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Exam (elaborations)

NBC-HIS Exam – 2025 Updated Study Guide with Correct Answers | National Board for Certification in Hearing Instrument Sciences | Full Hearing Care Review

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This document contains the complete and updated 2025 NBC-HIS (National Board for Certification in Hearing Instrument Sciences) exam study guide, with over 300 fully answered and explained questions. It covers in-depth topics such as audiometry, hearing loss types, masking techniques, tympanometry, real-ear measurements, anatomy and physiology of hearing, hearing aid technology, fitting protocols, and counseling strategies. A comprehensive preparation resource for aspiring hearing instrument specialists seeking national certification.

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NBC-HIS Study Guide
Study online at https://quizlet.com/_cklxaf

1. A/C Refers to a process by which sound is conducted through the
outer and middle ear

2. B/C Refers to the evaluation of the inner ear function exclusive of
the outer or middle ear involvement

3. ABR auditory brainstem response

4. Transfer function or areal ra- 22:1 an increase of 27dB
tio

5. Acoustic reflex Involuntary response, contraction of stapes, damper on system

6. stapedius and tensor tympani Keeps ossicles Chain taught, responds to vibrations from TM,
protects cochlea from dangerously loud sounds, acoustic reflex

7. Terms associated with Scalia Cochlear duct
media Canal of the cochlea
Membranous labyrinth
Contains organ of corti

8. What frequencies does the Highs
base of the cochlea contain

9. What frequencies does the Lows
apex contain

10. place theory of hearing different areas of the basilar membrane respond to different
frequencies, neurons fire at a rate identical to stimulus below
1kHz

11. Volley theory of pitch percep- Stimulus beyond 1KHz are volleyed
tion




, NBC-HIS Study Guide
Study online at https://quizlet.com/_cklxaf

12. Outer Ear Components Helix
Anti Helix
scaphoid fossa
triangular fossa
external auditory meatus
tragus
anti tragus
lobule
concha
tympanic membrane
osseos portion
cartilaginous portion
inter-tragal notch

13. What does the outer ear do funnels sound toward the inner ear

14. External Auditory Meatus Self cleaning, 5cm long portion of the outer ear

15. Vagus Nerve Tenth cranial nerve

16. Tympanic Membrane Comprised of 4 layers and creates an air tight/water tight seal
to the middle ear cavity

17. TM layers comprised of 4 layers

18. Annular Ring Holds TM in place

19. Pars Tensa thick, taut, central-inferior section of tympanic membrane

20. Pars flaccida small, slack, superior section of tympanic membrane

21. Quadrants of the Tm anterior superior, anterior inferior, posterior superior, posterior
inferior




, NBC-HIS Study Guide
Study online at https://quizlet.com/_cklxaf

22. Middle ear components and conduct sound energy to the inner ear, holds the ossicular
use chain by the tensor tympani and stapeius muscles

23. Incudostapedial junction top of malleus articulates with top of incus, bottom of incus
meets stapes

24. Middle ear muscles and func- Suspends the ossicular chain, acoustic reflex and protects
tions cochlea from dangerously loud sounds

25. Eustachian Tube connects the middle ear with the nasopharynx and allows pas-
sage of air

26. mastoid process round projection on the temporal bone behind the ear

27. Semicircular Canals three fluid-filled canals in the inner ear responsible for our
sense of balance

28. Vestibule endolymph filled cavity attached to the semicircular canals and
the cochlea that is responsible for gravity and acceleration

29. Cochlea a coiled, bony, fluid-filled tube in the inner ear through which
sound waves trigger nerve impulses

30. Key areas of the cochlea 11 areas, membranes, windows, the scala's

31. Terms associated with scala cochlear duct, canal of the cochlea, membranous labyrinth
media

32. Organ of Corti Center part of the cochlea, containing hair cells, canals, and
membranes

33. Tectorial membrane A membrane located above the basilar membrane; serves as a
shelf against which the cilia of the auditory hair cells move

34. Auditory Nerve VIII cranial nerve


, NBC-HIS Study Guide
Study online at https://quizlet.com/_cklxaf


35. Vestibular nerve nerve that conducts impulses related to maintaining balance to
the brain

36. Auditory nerve contains 30 000 neurons

37. spiral ganglion formed and combined by nerve impulses traveling along nerve
fibers

38. afferent pathway transmits from cochlea to the brain

39. efferent transmits from brain to cochlea

40. binaural fusion sounds presented to both ears come together as one single
sound

41. binaural summation listening with two ears has a 6-10 dB increase

42. binaural squelch effect Benefit of better listening in background noise resulting from
binaural hearing

43. Frequency physical measurement

44. pitch psychological aspect

45. intensity physical measurement

46. loudness psychological aspect

47. Sine waves and cycle per sec- compression, rarefaction, frequency, hertz, kilohertz
ond characteristics

48. compression positive pressure in sine wave

49. rarefaction negative pressure in sine waves

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