NBC-HIS National Competency Exam Prep: Clinical
Cases Multiple-Choice Questions & A+ Solutions
Case study #1: Patient JH is a 73-old male retired CEO, in reportedly good
health, who has never worn hearing aids before. His audiogram reveals a
symmetrical moderate SNHL with a V notch at 3K. WRS scores are 88% AD,
36% AS, 88% AU with bilateral type A tympanograms, normal AR in his right
ear, and absent AR in his left ear. While obtaining his case history, he reported
having several vestibular episodes within the past 6 months. JH also reports
hearing distorted in his left ear.
At his first follow-up JH complains that in a restaurant sounds from a distance
are too loud and overpowering while he has difficulty hearing the person
sitting across from him. What would be your best course of action? Right
Ans - Lower the MPO and raise the TK in the mid-frequency range
Case study #1: Patient JH is a 73-old male retired CEO, in reportedly good
health, who has never worn hearing aids before. His audiogram reveals a
symmetrical moderate SNHL with a V notch at 3K. WRS scores are 88% AD,
36% AS, 88% AU with bilateral type A tympanograms, normal AR in his right
ear, and absent AR in his left ear. While obtaining his case history, he reported
having several vestibular episodes within the past 6 months. JH also reports
hearing distorted in his left ear.
Based upon JH's case history what would be the most likely explanation for
his vestibular episode? Right Ans - Transit Ischemic Attack (TIA)
Case study #1: Patient JH is a 73-old male retired CEO, in reportedly good
health, who has never worn hearing aids before. His audiogram reveals a
symmetrical moderate SNHL with a V notch at 3K. WRS scores are 88% AD,
36% AS, 88% AU with bilateral type A tympanograms, normal AR in his right
ear, and absent AR in his left ear. While obtaining his case history, he reported
having several vestibular episodes within the past 6 months. JH also reports
hearing distorted in his left ear.
What would be the most likely adjustment at JH's final follow-up visits?
Right Ans - Program devices to 100% of target
Case study #1: Patient JH is a 73-old male retired CEO, in reportedly good
health, who has never worn hearing aids before. His audiogram reveals a
symmetrical moderate SNHL with a V notch at 3K. WRS scores are 88% AD,
, 36% AS, 88% AU with bilateral type A tympanograms, normal AR in his right
ear, and absent AR in his left ear. While obtaining his case history, he reported
having several vestibular episodes within the past 6 months. JH also reports
hearing distorted in his left ear.
If JH were to return after wearing his devices for two years complaining of
hearing unfamiliar noises in his right device, how would you resolve his
complaint? Right Ans - Connect the device to a 2cc coupler
Case study #1: Patient JH is a 73-old male retired CEO, in reportedly good
health, who has never worn hearing aids before. His audiogram reveals a
symmetrical moderate SNHL with a V notch at 3K. WRS scores are 88% AD,
36% AS, 88% AU with bilateral type A tympanograms, normal AR in his right
ear, and absent AR in his left ear. While obtaining his case history, he reported
having several vestibular episodes within the past 6 months. JH also reports
hearing distorted in his left ear.
Had JH informed you he has an infectious disease, what action would you least
perform? Right Ans - Disinfect the specula
Case study #1: Patient JH is a 73-old male retired CEO, in reportedly good
health, who has never worn hearing aids before. His audiogram reveals a
symmetrical moderate SNHL with a V notch at 3K. WRS scores are 88% AD,
36% AS, 88% AU with bilateral type A tympanograms, normal AR in his right
ear, and absent AR in his left ear. While obtaining his case history, he reported
having several vestibular episodes within the past 6 months. JH also reports
hearing distorted in his left ear.
Assuming JH had an above average ear canal diameter, which would be the
most appropriate coupling system? Right Ans - 8mm vented dome
Case study #1: Patient JH is a 73-old male retired CEO, in reportedly good
health, who has never worn hearing aids before. His audiogram reveals a
symmetrical moderate SNHL with a V notch at 3K. WRS scores are 88% AD,
36% AS, 88% AU with bilateral type A tympanograms, normal AR in his right
ear, and absent AR in his left ear. While obtaining his case history, he reported
having several vestibular episodes within the past 6 months. JH also reports
hearing distorted in his left ear.
Assuming JH returned with a complaint that whenever he is in any type of
noisy environment, speech becomes garbled no matter how he tries to adjust
his devices, what would be your best course of action? Right Ans -
Monaural fitting
Cases Multiple-Choice Questions & A+ Solutions
Case study #1: Patient JH is a 73-old male retired CEO, in reportedly good
health, who has never worn hearing aids before. His audiogram reveals a
symmetrical moderate SNHL with a V notch at 3K. WRS scores are 88% AD,
36% AS, 88% AU with bilateral type A tympanograms, normal AR in his right
ear, and absent AR in his left ear. While obtaining his case history, he reported
having several vestibular episodes within the past 6 months. JH also reports
hearing distorted in his left ear.
At his first follow-up JH complains that in a restaurant sounds from a distance
are too loud and overpowering while he has difficulty hearing the person
sitting across from him. What would be your best course of action? Right
Ans - Lower the MPO and raise the TK in the mid-frequency range
Case study #1: Patient JH is a 73-old male retired CEO, in reportedly good
health, who has never worn hearing aids before. His audiogram reveals a
symmetrical moderate SNHL with a V notch at 3K. WRS scores are 88% AD,
36% AS, 88% AU with bilateral type A tympanograms, normal AR in his right
ear, and absent AR in his left ear. While obtaining his case history, he reported
having several vestibular episodes within the past 6 months. JH also reports
hearing distorted in his left ear.
Based upon JH's case history what would be the most likely explanation for
his vestibular episode? Right Ans - Transit Ischemic Attack (TIA)
Case study #1: Patient JH is a 73-old male retired CEO, in reportedly good
health, who has never worn hearing aids before. His audiogram reveals a
symmetrical moderate SNHL with a V notch at 3K. WRS scores are 88% AD,
36% AS, 88% AU with bilateral type A tympanograms, normal AR in his right
ear, and absent AR in his left ear. While obtaining his case history, he reported
having several vestibular episodes within the past 6 months. JH also reports
hearing distorted in his left ear.
What would be the most likely adjustment at JH's final follow-up visits?
Right Ans - Program devices to 100% of target
Case study #1: Patient JH is a 73-old male retired CEO, in reportedly good
health, who has never worn hearing aids before. His audiogram reveals a
symmetrical moderate SNHL with a V notch at 3K. WRS scores are 88% AD,
, 36% AS, 88% AU with bilateral type A tympanograms, normal AR in his right
ear, and absent AR in his left ear. While obtaining his case history, he reported
having several vestibular episodes within the past 6 months. JH also reports
hearing distorted in his left ear.
If JH were to return after wearing his devices for two years complaining of
hearing unfamiliar noises in his right device, how would you resolve his
complaint? Right Ans - Connect the device to a 2cc coupler
Case study #1: Patient JH is a 73-old male retired CEO, in reportedly good
health, who has never worn hearing aids before. His audiogram reveals a
symmetrical moderate SNHL with a V notch at 3K. WRS scores are 88% AD,
36% AS, 88% AU with bilateral type A tympanograms, normal AR in his right
ear, and absent AR in his left ear. While obtaining his case history, he reported
having several vestibular episodes within the past 6 months. JH also reports
hearing distorted in his left ear.
Had JH informed you he has an infectious disease, what action would you least
perform? Right Ans - Disinfect the specula
Case study #1: Patient JH is a 73-old male retired CEO, in reportedly good
health, who has never worn hearing aids before. His audiogram reveals a
symmetrical moderate SNHL with a V notch at 3K. WRS scores are 88% AD,
36% AS, 88% AU with bilateral type A tympanograms, normal AR in his right
ear, and absent AR in his left ear. While obtaining his case history, he reported
having several vestibular episodes within the past 6 months. JH also reports
hearing distorted in his left ear.
Assuming JH had an above average ear canal diameter, which would be the
most appropriate coupling system? Right Ans - 8mm vented dome
Case study #1: Patient JH is a 73-old male retired CEO, in reportedly good
health, who has never worn hearing aids before. His audiogram reveals a
symmetrical moderate SNHL with a V notch at 3K. WRS scores are 88% AD,
36% AS, 88% AU with bilateral type A tympanograms, normal AR in his right
ear, and absent AR in his left ear. While obtaining his case history, he reported
having several vestibular episodes within the past 6 months. JH also reports
hearing distorted in his left ear.
Assuming JH returned with a complaint that whenever he is in any type of
noisy environment, speech becomes garbled no matter how he tries to adjust
his devices, what would be your best course of action? Right Ans -
Monaural fitting
