NBC HIS COMPREHENSIVE EXAM 2025/2026 QUESTIONS
WITH SOLUTIONS RATED A+
✔✔Profound Congenital Loss: - ✔✔This pattern is sometimes called a corner
audiogram, this loss is present at birth. Modern day cochlear implant candidate, bone
responses are vibrotactile, very poor speech understanding, may have deaf speech
✔✔Acquired Congenital Loss - ✔✔This is not a hereditary hearing loss, Often
associated with maternal rubella in the first trimester of pregnancy, modern day
cochlear implant candidate, bone responses are vibrotactile, very poor speech
understanding- still has some responses in speech frequencies, Basilar Membrane is at
least responsive at all frequencies.
✔✔Perforated Tympanic Membrane - ✔✔Conductive Loss: Recognizing Tympanic
Membrane: malleus pointing at 1:00 is going to be the right ear.
✔✔Absent Tympanic Membrane & Ossicularchain - ✔✔Maximum conductive loss- ear
drum=20dB Chain= 40dB together 60dB loss - result of radical mastoidectomy or
removal of Tympanic membrane and ossicles.
✔✔Disarticulated Ossicular Chain - ✔✔The ossicular chain is disconnected at the joint
between the malleus and incus: V notch at 2000Hz, Tympanogram= Ad, conductive loss
PTA VS SRT Agreement: Validates the audiogram (10-20dB)
✔✔A regular patient comes in with 2 year old RIC's and says that general sounds are
shrill and sharp you are most likely to - ✔✔Adjust HF gain
✔✔When a patient walks in and explains that their hearing aid is dead. The patient
hands you their hearing aids to be checked and cleaned what do you do first - ✔✔Put
on a pair of gloves before handling the hearing aids
✔✔A patient has a moderate flat sensorineural hearing loss and is quite vain, he has
tried a BTE style and had problems with putting the aid on Which hearing aid is the best
fit for him - ✔✔A CIC with single mic directionality and a remote control phone app
✔✔Friends and family help patients wearing hearing instruments to understand better
by - ✔✔Encouraging the patient to have a light behind them
✔✔When counseling a patient about their case history the main objective is to -
✔✔Gather information about the patient and determine if a referral is necessary
✔✔Compliance - ✔✔The ease with which acoustic energy flows through the middle ear
system to the cochlea reported as ml or cc
WITH SOLUTIONS RATED A+
✔✔Profound Congenital Loss: - ✔✔This pattern is sometimes called a corner
audiogram, this loss is present at birth. Modern day cochlear implant candidate, bone
responses are vibrotactile, very poor speech understanding, may have deaf speech
✔✔Acquired Congenital Loss - ✔✔This is not a hereditary hearing loss, Often
associated with maternal rubella in the first trimester of pregnancy, modern day
cochlear implant candidate, bone responses are vibrotactile, very poor speech
understanding- still has some responses in speech frequencies, Basilar Membrane is at
least responsive at all frequencies.
✔✔Perforated Tympanic Membrane - ✔✔Conductive Loss: Recognizing Tympanic
Membrane: malleus pointing at 1:00 is going to be the right ear.
✔✔Absent Tympanic Membrane & Ossicularchain - ✔✔Maximum conductive loss- ear
drum=20dB Chain= 40dB together 60dB loss - result of radical mastoidectomy or
removal of Tympanic membrane and ossicles.
✔✔Disarticulated Ossicular Chain - ✔✔The ossicular chain is disconnected at the joint
between the malleus and incus: V notch at 2000Hz, Tympanogram= Ad, conductive loss
PTA VS SRT Agreement: Validates the audiogram (10-20dB)
✔✔A regular patient comes in with 2 year old RIC's and says that general sounds are
shrill and sharp you are most likely to - ✔✔Adjust HF gain
✔✔When a patient walks in and explains that their hearing aid is dead. The patient
hands you their hearing aids to be checked and cleaned what do you do first - ✔✔Put
on a pair of gloves before handling the hearing aids
✔✔A patient has a moderate flat sensorineural hearing loss and is quite vain, he has
tried a BTE style and had problems with putting the aid on Which hearing aid is the best
fit for him - ✔✔A CIC with single mic directionality and a remote control phone app
✔✔Friends and family help patients wearing hearing instruments to understand better
by - ✔✔Encouraging the patient to have a light behind them
✔✔When counseling a patient about their case history the main objective is to -
✔✔Gather information about the patient and determine if a referral is necessary
✔✔Compliance - ✔✔The ease with which acoustic energy flows through the middle ear
system to the cochlea reported as ml or cc
