ILE PREP FINAL ACTUAL EXAM PAPER 2026
QUESTIONS SOLUTIONS GRADED A+
◉ Which of the following complaints warrants an immediate referral
to a physician, preferably one who specializes in diseases of the ear?
a. History of noise exposure
b. Occasional bilateral tinnitus
c. Chronic dizziness
d. History of taking ototoxic medications Answer: c
◉ You perform tympanometry on your patient/client and obtain a
Type B tympanogram with a normal ea canal volume. What type of
hearing loss would you expect them to have? Circle the two best
choices.
a. Normal hearing sensitivity
b. Conductive hearing loss
c. Sensorineural hearing loss
d. Mixed hearing loss Answer: b & d
,◉ Your client is a 50 yr old male. He has a mild to moderate SNHL
Au. He has excellent speech discriminat Au. What would be the
biggest influence for him purchasing hearing aids?
a. opinion of colleagues
b. encouragement of spouse
c. self-motivation
d. degree of tinnitus Answer: c
◉ Flaring out the end of tubing results in what frequency change?
a. increases 2000-5000 Hz
b. increases 1000-3000 Hz
c. decreases 2000-5000 Hz
d. decreases 1000-3000 Hz Answer: a
◉ When obtaining audiometric thresholds 1000 Hz is tested twice
because
a. Test/retest reliability needs to be established
b. It is the most important speech frequency
c. It is the hardest tone to hear
d. Both A and B Answer: a
◉ Which of the following is not an advantage for using acrylic
earmolds?
,a. extremely durable
b. easily modified in the office
c. better seal for profound hearing loss
d. more easily inserted Answer: c
◉ When taking an ear impression why might your patient cough?
a. It's a normal response to cough when nervous
b. It's a normal response to cough when Arnold's Reflex is elicited
c. It's a normal response to cough when the Stapedial Reflex is
elicited
d. Stop, use universal precautions and wear a mask, as the client may
be contagious Answer: b
◉ Which process refers to the process in which germs are killed
100%?
a. Cleaning
b. Disinfecting
c. Sterilization
d. None of the above Answer: c
, ◉ Which tool should be utilized when verifying otoblock placement
in the ear canal?
a. otolight
b. otoscope
c. visual inspection
d. tip of syringe Answer: b
◉ Which of the following dynamic ranges would indicate
recruitment?
a. 25dB
b. 45dB
c. 65dB
d. 85dB Answer: a
◉ Recruitment is most common in
a.Conductive hearing losses
b. Central auditory processing disorders
c. Sensorineural hearing losses
QUESTIONS SOLUTIONS GRADED A+
◉ Which of the following complaints warrants an immediate referral
to a physician, preferably one who specializes in diseases of the ear?
a. History of noise exposure
b. Occasional bilateral tinnitus
c. Chronic dizziness
d. History of taking ototoxic medications Answer: c
◉ You perform tympanometry on your patient/client and obtain a
Type B tympanogram with a normal ea canal volume. What type of
hearing loss would you expect them to have? Circle the two best
choices.
a. Normal hearing sensitivity
b. Conductive hearing loss
c. Sensorineural hearing loss
d. Mixed hearing loss Answer: b & d
,◉ Your client is a 50 yr old male. He has a mild to moderate SNHL
Au. He has excellent speech discriminat Au. What would be the
biggest influence for him purchasing hearing aids?
a. opinion of colleagues
b. encouragement of spouse
c. self-motivation
d. degree of tinnitus Answer: c
◉ Flaring out the end of tubing results in what frequency change?
a. increases 2000-5000 Hz
b. increases 1000-3000 Hz
c. decreases 2000-5000 Hz
d. decreases 1000-3000 Hz Answer: a
◉ When obtaining audiometric thresholds 1000 Hz is tested twice
because
a. Test/retest reliability needs to be established
b. It is the most important speech frequency
c. It is the hardest tone to hear
d. Both A and B Answer: a
◉ Which of the following is not an advantage for using acrylic
earmolds?
,a. extremely durable
b. easily modified in the office
c. better seal for profound hearing loss
d. more easily inserted Answer: c
◉ When taking an ear impression why might your patient cough?
a. It's a normal response to cough when nervous
b. It's a normal response to cough when Arnold's Reflex is elicited
c. It's a normal response to cough when the Stapedial Reflex is
elicited
d. Stop, use universal precautions and wear a mask, as the client may
be contagious Answer: b
◉ Which process refers to the process in which germs are killed
100%?
a. Cleaning
b. Disinfecting
c. Sterilization
d. None of the above Answer: c
, ◉ Which tool should be utilized when verifying otoblock placement
in the ear canal?
a. otolight
b. otoscope
c. visual inspection
d. tip of syringe Answer: b
◉ Which of the following dynamic ranges would indicate
recruitment?
a. 25dB
b. 45dB
c. 65dB
d. 85dB Answer: a
◉ Recruitment is most common in
a.Conductive hearing losses
b. Central auditory processing disorders
c. Sensorineural hearing losses
