IHS EXAMS TEST PAPER QUESTIONS AND ANSWERS
RATED A+
✔✔What should be achieved before the fitting visit is finished? - ✔✔The patient has
successfully inserted and removed their hearing instrument multiple times.
✔✔What is a common reason for the BC threshold worse than the AC threshold? -
✔✔Poor oscillator position
✔✔What is the purpose of measuring pure tone UCLS? - ✔✔***To determine the
dynamic range***
✔✔A patient with significant manual dexterity problems insists on being fit with very
small hearing instruments. Which strategy should be recommended first to promote the
patient's success with their fitting? - ✔✔Use of a remote control
✔✔A patient who wears a custom product reports that their voice sounds hollow. What
should be done? - ✔✔**Enlarge the vent**
✔✔What is the difference between tympanometry and pure tone audiometry? - ✔✔Pure
tone audiometry requires the participation of the patient and measures auditory function
from the ear canal to the brain, whereas tympanometry is an objective test of middle ear
function
✔✔What is the most significant reason for determining the type of hearing loss? - ✔✔To
determine the need for medical referral
✔✔A patient who is a candidate for a binaural fitting decides to only get one hearing
instrument. What is one disadvantage the patient will likely face from the monaural
fitting? - ✔✔Poor localization
✔✔What needs to be compared to determine the type of hearing loss? - ✔✔AC and BC
thresholds
✔✔A patient has wireless RICs, but reports difficulty hearing weekly lectures at an
auditorium. They feel uncomfortable asking the professor to wear a special device, but
did find out that the auditorium has a loop system. What should be done to take
advantage of the loop system in the auditorium? - ✔✔Add a t-coil program
✔✔What is the first thing to do if the results of validation and patient discussion indicate
that some sounds are too loud, causing discomfort? - ✔✔**complete verification
measures**
, ✔✔For a patient with a precipitous high frequency hearing loss, which type of coupler
should be used with a RIC hearing instrument and standard receiver? - ✔✔Open dome
✔✔What should be done to assess the comfort of a new hearing instrument? - ✔✔Ask
the patient how the instrument feels in their ear
✔✔In the matrix 118/45/06, what does the middle number refer to? - ✔✔FOG
✔✔Which patient statement indicates that the hearing instrument fitting has been
successful? - ✔✔I'm starting to realize just how many sounds I've missed over the past
few years.
✔✔What is the benefit of measuring thresholds for all octave and inter-octave
frequencies? - ✔✔The hearing instrument fitting potential is optimized
✔✔At a patient's 3-month follow-up they report no longer hearing the start up beeps and
low battery warnings. They also complain of a lack of improvement from the hearing
instruments. What should be done first? - ✔✔Perform a listening check
✔✔How does interpretation of case history information enable appropriate
recommendations? - ✔✔Challenges in specific listening situations may require specific
features or programming considerations
✔✔Why are recorded materials recommended for SRT and WRS? - ✔✔The impact of
technical issues on measurements is minimized
✔✔What audiometric frequency contributes the most to speech intelligibility? - ✔✔2000
Hz
✔✔A patient comes in stating that the dome fell off their RIC product. What should be
done first? - ✔✔Perform otoscopy
✔✔In addition to verifying that the ear canal is clear and without unusual conditions,
what is another purpose for otoscopy? - ✔✔To determine which hearing instrument
style is appropriate
✔✔Which fitting visit activity should have the largest impact on the patient successful
use of their hearing instruments? - ✔✔Having the patient demonstrate that they can
insert and remove the batteries successfully
✔✔What is a common reason for venting? - ✔✔Physical comfort
RATED A+
✔✔What should be achieved before the fitting visit is finished? - ✔✔The patient has
successfully inserted and removed their hearing instrument multiple times.
✔✔What is a common reason for the BC threshold worse than the AC threshold? -
✔✔Poor oscillator position
✔✔What is the purpose of measuring pure tone UCLS? - ✔✔***To determine the
dynamic range***
✔✔A patient with significant manual dexterity problems insists on being fit with very
small hearing instruments. Which strategy should be recommended first to promote the
patient's success with their fitting? - ✔✔Use of a remote control
✔✔A patient who wears a custom product reports that their voice sounds hollow. What
should be done? - ✔✔**Enlarge the vent**
✔✔What is the difference between tympanometry and pure tone audiometry? - ✔✔Pure
tone audiometry requires the participation of the patient and measures auditory function
from the ear canal to the brain, whereas tympanometry is an objective test of middle ear
function
✔✔What is the most significant reason for determining the type of hearing loss? - ✔✔To
determine the need for medical referral
✔✔A patient who is a candidate for a binaural fitting decides to only get one hearing
instrument. What is one disadvantage the patient will likely face from the monaural
fitting? - ✔✔Poor localization
✔✔What needs to be compared to determine the type of hearing loss? - ✔✔AC and BC
thresholds
✔✔A patient has wireless RICs, but reports difficulty hearing weekly lectures at an
auditorium. They feel uncomfortable asking the professor to wear a special device, but
did find out that the auditorium has a loop system. What should be done to take
advantage of the loop system in the auditorium? - ✔✔Add a t-coil program
✔✔What is the first thing to do if the results of validation and patient discussion indicate
that some sounds are too loud, causing discomfort? - ✔✔**complete verification
measures**
, ✔✔For a patient with a precipitous high frequency hearing loss, which type of coupler
should be used with a RIC hearing instrument and standard receiver? - ✔✔Open dome
✔✔What should be done to assess the comfort of a new hearing instrument? - ✔✔Ask
the patient how the instrument feels in their ear
✔✔In the matrix 118/45/06, what does the middle number refer to? - ✔✔FOG
✔✔Which patient statement indicates that the hearing instrument fitting has been
successful? - ✔✔I'm starting to realize just how many sounds I've missed over the past
few years.
✔✔What is the benefit of measuring thresholds for all octave and inter-octave
frequencies? - ✔✔The hearing instrument fitting potential is optimized
✔✔At a patient's 3-month follow-up they report no longer hearing the start up beeps and
low battery warnings. They also complain of a lack of improvement from the hearing
instruments. What should be done first? - ✔✔Perform a listening check
✔✔How does interpretation of case history information enable appropriate
recommendations? - ✔✔Challenges in specific listening situations may require specific
features or programming considerations
✔✔Why are recorded materials recommended for SRT and WRS? - ✔✔The impact of
technical issues on measurements is minimized
✔✔What audiometric frequency contributes the most to speech intelligibility? - ✔✔2000
Hz
✔✔A patient comes in stating that the dome fell off their RIC product. What should be
done first? - ✔✔Perform otoscopy
✔✔In addition to verifying that the ear canal is clear and without unusual conditions,
what is another purpose for otoscopy? - ✔✔To determine which hearing instrument
style is appropriate
✔✔Which fitting visit activity should have the largest impact on the patient successful
use of their hearing instruments? - ✔✔Having the patient demonstrate that they can
insert and remove the batteries successfully
✔✔What is a common reason for venting? - ✔✔Physical comfort
