CSD 425 - FINAL EXAM - MULTIPLE CHOICE
QUESTIONS
To obtain reliable estimates of hearing thresholds, play audiometry and visual
reinforcement audiometry use __________________ to make children and infants more
likely to respond.
conditioning (positive reinforcement)
loud sounds
high-pitched sounds - Answer -conditioning (positive reinforcement)
Audiometry is always performed with the patient wearing headphones.
True
False - Answer -False
In which of the following situations is masking recommended
When an asymmetry on hearing sensitivity between the ears is suspected
Never, masking is performed only on non-behavioral tests
When pure tone audiometry reveals a severe hearing loss - Answer -When an
asymmetry on hearing sensitivity between the ears is suspected
Pure tone air conduction audiometry reveals the site of damage along the auditory
pathway (i.e., inner ear, middle ear etc.).
True
False - Answer -False
________ conduction stimulates the cochlea directly by vibrating the skull. - Answer -
bone
A 15-20dB threshold (or below) is typically considered to reflect normal hearing
True
False - Answer -False
Children with "slight" or "minimal" hearing loss that DO NOT receive amplification...
(Mark all that apply)
Don't have any significant difficulty other than a slight decrease in hearing sensitivity
May have difficulties hearing the endings of words
May have academic difficulties
May have difficulties understanding speech in noise
Have normal development of communication skills
Tend to experience listening fatigue - Answer -May have difficulties hearing the endings
of words
May have academic difficulties
May have difficulties understanding speech in noise
Tend to experience listening fatigue
,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 ____________________
Sensorineural Hearing Loss
Conductive Hearing Loss
Mixed Hearing Loss
Normal Hearing - Answer -Conductive Hearing Loss
Sensorineural hearing loss occurs as a result of damage to the...(Mark all that apply)
Pinna and ear canal
Ossicles
Cochlea
Auditory Nerve - Answer -Cochlea
Auditory Nerve
If you run into the audiogram below in your clinical practice, what would you suspect is
the primary cause of the abnormal thresholds?
Presbycusis (Age-related hearing loss)
Noise Exposure
Ototoxic drugs
Eustachian tube dysfunction - Answer -Noise Exposure
Which among the following devices amplifies sound and provides the amplified sound to
its wearer's ear canal?
Hearing aid
Cochlear implant
Bone anchored hearing aid
Brainstem implant - Answer -Hearing aid
Which among the following is not a part of a typical hearing aid?
Microphone
Amplifier
Receiver
Electrode array - Answer -Electrode array
Behind-the-ear (BTE) hearing aids have most of the components housed in a small
case that fits the pinna and are the most prevalent hearing aid style nowadays.
True
False - Answer -True
Cochlear implants are currently approved for patients with unaided hearing thresholds >
80dB
True
False - Answer -False
,Bone Anchored Hearing Aids (BAHAs) (a.k.a., bone conduction transducers) work best
for _______________________ hearing loss.
conductive
sensorineural
mixed
none of the above
all of the above - Answer -conductive
Which among the following devices does not typically require any surgical procedures?
Hearing aids
Cochlear implants
Bone anchored hearing aids
Brainstem implants - Answer -Hearing aids
Cochlear implants directly stimulate the ___________________ using electrical current.
basilar membrane
outer hair cells
inner hair cells
auditory nerve - Answer -auditory nerve
Except for some exceptions, the FDA has approved cochlear implantation in children...
less than 3 months of age
between 3 and 6 months of age
between 6 and 12 months of age
> 12 months of age - Answer -> 12 months of age
The ability to localize sounds is impaired in individuals with cochlear implants
True
False - Answer -True
Cochlear implants are recommended for patients with _______________________
hearing loss
Sensorineural
Conductive
Mixed
Mild to moderate - Answer -Sensorineural
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 an approach in which current, high quality ______________ (research
evidence
practitioner expertise
client preferences) is integrated with __________________ (research evidence
practitioner expertise
client preferences) and ____________________ (research evidence
practitioner expertise
, client preferences) and values into the making of clinical decisions. - Answer -research
evidence
practitioner expertise
client preferences
T/F: The viewpoint of the family has always been included in evidence based practice
clinical decisions - Answer -False
Which of the following is NOT recommended by ASHA when making clinical practice
evidence based?
Recognize the needs and abilities of the patient and integrate these factors with best
current research and their clinical expertise when making decisions
Rely only on the information taught in graduate school classes when treating patients
Evaluate the efficacy, effectiveness, and efficiency of clinical protocols for using criteria
recognized in evidence based practice literature
Incorporate new and high quality research evidence having implications for clinical
practice - Answer -Rely only on the information taught in graduate school classes when
treating patients
T/F: It is easy for a school speech language pathologist to implement evidence based
practices for each student. - Answer -False
Which of the following is NOT a reason why evidence based practice (EBP) is important
for the field of communication of sciences and disorders?
EBP provides a structure for SLPs to document their rationale for assessment practices,
treatment recommendations, and discontinuation of services
EBP advances current clinical practices by eliminating assessment and treatment
strategizes
EBP allows for a a clear division between clinical practice and research - Answer -EBP
allows for a a clear division between clinical practice and research
What was the most common reported barrier for evidence based practice for speech
language pathologist, as reported by the participants of the study?
Lack of knowledge
Lack of resources
Lack of new evidence
Lack of time - Answer -Lack of time
Damage to which part of the ear would not cause a conductive hearing loss?
Tympanic membrane
Stapes
Ear canal
Outer hair cells - Answer -Outer hair cells
QUESTIONS
To obtain reliable estimates of hearing thresholds, play audiometry and visual
reinforcement audiometry use __________________ to make children and infants more
likely to respond.
conditioning (positive reinforcement)
loud sounds
high-pitched sounds - Answer -conditioning (positive reinforcement)
Audiometry is always performed with the patient wearing headphones.
True
False - Answer -False
In which of the following situations is masking recommended
When an asymmetry on hearing sensitivity between the ears is suspected
Never, masking is performed only on non-behavioral tests
When pure tone audiometry reveals a severe hearing loss - Answer -When an
asymmetry on hearing sensitivity between the ears is suspected
Pure tone air conduction audiometry reveals the site of damage along the auditory
pathway (i.e., inner ear, middle ear etc.).
True
False - Answer -False
________ conduction stimulates the cochlea directly by vibrating the skull. - Answer -
bone
A 15-20dB threshold (or below) is typically considered to reflect normal hearing
True
False - Answer -False
Children with "slight" or "minimal" hearing loss that DO NOT receive amplification...
(Mark all that apply)
Don't have any significant difficulty other than a slight decrease in hearing sensitivity
May have difficulties hearing the endings of words
May have academic difficulties
May have difficulties understanding speech in noise
Have normal development of communication skills
Tend to experience listening fatigue - Answer -May have difficulties hearing the endings
of words
May have academic difficulties
May have difficulties understanding speech in noise
Tend to experience listening fatigue
,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 ____________________
Sensorineural Hearing Loss
Conductive Hearing Loss
Mixed Hearing Loss
Normal Hearing - Answer -Conductive Hearing Loss
Sensorineural hearing loss occurs as a result of damage to the...(Mark all that apply)
Pinna and ear canal
Ossicles
Cochlea
Auditory Nerve - Answer -Cochlea
Auditory Nerve
If you run into the audiogram below in your clinical practice, what would you suspect is
the primary cause of the abnormal thresholds?
Presbycusis (Age-related hearing loss)
Noise Exposure
Ototoxic drugs
Eustachian tube dysfunction - Answer -Noise Exposure
Which among the following devices amplifies sound and provides the amplified sound to
its wearer's ear canal?
Hearing aid
Cochlear implant
Bone anchored hearing aid
Brainstem implant - Answer -Hearing aid
Which among the following is not a part of a typical hearing aid?
Microphone
Amplifier
Receiver
Electrode array - Answer -Electrode array
Behind-the-ear (BTE) hearing aids have most of the components housed in a small
case that fits the pinna and are the most prevalent hearing aid style nowadays.
True
False - Answer -True
Cochlear implants are currently approved for patients with unaided hearing thresholds >
80dB
True
False - Answer -False
,Bone Anchored Hearing Aids (BAHAs) (a.k.a., bone conduction transducers) work best
for _______________________ hearing loss.
conductive
sensorineural
mixed
none of the above
all of the above - Answer -conductive
Which among the following devices does not typically require any surgical procedures?
Hearing aids
Cochlear implants
Bone anchored hearing aids
Brainstem implants - Answer -Hearing aids
Cochlear implants directly stimulate the ___________________ using electrical current.
basilar membrane
outer hair cells
inner hair cells
auditory nerve - Answer -auditory nerve
Except for some exceptions, the FDA has approved cochlear implantation in children...
less than 3 months of age
between 3 and 6 months of age
between 6 and 12 months of age
> 12 months of age - Answer -> 12 months of age
The ability to localize sounds is impaired in individuals with cochlear implants
True
False - Answer -True
Cochlear implants are recommended for patients with _______________________
hearing loss
Sensorineural
Conductive
Mixed
Mild to moderate - Answer -Sensorineural
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 an approach in which current, high quality ______________ (research
evidence
practitioner expertise
client preferences) is integrated with __________________ (research evidence
practitioner expertise
client preferences) and ____________________ (research evidence
practitioner expertise
, client preferences) and values into the making of clinical decisions. - Answer -research
evidence
practitioner expertise
client preferences
T/F: The viewpoint of the family has always been included in evidence based practice
clinical decisions - Answer -False
Which of the following is NOT recommended by ASHA when making clinical practice
evidence based?
Recognize the needs and abilities of the patient and integrate these factors with best
current research and their clinical expertise when making decisions
Rely only on the information taught in graduate school classes when treating patients
Evaluate the efficacy, effectiveness, and efficiency of clinical protocols for using criteria
recognized in evidence based practice literature
Incorporate new and high quality research evidence having implications for clinical
practice - Answer -Rely only on the information taught in graduate school classes when
treating patients
T/F: It is easy for a school speech language pathologist to implement evidence based
practices for each student. - Answer -False
Which of the following is NOT a reason why evidence based practice (EBP) is important
for the field of communication of sciences and disorders?
EBP provides a structure for SLPs to document their rationale for assessment practices,
treatment recommendations, and discontinuation of services
EBP advances current clinical practices by eliminating assessment and treatment
strategizes
EBP allows for a a clear division between clinical practice and research - Answer -EBP
allows for a a clear division between clinical practice and research
What was the most common reported barrier for evidence based practice for speech
language pathologist, as reported by the participants of the study?
Lack of knowledge
Lack of resources
Lack of new evidence
Lack of time - Answer -Lack of time
Damage to which part of the ear would not cause a conductive hearing loss?
Tympanic membrane
Stapes
Ear canal
Outer hair cells - Answer -Outer hair cells
