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Hearing Instrument Specialist > IHS Exam #2 > Flashcards

IHS Exam #2 Flashcards

1
Q

A hearing care professional is working with a new patient who purchasedtwo hearing aids 6 months ago from another professional. The client is not satisfied with the hearing aids performance and does not want to return to that specialist. What should the hearing care
professional recommendto the client?

a. Encourage him to go back to the original specialistanyway
b. Return the hearing aids as soon as possible
c. Re-testand evaluate the fitting
d. Complete an electronic check of the hearing aids to ensure they are operating correctly

A

c. Re-testand evaluate the fitting

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2
Q

Which two forces is being measure on a tympanogram?

a. Compliance and decibels
b. Compliance and pressure
c. Pressure and Hertz
d. Decibels and Hertz

A

b. Compliance and pressure

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3
Q

Which two situations could produce a type B tympanogram when completed by the hearing care professional?

a. Ossicular discontinuity, normal hearing
b. Probe tip failure, retracted TM
c. Perforation of the TM, atelectasis of the TM
d. Otitismedia, ossicularfixation

A

d. Otitismedia, ossicularfixation

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4
Q

A 76 year old male patient who is retired and volunteers at a hospital welcome center 2 days a week is replacing his current aids. Which is important for the hearing care professional to complete when assisting this patient?

a. Impression should be medium length
b. Use multiple dams during the impression process
c. Council the patient about aural rehabilitation
d. Use open mouth impression procedure

A

c. Council the patient about aural rehabilitation

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5
Q

A client is complaining about feedback from both his 5-week old hearing aids. After an initial interviewwiththe client, whichprocedure should the hearing care professional do next?

a. Retest his hearing
b. Perform an otoscopic exam
c. Clean the hearing aids
d. Plug the vent

A

b. Perform an otoscopic exam

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6
Q

Why is it important for a hearing care professional to be able to identify and assistant with clientsthrough the stages of coping with loss?

a. Identify the level of impact the loss has on family and friends
b. Assist the patient to accept the hearingloss
c. Identify the appropriate aid for the loss
d. Assist the patient to identify when the loss occurred

A

a. Identify the level of impact the loss has on family and friends

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7
Q

A returning client comes into the office, who was fit 2 years ago monaurally by another hearing care professional. The PTA is 35 R, 40 L with a word discrimination score of 72% R, 74% L and 80% binaurally. The client is still having difficulty understanding speech in background noise, sound localization and clarity on the phone. Which should the hearing care provider review with the client?

a. A FM listing system
b. Reprogram using a different fitting formula
c. Discuss appropriate expectations
d. Aid the unaidedear

A

d. Aid the unaided ear

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8
Q

Which is the best aid for a 36 year old school teacher of middle school age
children with a mild flat sensorineural loss? It is important to the patient for the aids to be discrete. The teacher also coaches the debate club for the highschool.

a. CIC
b. RIC
c. BTE with skeletonmold
d. Canal with a skin colored shell

A

a. CIC

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9
Q

Why should the dam be the same size or slightly larger than the secondbend of the ear canal for an impression?

a. Prevent a smaller picture of the canal
b. Prevent a prolapsed canal from occurring
c. Prevent any cerumen from mixing with the impressionmaterial
d. Allow airflow to the TM

A

b. Prevent a prolapsed canal from occurring

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10
Q

A client has been using BTE hearing aids for 2 years. The client is now moving in with an adult child and family due to a recent fall causing the client to have surgery. The client is having difficulty hearing the television however the other members of the family complain the volume is too loud. The client is hearing well in all other situation in the house. What should the hearing care provider recommendto the client?

a. Increase the volume on the hearing aids when watching television
b. Slightly increase the volume of the television
c. Move the chair closer to the television
d. Reprogram aids

A

a. Increase the volume on the hearing aids when watching television

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11
Q

When completing an audiometric evaluation, whichisthe best sanitation
method before placing the TDH-39 on the patient?

a. Hot water
b. Moist towelette
c. Peroxide
d. Isopropyl alcohol

A

d. Isopropyl alcohol

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12
Q

Which hearing aid should the hearing healthcare provider recommend
for the client?

a. BTE with a skeletonearmold
b. Canal with an large vent
c. Canal with no vent
d. BTE with a full shell earmold

A

a. BTE with a skeleton earmold

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13
Q

A hearing care professional is counseling the client. Which is the most important aspect to discuss with the patient?

a. Council about possible ALD’s
b. Insertion of batteries and earmolds
c. Programming parameters
d. Auralrehabilitation

A

b. Insertion of batteries and earmolds

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14
Q

A client has been using an ITC hearing aid for 22 months. The client is
complaining the hearing aid does not sound as loud as it did before and the volume has to be increase even in quiet environments. The hearing care professional listens to the hearing aid in normal program mode and also in telephone coil. What is the hearing care professional checking?

a. Volume
b. Program switch
c. Microphone
d. Wiring

A

a. Volume

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15
Q

Which action should a hearing care professional complete prior to making an ear impressionfor a patient?

a. Review paperwork with the patient
b. Test silicone with fingernail
c. Clean hands in front of patient
d. Separate impression material

A

c. Clean hands in front of patient

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16
Q

A 53-year old patient has been evaluated to have a mild to moderate gradual sloping sensorineural loss. The patient is an office employee and enjoys outdoor activities. Which is the best hearing aid to recommend to this client?

a. Canal
b. Full Shell ITE
c. BTE with acrylic earmold
d. BTE with slim tube

A

a. Canal

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17
Q

A hearing care professional has completed a consultation with a 68 year old patient with a mild gradually sloping sensorineural loss in one ear and normal levels in the better ear. The word discrimination is 92% in the better ear and 36% in the poorer ear. The patient retired fromfactory work. The current hearing aids are 9 years old and not working. Which disorder should the hearing care professionalsuspect isthe problem?

a. Acoustic Neuroma
b. Meniere’s Disease
c. Presbycusis
d. Noise Trauma

A

a. Acoustic Neuroma

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18
Q

Which action must a hearing care professional complete first before
administering tympanometry on a client?

a. Form a seal at the canal opening
b. Clean / replace the probe tip
c. Clean clients hearing instruments
d. Compare graph to normative data

A

b. Clean / replace the probe tip

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19
Q

While completing a case history with a 67 year old male who has never worn hearing aids, the patient reports a continuous ringing and fullness in the left ear. The loss has occurred in the past 2 months with no family history of hearing loss. Which testshould the hearing care professional complete?

a. SRT
b. Pure Tone Air Conduction
c. Tympanometry
d. MCL

A

c. Tympanometry

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20
Q

When counseling a patient about adaptive directional microphones, which is important for the client to understand about the hearingaid?

a. Changes from omni to directional mode
b. Changes the polar pattern according to the noise source
c. Has been shown to be more effective than a fixed directional microphone for speechunderstanding
d. Is not affected by reverberant noise

A

b. Changes the polar pattern according to the noise source

21
Q

Two weeks after delivery of new hearing aids, a patient is complaining of
whistling noise and her ears are sore. What is the first thing the hearing care professional should do for the patient?

a. Make new impressions and compare to existing earmolds
b. Identify the sore spots and reduce in those areas
c. Have her demonstrate how she is inserting the earmolds and re-instruct, if needed
d. Have her stop wearing the hearing aids for an indefinite period

A

c. Have her demonstrate how she is inserting the earmolds and re-instruct, if needed

22
Q

Which is the best method to confirm correct location of the dam placement for an impression?

a. Brace look in the ear with otoscope without touching the ear and the dam should not be visible
b. Pull up on the pinna while looking into the ear with a otoscope
c. Block and brace while looking into the ear with a otoscope
d. Pull up on the pinna and look around the seal of the dam

A

d. Pull up on the pinna and look around the seal of the dam

23
Q

Which is a self-assessment inventory of the hearing care professional to assess communication difficulty in normal everyday situations?

a. REM
b. SHCOI
c. IHAFF
d. APHAB

A

d. APHAB

24
Q

Which factor will affect the motivation of a patient to use and acceptthe
hearing aids?

a. Use time
b. Discriminationscores
c. General attitude
d. Degree of loss

A

c. General attitude

25
Q

A patient comes in with their hearing aid and it is currently not working
although it worked earlier that day. What is the first thing the hearing care
professional should do with the aids?

a. Check the battery
b. Complete a listen check of the aid
c. Place them in a container or on a tissue
d. Clean the aid

A

c. Place them in a container or on a tissue

26
Q

Which should the hearing care professional complete before programming the hearing aid prior to initial delivery to the patient?

a. Complete a visual inspection of the aid
b. Clean the hearing aid
c. Real Ear management
d. Confirm the use time of the batteries

A

b. Clean the hearing aid

27
Q

Where is the stria vascularis located in the auditory system?

a. Nasopharynx
b. Basal
c. Helicotrema
d. Scala media

A

d. Scala media

28
Q

The impression material will be shiny in the canal portion of the impression when the impressionisremovedif whicherror is completed by the hearing care professional?

a. The tip of the syringe is pushed into the impressionmaterial
b. Impression material does not mix completely
c. Material only made contact withair
d. Helix is not filled with impressionmaterial

A

c. Material only made contact with air

29
Q

A consultant completed an initial consultation with a 29 year old female who reported feeling pressure in the left ear. When the otoscopy evaluation was completed the cone of light was directed down. The hearing evaluation revealed a moderate to severe steeply sloping mixed loss. Which disorder should the hearing care provider suspectis the problem?

a. TM Perforation
b. Tympanosclerosis
c. Otitis Media
d. Acoustic Trama

A

c. Otitis Media

30
Q

Which area of the ear canal produces the most cerumen?

a. At the isthmus
b. At the eardrum
c. The middle third of the ear canal
d. The outer third of the ear canal

A

d. The outer third of the ear canal

31
Q

Which of the following is the best choice of amplification for a person with
bilateral moderate conductivehearing loss and chronic drainage from both ears?

a. BTE with 1.6 mm vented earmolds
b. Canal aids with 2.0 mm vent
c. RIC with 1.6 mm ventedearmold
d. RIC with close tip

A

a. BTE with 1.6 mm vented earmolds

32
Q

A hearing care professional completed an hearing evaluation with the following results:
Right ear AC thresholds of 500 Hz – 20 dB, 1000 Hz – 30 dB, 2000 Hz – 40
dB, 4000Hz – 45 dB & 8000Hz – 60 db
Left ear AC thresholds of 500 Hz - 25 dB, 1000 Hz – 40 dB, 2000 Hz – 45 dB, 4000 Hz – 50 dB & 8000 Hz – 65 dB
Right ear BC thresholds of 500 Hz – 15 dB, 1000 Hz – 25 dB, 2000 Hz – 35 dB, 4000 Hz – 35 dB

Which frequencies should be masked?

a. 500 Hz
b. 1000 & 2000 Hz
c. 1000 & 4000 Hz
d. 2000 & 4000 Hz

A

c. 1000 & 4000 Hz

33
Q

When completing a case history with a patient, the main objective is to obtain what information?

a. Advise the patient about his/her hearing loss
b. Educate the patient about his / her hearingloss
c. Guide the patient to volunteer information about his/her hearingloss
d. Tell the patient about his / her hearing loss

A

c. Guide the patient to volunteer information about his/her hearingloss

34
Q

A patient comes in to the office with a CIC complaining the hearing aid is making a lot of noise but isn’t working. The hearing care professional completes a listen check of the hearing aid and the hearing aid has a significant amount of circuit noise but almost no amplification. Which does the hearing care professional assume is the problem?

a. Not enough gain
b. Pluggedmicrophone
c. Pluggedreceiver
d. Faulty volume control

A

b. Plugged microphone

35
Q

Which should a hearing care professional send as a referral when evaluating the ear canal during otoscopic evaluation before performing a hearing test on a new patient?

a. Ventilationtube
b. Cerumen on bottom of ear canal
c. Pearly TM
d. Cholesteatoma

A

d. Cholesteatoma

36
Q

A patient with a moderate gradually sloping loss was fit with new BTE hearing aids and a skeleton mold with 1.6 vent. At a follow up visit, the patient is frustrated with the automatic, multi-memorydigital aids because there are too many options and buttons. What should the hearing care professional recommend for the patient?

a. Disable program option
b. Change the instrument to a analog programmable aid
c. Discuss a remote for better control
d. Give the patient another instructionbook

A

a. Disable program option

37
Q

A 58 year old patient comes if for his 1 week follow up visit. He was fit with
canal aids with a 2.0 mm vent for a moderate sensorineural loss. He stated that he is hearing a lot of noise with the new hearing aids when he is reading the paper in the morning. What is the next step the hearing care professional should take to help with the issue?

a. Complete a listen check of the hearingaid
b. Take the hearing aid from the patient
c. Return the hearing aid to the factory for repair
d. Ask the patient additional question about the noise

A

d. Ask the patient additional question about the noise

38
Q

A 75 year old female patient was fit with open tip BTE 2 weeks ago. She is very active in her card group and watches her 2 grandchildren 3 days a week after school. She a mild sensorineural hearing loss with a PTA of 38 binaurally and a word discrimination score of 78% for right, 74% left and 84% binaurally. At the follow-up visit she is happy with her new aids in most situations however she is frustrated with her ability to hear on her house phone. What should the hearing care professional recommend?

a. Increase the volume of the telephone
b. Use a speaker phone
c. Replace her phone
d. Exchange the aids for CIC’s

A

d. Exchange the aids for CIC’s
OR
b. Use a speaker phone

39
Q

A hearing care professional completed an hearing evaluation with the following results:
Right ear AC thresholds of 500 Hz – 40 dB, 1000 Hz – 55 dB, 2000 Hz – 75
dB, 4000Hz – 75 dB & 8000Hz – 90 db
Left ear AC thresholds of 500 Hz - 35 dB, 1000 Hz – 50 dB, 2000 Hz – 65 dB, 4000 Hz – 80 dB & 8000 Hz – 85 dB
BC thresholds of 500 Hz – 30dB, 1000 Hz – 40 dB, 2000 Hz – 60 dB, 4000 Hz – 70 dB

Which BC thresholds need to be masked to find the true poorer earthreshold?

a. 500 & 1000 Hz
b. 1000 & 4000 Hz
c. 1000 & 2000 Hz
d. 2000 & 4000 Hz

A

c. 1000 & 2000 Hz

40
Q

A patient came in for a hearing test and had the following results:
Right ear AC thresholds of 500 Hz – 20 dB, 1000 Hz – 25 dB, 2000 Hz – 35 dB, 4000 Hz – 45 dB & 8000Hz – 50 db
Left ear AC thresholds of 500 Hz - 35 dB, 1000 Hz – 50 dB, 2000 Hz – 60 dB, 4000 Hz – 65 dB & 8000 Hz – 65 dB
BC thresholds of 500 Hz – 20dB, 1000 Hz – 20 dB, 2000 Hz – 30 dB, 4000 Hz – 45 dB
The SRT for the patient was 25 bilaterally and a MCL of 60 for the right ear and 80 for the left ear.

What should the hearing care professional recommend to the patient?

a. BTE with a skeleton mold and a 2.0 mm vent
b. Half shell with directional microphones in skin tone
c. Medical referral
d. BTE with skeleton mold and a 1.6 mm vent

A

c. Medical referral

41
Q

Which condition of the human ear has no effect on the real-ear probe tube measurements when using tone input signal?

a. Physicalshape
b. Diameter of the canal
c. Length of the canal
d. Stiffness of the TM

A

d. Stiffness of the TM

42
Q

A patient and his spouse came in for his 3 month follow-up. He is very happy with his hearing aids however his wife still believes he is not hearing better in busy or noise environments. The patient states she does not face him when she is talking in those environments. Which should the hearing care provider recommend to the patient and spouse?

a. Counsel the patient on the programs of the hearing aids
b. Counsel the spouse about strategies to communicate in noisy environments with the patient
c. Make the vent smaller
d. Counsel the spouse about the programs of the hearing aids

A

b. Counsel the spouse about strategies to communicate in noisy environments with the patient

43
Q

A patient comes into the office again for the second time in a month. She is frustrated because her hearing aid is whistling again and it is embarrassing her in meetings. The patient wears a canal aid with a 2.0 mm vent and a mild to moderate sloping sensorineural loss. What should the hearing care professional do first to stop the aid from feeding back?

a. Decrease vent
b. Increase kneepoints
c. Decrease compression
d. Decrease gain in high frequencies

A

a. Decrease vent
OR
d. Decrease gain in high frequencies

44
Q

A larger-than-average earcanal may have the following impact on the amount of gain needed to match a prescriptive formula.

a. Less gain than an average ear
b. The same amount of gain as an average ear
c. More gain than an average ear
d. Ear canal bolume does not impact the amount of gainneeded

A

c. More gain than an average ear

45
Q

Mr. Odum has a symmetrical mild to moderate sensorineural hearing loss. He also suffers from macular degeneration and arthritis. When recommending hearing instruments, which would be the best option for Mr.Odum?

a. CIC with volume control
b. Standard BTE with rechargeable batteries
c. Open fit with open dome
d. In-the-ear with remote control

A

b. Standard BTE with rechargeable batteries

46
Q

Which test in the audiometric test battery can be used to verify the accuracy of a patient’s pure tone average?

a. QuickSIN
b. SRT
c. Word Recognition
d. SAT

A

b. SRT

47
Q

What is the best masking signal to use when conducting masking for word
recognition testing?

a. Narrow band noise
b. Shadow noise
c. Pink noise
d. Speech-weightednoise

A

d. Speech-weighted noise

48
Q

During a hearing evaluation, the hearing care professional determines masking needs to be completed to obtain a true word recognition score. Which masking signal should be introduced to thepatient?

a. Immediately turn down the low frequencies
b. Remake the instruments with a bigger vent
c. Counsel the patient that she will get used to her voice
d. Have the patient compare her voice with the hearing instruments on and in her ear versus off and in her ear

A

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Hearing Instrument Specialist (2 decks)

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