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: 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: Which of the following statements would be included in a description of the scala media and scala vestibuli?<br>1. Separated by Reissner's membrane.<br>2. Separated by the Basilar membrane.<br>3. Found in the inner ear.<br>4. Attached to 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: 1 and 3 are correct

Q: A 72-year old female patient/client coughs severely during an otoscopic inspection, and while taking the earmold impression with oto-block and impression material.  This coughing may be caused by:
- occlusion effect.
- Arnold's reflex
- Paracusis Willisi.
- mandibular Manipulation.
- patellar reflex.
A: Arnold's reflex

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: Which of the following statements BEST describes the function of the pinna?<br>Used for localization of sounds.<br>Helps transmit and amplify low frequencies.<br>Enhanced body-baffle effect.<br>Collects acoustic energy.
- 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: Your patient/client complains of dizziness, vertigo, tinnitus and a fluctuating hearing loss.  Which statement BEST describes these symptoms?
- Reflects a possible retrocochlear lesion.
- Symptoms are characteristic of Meniere's syndrome.
- Symptoms are characteristic of chronic suppurative otitis media.
- Symptoms are characteristic of an acoustic neuroma.
- Symptoms are characteristic of an allergic condition.
A: Symptoms are characteristic of an acoustic neuroma.

Q: Which statement BEST defines a conductive hearing loss?
- Your client speaks loudly and hears better in noisy restaurants.
- A bone conduction hearing instrument can be a successful fitting option.
- Your client speaks softly and has recruitment.
- Your client speaks softly and hears better in large groups.
- None of the above.
A: Your client speaks softly and hears better in large groups.

Q: The major reason for questions about Type I or Type II Diabetes Mellitus on a history form in a hearing aid office is because:<br>1. diabetes may contribute to conductive hearing loss.<br>2. diabetes may produce central components of hearing loss.<br>3. it may contribute to sensorineural losses due to vascular insufficiency in the Stria Vascularis.<br>4. it may contribute to the necrosis of the Incus.
- 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: A patient/client reports a history of Meniere's Syndrome.  Which of the following symptom(s) are characteristic?<br>1. Poor low frequency hearing<br>2. Poor discrimination scores<br>3. Narrow dynamic range<br>4. Poor high frequency hearing
- 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, and 3 are correct

Q: The patient/client is a 57-year old female with a moderate-to-severe, mid-to-high frequency, steeply sloping, sensori-neural loss, bilaterally symmetrical.  She agrees that she needs hearing instruments, bilaterally and wants programmable, multi-memory, CIC's.<br>Within 24 hours of delivery her ears are red, slightly edematous and itching to the point of pain.  She has taken the instruments out and is "afraid to use them" again.  The first thing you should do is:
- Counsel her and explain that her ears will adjust to the hearing instruments.
- Return her hearing instruments for credit and return her money.
- Change from CICs to a non-occluding shell.
- Coat the shell with hypo-allergenic material and observe if symptoms return. If not, recase instruments with hypo-allergenic material.
- None of the above.
A: Coat the shell with hypo-allergenic material and observe if symptoms return. If not, recase instruments with hypo-allergenic material.

Q: Your case history on a new patient/client reveals a recent stroke. Which of the following would you LEAST likely expect to be a potential problem when fitting a hearing instrument?
- Reduced word discrimination
- Difficulty changing the battery
- Difficulty balancing the hearing instruments
- Bilateral severe recruitment
- Memory difficulties
A: Bilateral severe recruitment

Q: When taking a history from your patient, it is important to include the following:<br>1. Hobbies of family members<br>2. Past illnesses<br>3. Work environment<br>4. Medications
- 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 70-year old woman presents with the following statement, “I want one of those tiny hearing aids I’ve seen on television”.  You notice that she has severe arthritis and poor “aided” vision.  Her hair is long and well cared for and covers her ears and sides of her face completely.  She is widowed and lives alone.  Before fitting her, you should explain that:<br>1. she may not be able to change batteries in a CIC.<br>2. CIC’s are not available for her loss.<br>3. a BTE may be easier to put on and change batteries.<br>4. a BTE is better than a CIC.
- 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: Your patient/client has a severe bilateral sensorineural hearing loss.  Aided speech discrimination scores are 42% Right, 42% Left, and 48% Binaural.  Which statement BEST describes your patient's needs?<br>1. Speech reading classes will be helpful <br>2. Visual cues will provide help <br>3. Aural rehabilitation is important for success <br>4. Regular follow-up care will be needed
- 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: Pure tone air conduction is generally done with what method?
- Descending
- Ascending
- Escalating
- Constant tone
- None of the above
A: Descending

Q: The standard audiometric test protocol includes:<br>1. A complete history<br>2. An otoscopic examination.<br>3. Pure tone.<br>4. Loudness discomfort level testing
- 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: To mask for speech audiometry, narrow band noise should ALWAYS be employed.
- Statement is definitely TRUE.
- Statement is probably TRUE.
- Indeterminate, not able to say.
- Statement is probably FALSE.
- Statement is definitely FALSE.
A: Statement is definitely FALSE.

Q: Speech discrimination scores obtained to supplement hearing instrument selection are BEST made at:
- the patient/client's MCL
- SRT + 50dB
- 70dB SPL
- SRT + 25dB
- Threshold
A: the patient/client's MCL

Q: The MOST effective method for the masking of pure tones is:
- Harford
- Carhart-Jerger
- Hood's plateau
- Studebaker
- Weber
A: Hood's plateau

Q: The audiogram configuration in relation to right vs left pure tone air test would MOST likely be explained as:
- cerumen impaction right ear.
- head shadow effect.
- shadow curve.
- acoustic trauma to right side.
- perforated eardrum.
A: shadow curve.

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 the APHAB, if the benefit score is positive, then the performance with the hearing aid is perceived as:<br>1. Better than without the hearing aid<br>2. Worse than without the hearing aid<br>3. Better with the hearing aid<br>4. Worse with the hearing aid
- 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: Rather than asking a patient, "How does that sound?," which test can a hearing healthcare professional use to measure the change in a patient/client's hearing?
- APHAB
- REMOVE
- SIN
- SRT
- SAT
A: APHAB

Q: Real ear measurement provides which benefit over sound field measurement?
- It is ear-specific.
- It can be performed in a noisy environment.
- It provides functional gain.
- It can be used with more types of instruments.
A: It is ear-specific.

Q: Which benefit is provided by a patient's/client's use of a telecoil?
- provides access to an assistive listening loop
- can be an on/off switch for the hearing instrument
- provides an increase in high frequencies
- provides a decrease in hearing instrument output
A: provides access to an assistive listening loop

Q: While this "counseling approach" is invaluable, it is:
- not a substitute for "truth".
- not a substitute for understanding on the part of the patient.
- only part of the process.
- a method of "empowering" the patient.
- All of the above
A: All of the above

Q: Counseling is the ability to:
- "draw the patient out".
- elicit from them, their 'story'.
- move the patient to "acceptance".
- engender "understanding".
- All of the above
A: All of the above

Q: There are 5 stages of dealing with loss.  These are:
- Anger, Bargaining, Refusal, Hopelessness, Acceptance
- Denial, Rage, Bargaining. Depression, Grief
- Denial, Anger, Bargaining, Depression/Grief, Acceptance
- Rage, Refusal, Deal Making, Annomae, Acceptance
- All of the above
A: Denial, Anger, Bargaining, Depression/Grief, Acceptance

Q: A patient's records:
- can be released upon request.
- are the property of the patient/client and must be released on demand.
- are confidential and should only be released with permission of patient/client.
- are confidential and require a written release from patient/client.
A: are confidential and require a written release from patient/client.

Q: A hearing healthcare professional is troubleshooting a poorly performing ITE instrument. The hearing healthcare professional clears cerumen debris from the receiver opening, but the listening check reveals that the hearing instrument is weak. What should the hearing healthcare professional check next?
- battery contacts
- microphone
- telecoil
- volume control
A: microphone

Q: <span style="font-size:12pt"><br></span><span style="font-size:12pt">When giving instructions during testing, it is important to <br></span>
- Only give them one time
- Make sure the patient does not look at you
- Make sure the patient understands you
- Make sure the patient is facing away
A: Only give them one time

Q: Presbycusis is
- Calcification of the TM
- Discontinuity of the ossicular chain
- An abnormal shaped ear canal
- Hearing loss due to age and loss of nerve damage
A: Hearing loss due to age and loss of nerve damage

Q: Which is NOT a step in taking an ear impression?
- Inspect the ear with otoscopy
- Set the otoblock
- Lubricate the otoblock
- Check placement of the block
A: Lubricate the otoblock

Q: Why must impression material be mixed until it is consistent?
- So it can cure properly
- So it will flow through the syringe easily
- So it looks good
- So it will withstand extreme temperatures
A: So it can cure properly

Q: Your patient has an SRT of 10 in the left ear, and 40 in the right ear. If you present WRS testing at 60db HL in both ears with headphones, which ear would you have to apply masking to?
- Neither ear would require masking
- Left ear only
- Right ear only
- Complete binaural testing with masking
A: Neither ear would require masking

Q: When completing real ear verifications, for aided and unaided measurement the probe tube should be placed approximately how many millimeters from the eardrum?
- 2mm
- 5mm
- 10mm
- 8mm
A: 5mm

Q: It is important to check behind the pinna during otoscopy to check for surgical scars.
- True
- False
A: True

Q: COSI is a validation tool to check the patient’s adaptation to hearing aids and verify that programming is done correctly with no input from the patient.
- True
- False
A: False

Q: At your fitting appointment, your real ear measurement data shows no difference in unaided and aided measurements, this could be due to the hearing aid battery door being open.
- True
- False
A: True

Q: The hearing aid test box only provides assistance with analog hearing aids.
- True
- False
A: False

Q: You never need to apply masking to SRT testing.
- True
- False
A: False

Q: Impacted cerumen should be removed by a licensed physician, not the hearing instrument specialist in training.
- True
- False
A: True