CSD 425 Exam ACTUAL QUESTIONS
AND CORRECT ANSWERS
Conditioning (positive reinforcement) - CORRECT ANSWER to obtain reliable estimates of
hearing thresholds, play audiometry and visual reinforcement audiometry use____to make children
and infants more likely to respond
False - CORRECT ANSWER t/f: audiometry is always performed with the patient wearing
headphones
When an asymmetry on hearing sensitivity between the ears is suspected - CORRECT ANSWER
in which of the following situations is masking reccomended
False - CORRECT ANSWER t/f: pure tone air conduction audiometry reveals the site of
damage along the auditory pathway (ie, inner ear, middle ear, etc)
Bone - CORRECT ANSWER ___conduciton stimulates the cochlea directly by vibrating the
skull
True - CORRECT ANSWER t/f: a 15-20 db threshold (or below) is typically considered to
reflect normal hearing
True - CORRECT ANSWER t/f: children with "slight:" or "minimal" hearing loss that DO
NOT receive amplification: may have difficulties hearing the endings of words, may have academic
difficulties, may have difficulties understanding speech in noise, tend to experience listening fatigue
Conductive hearing loss - CORRECT ANSWER when air conduction thresholds are outside of
the normal range but the bone conduction thresholds are completely within normal limits the patient is
likely experiencing______
Cochlea, auditory nerve - CORRECT ANSWER sensorineural hearing loss occurs as a result of
damage to the....
,Hearing aid - CORRECT ANSWER which device amplifies sound and provides the amplified
sound to its wearer's ear canal?
Electrode array - CORRECT ANSWER which among the following is not a part of typical
hearing aid
True - CORRECT ANSWER t/f: BTE have most of the components housed in a small case that
fits the pinna and are the most prevalent hearing aid style nowadays
False - CORRECT ANSWER t/f: in adults, cochlear implants are ONLY recommended for
adults with unaided hearing thresholds >80 db
Conductive - CORRECT ANSWER bahas work best for ______hearing loss
Hearing aids - CORRECT ANSWER which among the following devices does not typically
require any surgical procedures?
Auditory nerve - CORRECT ANSWER cochlear implants directly stimulate the_____using
electrical current
>12 months of age - CORRECT ANSWER except for some exceptions, the FDA has approved
cochlear implantation in children
True - CORRECT ANSWER t/f: the ability to localize sounds is impaired in individuals with
cochlear implants
Sensorineural - CORRECT ANSWER cochlear implants are recommended for patients
with_____hearing loss
True - CORRECT ANSWER t/f: speech audiometry is used clinically to validate the results
from the pure tone audiometry
,Genetic - CORRECT ANSWER which among the following causes of hearing loss would be
considered congenital?
Outer hair cells - CORRECT ANSWER damage to which part of the ear would not cause a
conductive hearing loss?
Loss of frequency selectivity - CORRECT ANSWER what is the primary perceptual
complication associated with sensorineural hearing loss that is not present in conductive hearing loss
False - CORRECT ANSWER t/f: the speech reception threshold (SRT) in noise is always
related to performance on the pure tone audiogram (PTA)
Multi talker babble, low predictability, co located - CORRECT ANSWER imagine you're
designing an experimental task for a research study to test Speech Perception in Noise (SPIN) skills in
adults with hearing loss. You aim to evaluate which real world listening conditions are most
challenging for your participants keeping the speech to noise ratio constant. You plan to test the
effects of the type of noise (energetic vs multi talker babble), the type of sentence (high vs low
predictability), and the masker location (co-located vs spatially separated). Given these variables,
which condition would you expect to be the most challenging for your participants?
Revised speech in noise test (R-SPIN) - CORRECT ANSWER which of the following tests
allows us to test directly the effects of semantic context on the patients ability to understand speech in
noise?
53.3, moderate - CORRECT ANSWER you perform audiometry on a patient and find the
following thesholds:
*500 Hz :45 db HL
*1000 Hz: 50 db HL
*2000 Hz: 65 db HL
Your patient's pure tone average is _______ and the severity of their hearing loss is________.
Bone anchored hearing aid (BAHA) - CORRECT ANSWER which of the following hearing
devices would be the most adequate for a child with atresia (occluded ear canal)
, Otoacoustic emissions, audiometry, auditory brain response - CORRECT ANSWER which of
the following tests will most likely be abnormal in cochlear hearing loss?
False - CORRECT ANSWER t/f: the most effective cochlear implants are those with higher
number of electrodes
True - CORRECT ANSWER t/f: one advantage of the Words in Noise (WIN) test when testing
SPIN skills is that uses monosyllabic words instead of sentences. This limits the influence of
cognitive and linguistic factors when completing the task, allowing us to test directly auditory
function or bottom up processing
Children can be conditioned to provide reliable response to sound, children will turn their head
towards the sound source - CORRECT ANSWER visual reinforcement audiometry hinges on
the assumption that:
Otoacoustic emissions, visual reinforcement audiometry - CORRECT ANSWER a 9 month old
baby is referred to your clinic with a suspicion of hearing loss. Which among the following tests
would you perform on this baby?
Middle ear, auditory cortex - CORRECT ANSWER which parts of the auditory system the
ABR does NOT evaluate directly?
Research evidence, practitioner expertise, client preferences - CORRECT ANSWER based
upon the american speech language hearing association's position statement on evidence based
practice in communication disorders, the term evidence based practice refers to a approach in which
current, high quality_______is integrated with________and________and values into the making of
clinic decisions
False - CORRECT ANSWER t/f: the viewpoint of the family has always been included in
evidence based practice clinical decisions
Rely only on the information taught in graduate school classes when treating patients - CORRECT
ANSWER which of the following is NOT recommended by ASHA when making clinical
practice evidence based?
AND CORRECT ANSWERS
Conditioning (positive reinforcement) - CORRECT ANSWER to obtain reliable estimates of
hearing thresholds, play audiometry and visual reinforcement audiometry use____to make children
and infants more likely to respond
False - CORRECT ANSWER t/f: audiometry is always performed with the patient wearing
headphones
When an asymmetry on hearing sensitivity between the ears is suspected - CORRECT ANSWER
in which of the following situations is masking reccomended
False - CORRECT ANSWER t/f: pure tone air conduction audiometry reveals the site of
damage along the auditory pathway (ie, inner ear, middle ear, etc)
Bone - CORRECT ANSWER ___conduciton stimulates the cochlea directly by vibrating the
skull
True - CORRECT ANSWER t/f: a 15-20 db threshold (or below) is typically considered to
reflect normal hearing
True - CORRECT ANSWER t/f: children with "slight:" or "minimal" hearing loss that DO
NOT receive amplification: may have difficulties hearing the endings of words, may have academic
difficulties, may have difficulties understanding speech in noise, tend to experience listening fatigue
Conductive hearing loss - CORRECT ANSWER when air conduction thresholds are outside of
the normal range but the bone conduction thresholds are completely within normal limits the patient is
likely experiencing______
Cochlea, auditory nerve - CORRECT ANSWER sensorineural hearing loss occurs as a result of
damage to the....
,Hearing aid - CORRECT ANSWER which device amplifies sound and provides the amplified
sound to its wearer's ear canal?
Electrode array - CORRECT ANSWER which among the following is not a part of typical
hearing aid
True - CORRECT ANSWER t/f: BTE have most of the components housed in a small case that
fits the pinna and are the most prevalent hearing aid style nowadays
False - CORRECT ANSWER t/f: in adults, cochlear implants are ONLY recommended for
adults with unaided hearing thresholds >80 db
Conductive - CORRECT ANSWER bahas work best for ______hearing loss
Hearing aids - CORRECT ANSWER which among the following devices does not typically
require any surgical procedures?
Auditory nerve - CORRECT ANSWER cochlear implants directly stimulate the_____using
electrical current
>12 months of age - CORRECT ANSWER except for some exceptions, the FDA has approved
cochlear implantation in children
True - CORRECT ANSWER t/f: the ability to localize sounds is impaired in individuals with
cochlear implants
Sensorineural - CORRECT ANSWER cochlear implants are recommended for patients
with_____hearing loss
True - CORRECT ANSWER t/f: speech audiometry is used clinically to validate the results
from the pure tone audiometry
,Genetic - CORRECT ANSWER which among the following causes of hearing loss would be
considered congenital?
Outer hair cells - CORRECT ANSWER damage to which part of the ear would not cause a
conductive hearing loss?
Loss of frequency selectivity - CORRECT ANSWER what is the primary perceptual
complication associated with sensorineural hearing loss that is not present in conductive hearing loss
False - CORRECT ANSWER t/f: the speech reception threshold (SRT) in noise is always
related to performance on the pure tone audiogram (PTA)
Multi talker babble, low predictability, co located - CORRECT ANSWER imagine you're
designing an experimental task for a research study to test Speech Perception in Noise (SPIN) skills in
adults with hearing loss. You aim to evaluate which real world listening conditions are most
challenging for your participants keeping the speech to noise ratio constant. You plan to test the
effects of the type of noise (energetic vs multi talker babble), the type of sentence (high vs low
predictability), and the masker location (co-located vs spatially separated). Given these variables,
which condition would you expect to be the most challenging for your participants?
Revised speech in noise test (R-SPIN) - CORRECT ANSWER which of the following tests
allows us to test directly the effects of semantic context on the patients ability to understand speech in
noise?
53.3, moderate - CORRECT ANSWER you perform audiometry on a patient and find the
following thesholds:
*500 Hz :45 db HL
*1000 Hz: 50 db HL
*2000 Hz: 65 db HL
Your patient's pure tone average is _______ and the severity of their hearing loss is________.
Bone anchored hearing aid (BAHA) - CORRECT ANSWER which of the following hearing
devices would be the most adequate for a child with atresia (occluded ear canal)
, Otoacoustic emissions, audiometry, auditory brain response - CORRECT ANSWER which of
the following tests will most likely be abnormal in cochlear hearing loss?
False - CORRECT ANSWER t/f: the most effective cochlear implants are those with higher
number of electrodes
True - CORRECT ANSWER t/f: one advantage of the Words in Noise (WIN) test when testing
SPIN skills is that uses monosyllabic words instead of sentences. This limits the influence of
cognitive and linguistic factors when completing the task, allowing us to test directly auditory
function or bottom up processing
Children can be conditioned to provide reliable response to sound, children will turn their head
towards the sound source - CORRECT ANSWER visual reinforcement audiometry hinges on
the assumption that:
Otoacoustic emissions, visual reinforcement audiometry - CORRECT ANSWER a 9 month old
baby is referred to your clinic with a suspicion of hearing loss. Which among the following tests
would you perform on this baby?
Middle ear, auditory cortex - CORRECT ANSWER which parts of the auditory system the
ABR does NOT evaluate directly?
Research evidence, practitioner expertise, client preferences - CORRECT ANSWER based
upon the american speech language hearing association's position statement on evidence based
practice in communication disorders, the term evidence based practice refers to a approach in which
current, high quality_______is integrated with________and________and values into the making of
clinic decisions
False - CORRECT ANSWER t/f: the viewpoint of the family has always been included in
evidence based practice clinical decisions
Rely only on the information taught in graduate school classes when treating patients - CORRECT
ANSWER which of the following is NOT recommended by ASHA when making clinical
practice evidence based?
