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Final Exam Practice Test
Hearing Aids 1
27
Audiology
Graduate
05/01/2017

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Cards

Term
Binaural hearing allows the listener to take advantage of a variety of auditory cues such as ___ level and ___ difference that result in specific benefits
Definition
interaural; time
Term
What are some benefits of binaural hearing?
Definition
Improved speech perception in quiet and in noise, improved sound localization, ease of listening, perceived benefit and satisfaction, and quality of life
Term
What are some disadvantages of bilateral fittings?
Definition
Cost, binaural interference, self-image, wind noise, aid management, and occlusion effect
Term
When one ear fit in a bilateral fitting actually makes speech understanding more difficult than when the better ear is fit only with a hearing aid
Definition
Binaural interference
Term
For a patient with hearing thresholds that are different by ___ dB or speech discrimination scores that are different by more than ___%, the following questions should be asked:
-Should a bilateral or unilateral fitting be recommended?
-If a unilateral fitting is recommended, which ear?
-Should a CROS, BICROS, or FM system be used?
Definition
30; 20
Term
-If each ear considered in isolation is aidable, then assume that a patient should consider a ___ fitting
-The ___ the loss in the better ear, the greater the possibility that a bilateral fitting is the best option
Definition
bilateral; greater
Term
What questions should you ask yourself when asking which ear you should fit?
Definition
-Which hand does the patient have the better dexterity?
-Which ear displays better speech scores?
-Are there complications in either ear canal?
-Do they use a certain ear more?
Term
If there is no advantage or difference between the ears, select the ___ ear due to ___-ear advantage for most patients
Definition
right; right
Term
Some common characteristics for children with ANAD are...
-Inconsistent responses to ___ (but some are consistent)
-Speech understanding ___ than predicted by audiogram (but not always)
-Speech understanding poorer in the presence of ____ ___ (almost always)
-Often difficult to learn spoken language through ___ alone (but it can happen)
-Range of ___ quality (variable from day to day).
Definition
sound poorer; background noise; listening; vocal
Term
The SPL, across frequencies, measured in the open (unaided) ear canal for a given input signal.
Definition
Real-Ear Unaided Response (REUR)
Term
The gain provided by the pinna and the ear canal with consequent head diffraction effects as measured in the ear
canal. Subtract the input signal level from the REUR across frequencies to obtain the REUG.
Definition
Real-Ear Unaided Gain (REUG)
Term
The frequency response of a hearing aid that is turned on, measured in the ear canal, for a particular input signal.
Definition
Real-Ear Aided Response
Term
The gain of the hearing instrument across frequencies, measured in the ear canal. Subtract the input signal level from the REAR across frequencies to obtain the REAG.
Definition
Real-Ear Aided Gain
Term
The amount of gain provided by the hearing instrument alone
calculated by subtracting the REUG from the REAG across frequencies or by subtracting the REUR from the REAR across frequencies. (REIG = REAG – REUG)
Definition
Real-Ear Insertion Gain
Term
-A price-value mismatch exists in the mind of the consumer and is when the ___ for something does not equate to the ___ of the product or service
-There is a price-value mismatch in patients’ minds between ___ of and ___ of digital hearing aids
Definition
price; value; costs; value
Term
are tasks completed by theaudiologist to ensure a well-fitted hearing aid
Definition
Verification
Term
are assessment made by the patient using outcome measures to determine if hearing aids have made a difference in their
lives
Definition
Validation
Term
When a HA user is experiencing feedback you can...
-Ensure that the real-ear aided gain has no excessive ___. If so, ___ them, but realize that it may result in targets not being reached
– ___ the size of the vent or change from an ___ to a ____ dome which may exacerbate the occlusion effect (The low frequency gain of the hearing aid may need to be reduced)
– Decrease the ___ frequency gain of the hearing aid or the high frequency ___ ___ or ___ the high frequency compression threshold in the relevant channel with understanding that it may affect speech intelligibility or affect sound quality
–___ or ___ the earmold or earshell realizing it takes extra time and expense
– Change to a hearing aid with a more effective feedback ___ algorithm
Definition
peaks; dampen; Decrease; open; closed; high; compression ratio; increase; Remake; recoat; cancelling
Term
When a hearing aid user says that their own voice sounds hollow, boomy, and/or like speaking in a barrel and other voices don't sound that way then...
-The hearing aid amplifier is excessively amplifying ___ frequency sounds
-The patient may have ____ what their own voice sounds like
-The earmold is excessively ___ the ear canal
-The vent is too ___
Definition
low; forgotten; covering; small
Term
In all of the studies comparing gain obtained with manufacturer's best of first fit algorithms, how did the prescribed gain differ from that obtained with real-ear measurement?
Definition
Gain tended to be overestimated
Term
T/F: For children with ANAD who didn't receive adequate benefit from HAs, cochlear implants can actually help the auditory nerve function better
Definition
True
Term
T/F: Parents of children with ANAD have greater anxiety than peers with children who have SNHL because their child's prognosis is more uncertain
Definition
True
Term
T/F: Anytime an audiologist increases gain, works with venting, etc., it is important to run the feedback canceler
Definition
True
Term
T/F: Dampers can reduce or smooth out those high resonant peaks
Definition
True
Term
Compression ratio is the ratio of an ___ SPL difference to the corresponding ___ SPL difference
Definition
input; output
Term
A compression ratio of ___ describes input-output characteristics for linear processing
Definition
1:1
Term
Abrams used a repeated measures, ____ design
Definition
crossover
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