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Hearing Aids Exam 2 Questions and Answers (100% Correct Answers) Already Graded A

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The goal of a hearing aid fitting is to make __________ speech audible. [ Ans: ] Average Audibility means the state of being ___________ [ Ans: ] Audible The audibility index (AKA Articulation index) refers to a measure of the proportion of __________ cues that are audible; displays the count-the-dot audiogram well [ Ans: ] Speech The 3 speech goals of a hearing aid fitting are to make soft speech __________, conversational speech ____________ and loud speech ________________ [ Ans: ] Audible... comfortable... tolerable Audibility is required for speech recognition, but does not guarantee speech _____________ [ Ans: ] Understanding Vowels are periodic, consonants are _____________ [ Ans: ] Aperiodic Speech is considered "_________-______________" [ Ans: ] Quasi-periodic The "_________-_____-________" audiogram is the percent of audibility for average speech the listener hears, not what they understand [ Ans: ] Count-the-dot In the count-the-dot audiogram, the audible dots are at dB SPL levels ____________ than thresholds [ Ans: ] Greater The audibility index is a ______________ of average speech [ Ans: ] Predictor It ______ possible that increases in audibility DO NOT lead to increased speech recognition [ Ans: ] Is The term "LTASS" stands for... [ Ans: ] Long Term Average Speech Spectrum The LTASS is the overall level and frequency composition of acoustic energy that represents ____________ speech [ Ans: ] Everyday One can compare the audibility of the LTASS with and without ___________ ______ to show changes in audibility [ Ans: ] Hearing aids LTASS is defined by the _________ ___________ needed to produce it [ Ans: ] Vocal effort The LTASS dB values must fall within ____ dB of the patient's thresholds [ Ans: ] 5 dB The average dB SPL of soft speech is ______ dB SPL [ Ans: ] 53 dB SPL The average dB SPL of conversational speech is ______ dB SPL [ Ans: ] 62 dB SPL The average dB SPL of loud speech is ______ dB SPL [ Ans: ] 83 dB SPL The average dB HL of soft speech is _____ dB HL [ Ans: ] 40 dB HL The average dB HL of conversational speech is ____ dB HL [ Ans: ] 50 dB HL The average dB HL of loud speech is ____ dB HL [ Ans: ] 70 dB HL The NAL-NL2 fitting formula uses an input signal of ___/___ octave levels of the International LTASS [ Ans: ] 1/3 DSL v5 places 1/3rd octave speech levels at ____________ [ Ans: ] Desired The speech maxima is the... [ Ans: ] Highest level of speech in dB The speech minima is the... [ Ans: ] Lowest level of speech in dB The ____________ __________ of speech recognition is 30 dB [ Ans: ] Dynamic range The formula for dynamic range is... [ Ans: ] LTASS + 12 dB (maxima) and -18 dB (minima) The

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Hearing Aids Exam 2 Questions and Answers
(100% Correct Answers) Already Graded A+
Earmold fittings affect what three broad acoustic
characteristics of the hearing aid? [ Ans: ] 1) shape of the
gain-frequency response of the aid when it is mounted in
the ear (insertion loss- affects how the sound is
transmitted)

2)self perceived quality of the patient's voice (occlusion
effect)

3) likelihood for feedback

Explain the insertion loss concept. [ Ans: ] Without an ear
mold, as sound travels through the ear it is affected by
the natural ear canal resonance curve (resonates at higher
frequencies) but is still perceived by the listener equally
across frequencies.

When putting an ear mold in the ear, this changes the
resonance curve of the ear and also affects the perceived
response. Instead of all frequencies being perceived
equally there is a reduced perception of high frequencies
cause by the insertion of the ear mold

Selecting an ear mold is a ____________________ step in the
hearing aid selection process. [ Ans: ] secondary

What do you have to consider when choosing an ear mold?
[ Ans: ] -degree of loss

,-need for venting

-shape, size, and texture of patient's ear

-age

-dexterity

What are the four objectives for hearing aid coupling/and
fitting ear molds? [ Ans: ] -provide a satisfactory acoustic
seal (prevent feedback)

-retain the hearing aid on the pinna

-be comfortable

-be aesthetically acceptable to the patient

What are the 4 different type of ear mold materials? [ Ans:
] -acrylic

-silicone

-polyvinyl chloride

-polyethylene

Describe acrylic ear mold material. [ Ans: ] -very hard and
durable

-easy to modify

,-easy to insert and remove (dexterity)

-may not get a tight seal

-will not bend or compress for narrow ear canals

-appropriate for most older adult fittings/mild moderate
losses

T/F: Acrylic ear molds are typically recommended for
children. [ Ans: ] FALSE - due to concern for injury if
struck while wearing the ear mold

Describe silicone ear mold material. [ Ans: ] -available in
tacky/low pressure cured and high pressure cured
varieties (good for many types of losses)

-most appropriate for children

-most appropriate for severe to profound losses

-fairly hypoallergenic

-difficult to modify due to softness

-most difficult to insert

-tubing adhesives may not stick so may need tube lock

Why are silicone ear molds good for severe to profound
hearing loss? [ Ans: ] because the mold fits down better in
the ear canal and does not create feedback

, If you had a patient with dexterity issues, what ear mold
material would you be most likely to choose? which would
you be least likely to choose? [ Ans: ] most likely - acrylic

least likely - silicone

Describe polyvinyl chloride ear mold material. [ Ans: ] -
available in softer and harder varieties

-more comfortable than acrylic

-good for moderate to severe losses

-not as durable

-can be difficult to modify

-more prone to discoloration

-problematic for patients with vinyl allergies

Describe polyethylene ear mold material. [ Ans: ] -similar
to acrylic but more prone to feedback

-used the least often

-plastic like appearance

-most hypoallergenic

What are three different ways for naming ear mold styles?
[ Ans: ] -descriptive name

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