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International Licensing Examination for Hearing Aid Dispensers (ILE) – Practice Questions, Study Notes, and Exam Preparation Material

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This document covers key areas of the International Licensing Examination for Hearing Aid Dispensers (ILE), including audiology fundamentals, hearing assessment, hearing aid selection and fitting, acoustics, and patient management principles. It is designed to support exam preparation with structured revision content and potential practice questions. The material is general in nature and may be used as a study aid for candidates preparing for licensing assessments in hearing aid dispensing.

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ILE quiz questions with well researched questions and
answers
When programming a new patient's/client's hearing instruments for the third time with the complaint
they can't seem to adjust their hearing aids, a hearing healthcare professional is Likely to take what
action?


A. re-instruct patient/client

B. Increase HF gain

C. Disable memory

D. consider another instrument - CORRECT ANSWERS-Disable memory



A new patient's is seeking a second opinion. They provide a hearing test taken by another professional.
What is a hearing healthcare professional's first course of action?



A. Make a recommendation based on the hearing evaluation provided by the patient

B. Give patient intake paperwork and HIPAA forms

C. Inquire as to patient's lifestyle and hearing health needs

D. Obtain Medical Clearance - CORRECT ANSWERS-Give patient intake paperwork and HIPAA forms



What is the LEAST likely cause of acoustic feedback?



A. poor wiring

B. loose fit; large vent

C. improper canal length or angle

D. Excessive wax in ear or aid - CORRECT ANSWERS-Poor wiring

,A patient who recently had a stroke with permanent limited use of one arm presents with a symmetrical
hearing loss. He also reports a history of excessive wax requiring routine cleanings.

Which two features should be considered when selecting the proper hearing solution for this patient?



A. directional mic w adaptive compression

B. DSP w fast attack and release

C. multi memory

D. frequency modulation - CORRECT ANSWERS--Directional mic with adaptive compression

-multi-memory



What action must be taken in the course of conducting an audiometric evaluation when the test ear
exhibits thresholds 40 dB greater than the bone conduction sensitivity in the non test ear?



A. Effective masking

B. Mask when testing bone conduction only

C. Always use the plateau method when establishing thresholds

D. Central masking - CORRECT ANSWERS-Effective masking



When evaluating a patient's/client's candidacy for amplification, what is the Most likely consideration?



A. Ear anomalies

B. Healed TM perforations

C. Auditory deprivation

D. Ear geometry - CORRECT ANSWERS-Ear anomalies

,In the course of performing Otoscopy you observe a perforation in the lower right area of the eardrum.
Which of the following is the Best approach in communicating your observation to another healthcare
professional?



A. perforation in the pars flaccida (shrapnell's membrane)

B. An abnormality on the TM

C. Perforation in the superior/ posterior quadrant

D. Perforation in the anterior/ inferior quadrant - CORRECT ANSWERS-Perforation in the anterior/
inferior quadrant



The MCL is established at what level?



A. dynamic range

B. speech detection threshold

C. suprathreshold

D. speech awareness threshold - CORRECT ANSWERS-Suprathreshold



A repeat wearer returns complaining they have difficulty understanding in noisy situations. Which test
would most useful in providing effective counseling to manage realistic expectations for this patient?



A. SII (speech intelligibility index)

B. HHIE (hearing handicap inventory for the elderly)

C. PB Max (maximum speech recognition ability)

D. SISI (short increment sensitivity index) - CORRECT ANSWERS-PB Max



Which 2 statements Best describe the use of insert phones?

, A. insert phones are recommended for patients with prolapsed ear canals

B. Insert phones provide more accurate test reliability

C. insert phones extend audiometric test limits

D. All of the above. - CORRECT ANSWERS--Insert phones are recommended for patients with prolapsed
ear canals

-Insert phones provide more accurate test reliability



After fitting a new ITC hearing instrument, you receive a complaint from the client/patient of soreness in
the tragus area. What is the Most likely result of this fitting?



A. over-filled helix

B. Angled canal

C. Rough edge on battery door

D. Under-filled concha - CORRECT ANSWERS-Rough edge on battery door



You are told by a new patient they are HIV Positive for which they have been under doctor's care for the
past 10 years. They complain of difficulty understanding in large groups and noisy areas. Audiometric
results indicate a symmetrical HL with loudness growth AD.

Which of the following Best describes disorders associated with this condition?



A. multiple disorders, however do not proceed with treatment until a medical clearance is obtained

B. tone decay, reflexogenic vertigo, nystagmus

C. contralateral acoustic reflex decay, hyperacusis

D. otalgia, tinnitus - CORRECT ANSWERS-Otalgia, Tinnitus



When selecting an appropriate program for a first time wearer with a moderate sloping HF hearing loss,
which should be one of your first considerations?

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