NBC-HIS NATIONAL COMPETENCY EXAM PREP: CLINICAL CASES MULTIPLE-
CHOICE QUESTIONS AND ANSWERS
Correct
Incorrect
1 of 46
Term
Case study #2: Patient RH is a 59-year-old working male auto
mechanic with a profound loss in his right and a mild to moderately
severe loss in his left, who was recently fit with a cochlear implant
AD. Prior to his implant surgery, he wore an old BTE BiCROS that his
wife hated. He has an ongoing history of Meniere's and complains of
periodic pressure changes AS.
When considering a custom IIC for his left ear, the oto-block
should be?
Give this one a try later!
Placed approximately 5mm
Placed a the second bend
from the tympanic membrane
All of the above Smaller than the ear canal diameter
Don't know?
, 2 of 46
Term
Case study #4: Patient TB is a 39-year-old female medical doctor.
She has a very active practice and busy personal life as a mother of
two young children. She has a conductive moderately severe to
moderate hearing loss. Her health history includes chronic, severe
psoriasis and familiar hearing loss.
What surgical procedure would TB have to do to resolve her
otosclerosis?
Give this one a try later!
Myringoplasty Radical mastoidectomy
Tympanoplasty Stapedectomy
Don't know?
3 of 46
Term
Case study #5: Patient MC is an 82-year-old male wearing binaural
custom ITCs since age 64. He has a bilateral moderately severe to
severe hearing loss and his hearing is getting progressively worse.
His medical history includes type 1 diabetes, dementia, autoimmune
disease and chemo treatments for colon cancer. His current aids
need replacement.
Otoscopy on patient MC reveals a small amount of yellow-
brownish wax located at the second bend. What protocol should
,be followed when performing cerumen management?
Give this one a try later!
Do not perform cerumen
Use the irrigation method for small
management on patients with
amounts of wax
diabetes
Obtain a medical waiver for patient's
Wear nitrile medical gloves
file
Don't know?
4 of 46
Term
Case study #4: Patient TB is a 39-year-old female medical doctor.
She has a very active practice and busy personal life as a mother of
two young children. She has a conductive moderately severe to
moderate hearing loss. Her health history includes chronic, severe
psoriasis and familiar hearing loss.
Based on TB's case history and test results her hearing loss is most
likely due to which disorder?
Give this one a try later!
Central presbycusis Congenital hearing loss
AIED Otosclerosis
, Don't know?
5 of 46
Term
Case study #4: Patient TB is a 39-year-old female medical doctor.
She has a very active practice and busy personal life as a mother of
two young children. She has a conductive moderately severe to
moderate hearing loss. Her health history includes chronic, severe
psoriasis and familiar hearing loss.
What would not be considered a subjective validation method to
measure the efficacy of TB's fitting?
Give this one a try later!
APHAB GHABP
HHIE COSI
Don't know?
6 of 46
Term
Case study #4: Patient TB is a 39-year-old female medical doctor.
She has a very active practice and busy personal life as a mother of
two young children. She has a conductive moderately severe to
moderate hearing loss. Her health history includes chronic, severe
psoriasis and familiar hearing loss.
CHOICE QUESTIONS AND ANSWERS
Correct
Incorrect
1 of 46
Term
Case study #2: Patient RH is a 59-year-old working male auto
mechanic with a profound loss in his right and a mild to moderately
severe loss in his left, who was recently fit with a cochlear implant
AD. Prior to his implant surgery, he wore an old BTE BiCROS that his
wife hated. He has an ongoing history of Meniere's and complains of
periodic pressure changes AS.
When considering a custom IIC for his left ear, the oto-block
should be?
Give this one a try later!
Placed approximately 5mm
Placed a the second bend
from the tympanic membrane
All of the above Smaller than the ear canal diameter
Don't know?
, 2 of 46
Term
Case study #4: Patient TB is a 39-year-old female medical doctor.
She has a very active practice and busy personal life as a mother of
two young children. She has a conductive moderately severe to
moderate hearing loss. Her health history includes chronic, severe
psoriasis and familiar hearing loss.
What surgical procedure would TB have to do to resolve her
otosclerosis?
Give this one a try later!
Myringoplasty Radical mastoidectomy
Tympanoplasty Stapedectomy
Don't know?
3 of 46
Term
Case study #5: Patient MC is an 82-year-old male wearing binaural
custom ITCs since age 64. He has a bilateral moderately severe to
severe hearing loss and his hearing is getting progressively worse.
His medical history includes type 1 diabetes, dementia, autoimmune
disease and chemo treatments for colon cancer. His current aids
need replacement.
Otoscopy on patient MC reveals a small amount of yellow-
brownish wax located at the second bend. What protocol should
,be followed when performing cerumen management?
Give this one a try later!
Do not perform cerumen
Use the irrigation method for small
management on patients with
amounts of wax
diabetes
Obtain a medical waiver for patient's
Wear nitrile medical gloves
file
Don't know?
4 of 46
Term
Case study #4: Patient TB is a 39-year-old female medical doctor.
She has a very active practice and busy personal life as a mother of
two young children. She has a conductive moderately severe to
moderate hearing loss. Her health history includes chronic, severe
psoriasis and familiar hearing loss.
Based on TB's case history and test results her hearing loss is most
likely due to which disorder?
Give this one a try later!
Central presbycusis Congenital hearing loss
AIED Otosclerosis
, Don't know?
5 of 46
Term
Case study #4: Patient TB is a 39-year-old female medical doctor.
She has a very active practice and busy personal life as a mother of
two young children. She has a conductive moderately severe to
moderate hearing loss. Her health history includes chronic, severe
psoriasis and familiar hearing loss.
What would not be considered a subjective validation method to
measure the efficacy of TB's fitting?
Give this one a try later!
APHAB GHABP
HHIE COSI
Don't know?
6 of 46
Term
Case study #4: Patient TB is a 39-year-old female medical doctor.
She has a very active practice and busy personal life as a mother of
two young children. She has a conductive moderately severe to
moderate hearing loss. Her health history includes chronic, severe
psoriasis and familiar hearing loss.
