Part 3.3

Question 1

If the diagnosis was for Meniere’s disease, the most frequent additional symptom is likely ____ ?

a) Vertigo
b) Monomeric spots
c) Acoustic Neuroma
d) Tympanosclerosis

Answer 1

a) Vertigo

Question 2

The numbers used in the calculation of the PTA are _____ ?

a) 1000, 1600, and 2500 Hz
b) 500, 800, and 1600 Hz
c) 500, 1000, and 2000 Hz
d) 1000, 2000, and 4000 Hz

Answer 2

c) 500, 1000, and 2000 Hz

Straight memorization. Know the difference between the HFA and the PTA.

Question 3

Pure tone scores are as follows, in both ears.
500 Hz = 20 dB
1000 Hz = 50 dB
1500 Hz = 55 dB
2000 Hz = 70 dB
4000 Hz = 75 dB

The PTA is closest to _____ ?

a) 35 dB
b) 42 dB
c) 47 dB
d) 52 dB

Answer 3

c) 47 dB

Use straight mathematics to average the PTA.

Question 4

The type of tympanogram that has no identifiable peak is the _____ ?

a) Type A
b) Type B
c) Type C
d) Type Ad

Answer 4

b) Type B

If it has no peak then what has happened to the eardrum?

Question 5

You would expect which diagnosis to produce a Type A tympanogram?

1) Normal hearing
2) Presbycusis
3) Noise induced hearing loss
4) Otitis media

a) 2 and 3 are correct
b) 1, 2, and 3 are correct
c) 1, 2, 3, and 4 are correct
d) only 2 is correct!

Answer 5

b) 1, 2, and 3 are correct

Visualize what has happens to the eardrum, and what the effect of the tympanogram are on the eardrum.

Question 6

You would expect which of the following to produce a Type B tympanogram?

1) Normal hearing
2) Otitis media
3) Tympanic Membrane perforation
4) Eustachian tube dysfunction

a) 1 and 2 are correct
b) 2 and 3 are correct
c) Only 1 is correct

Answer 6

b) 2 and 3 are correct

Visualize what has happens to the eardrum, and what the effect of the tympanogram are on the eardrum.

Question 7

Two weeks after delivery, she complains of a whistling noise, and the earmolds are difficult to insert and making her ears sore. You should first…

a) Shoot 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

Answer 7

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

Whistling means bad fit. Sore means she isn’t inserting properly and they are moving in her ear and rubbing.