ILE PREP FINAL TEST PAPER 2026 STUDY GUIDE
REVIEW
◉ You receive a complaint that sounds are too loud. What action
would most likely resolve the pt's complaint?
a. retest discrete UCLs
b. insert HF dampers
c. decrease overall gain for loud sounds
d. consider another device style. Answer: c decrease overall gain for
loud sounds
◉ 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. Answer: a. poor wiring
◉ During your first visit you observe your 93 yr old patient to have
difficulty finding comfort VC settings on their hearing aids. Their
hearing is an asymmetrical loss. Which is the following best option
for the pt?
a. wireless
,b. ipsilateral
c. CROS
d. WDRC. Answer: a. wireless
◉ Bone conduction thresholds are best established with which of
the following?
a. in-situ
b. use of HA-2 coupler
c. use of Zwislock 2-cc
d. B-72. Answer: d. B-72
◉ You receive a complaint that sounds are too soft. Which
adjustment would resolve pt complaint?
a. establishing binaural SRT's
b. increase low and mid frequency gain
c. engage frequency transposition technology
d. decrease HF gain. Answer: b. increase low and mid frequency gain
◉ The reference test position (RTP) is necessary to establish when
obtaining which of the following?
a. harmonic distortion
b. HF average full on gain
,c. special purpose average
d. rise characteristics. Answer: a. harmonic distortion
◉ Which two statements best describe the use of insert phones?
a. insert phones are recommended for patients with prolapsed ear
canals
b. insert phone provide more accurate test reliability
c. insert phones extend audiometric test limits
d. all of the above. Answer: a. insert phones are recommended for
patients with prolapsed ear canals
b. insert phone provide more accurate test reliability
◉ Congenital loss results in which shape audiogram?
a. noise notch
b. cookie bite
c. reverse slope
d. precipitous slope. Answer: b. cookie bite
◉ When delivering to a first time wearer you are most likely to
discuss which two items?
a. Insertion/removal
b. battery life
, c. warranty
d. microphone maintenance. Answer: a. Insertion/removal
b. battery life
◉ When running a tympanogram on a pt with normal hearing and
no apparent outer or middle ear disorder you get a flat response.
What is the most likely cause?
a. normal ears will general produce a flat tympanogram
b. your pt may have a disorder of the Eustachian tube
c. an overlooked small perforation of the TM
d. a poorly sealed ear. Answer: d. a poorly sealed ear
◉ At your pt's one week check up they complain of not hearing the
doorbell and telephone. Which two adjustments would most likely
resolve the complaint?
a. decrease G40 curve
b. increase mid frequencies
c. increase HF gain
d. increase OSPL90 curve. Answer: b. increase mid frequencies
c. increase HF gain
◉ Patients with mild to moderate sloping HL can most likely benefit
from which two of the following?
REVIEW
◉ You receive a complaint that sounds are too loud. What action
would most likely resolve the pt's complaint?
a. retest discrete UCLs
b. insert HF dampers
c. decrease overall gain for loud sounds
d. consider another device style. Answer: c decrease overall gain for
loud sounds
◉ 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. Answer: a. poor wiring
◉ During your first visit you observe your 93 yr old patient to have
difficulty finding comfort VC settings on their hearing aids. Their
hearing is an asymmetrical loss. Which is the following best option
for the pt?
a. wireless
,b. ipsilateral
c. CROS
d. WDRC. Answer: a. wireless
◉ Bone conduction thresholds are best established with which of
the following?
a. in-situ
b. use of HA-2 coupler
c. use of Zwislock 2-cc
d. B-72. Answer: d. B-72
◉ You receive a complaint that sounds are too soft. Which
adjustment would resolve pt complaint?
a. establishing binaural SRT's
b. increase low and mid frequency gain
c. engage frequency transposition technology
d. decrease HF gain. Answer: b. increase low and mid frequency gain
◉ The reference test position (RTP) is necessary to establish when
obtaining which of the following?
a. harmonic distortion
b. HF average full on gain
,c. special purpose average
d. rise characteristics. Answer: a. harmonic distortion
◉ Which two statements best describe the use of insert phones?
a. insert phones are recommended for patients with prolapsed ear
canals
b. insert phone provide more accurate test reliability
c. insert phones extend audiometric test limits
d. all of the above. Answer: a. insert phones are recommended for
patients with prolapsed ear canals
b. insert phone provide more accurate test reliability
◉ Congenital loss results in which shape audiogram?
a. noise notch
b. cookie bite
c. reverse slope
d. precipitous slope. Answer: b. cookie bite
◉ When delivering to a first time wearer you are most likely to
discuss which two items?
a. Insertion/removal
b. battery life
, c. warranty
d. microphone maintenance. Answer: a. Insertion/removal
b. battery life
◉ When running a tympanogram on a pt with normal hearing and
no apparent outer or middle ear disorder you get a flat response.
What is the most likely cause?
a. normal ears will general produce a flat tympanogram
b. your pt may have a disorder of the Eustachian tube
c. an overlooked small perforation of the TM
d. a poorly sealed ear. Answer: d. a poorly sealed ear
◉ At your pt's one week check up they complain of not hearing the
doorbell and telephone. Which two adjustments would most likely
resolve the complaint?
a. decrease G40 curve
b. increase mid frequencies
c. increase HF gain
d. increase OSPL90 curve. Answer: b. increase mid frequencies
c. increase HF gain
◉ Patients with mild to moderate sloping HL can most likely benefit
from which two of the following?
