Audiology Praxis
A patient who has a moderate SNHL also
complains of bothersome tinnitus. Which
of the following is the most appropriate
recommendation for treatment for the pa-
B.
tient?
A tinnitus instrument is a device that
A) fitting the patient with a tinnitus
combines a tinnitus masker, which will
masker
help relieve the patient from tinnitus, and
B) fitting the patient with a tinntius instru-
a hearing aid, which will help with the
ment
hearing loss.
C) creating CDs that contain noise that
can mask the patient's tinnitus
D) recommending that the patient pur-
chase a sound machine
An audiologist suspects that a patient
who has had a traumatic brain injury
may not have understood the directions
for a test given for pure-tone thresholds.
Which of the following is a test that the D.
audiologist could appropriately use to Individuals with TBIs are more likely to
confirm the patient's responses repre- respond to speech than they are to
sent true thresholds? respond to pure tones. Speech-aware-
A) Tymps ness tests have a high correlation with
B) ARTs pure-tones at certain frequencies.
C) Word Rec
D) Speech awareness/speech-recogni-
tion thresholds
E) MCLs
A patient who has a unilateral, progres-
sive SNHL accompanied by significant
decay of the stapedial reflex and no iden-
tifiable waves on ABR shows a dispro-
D.
portionately poor WRS. The result is sug-
8th nerve disorders typically produce
gestive of
unilateral hearing impairment that can
A) cochlear disorder
interfere with WRS.
B) temporal lobe lesion
C) middle-ear dysfunction
D) 8th nerve disorder
E) external-ear dysfunction
, Audiology Praxis
Click-evoked ABR thresholds are gener-
ally most closely correlated with behav-
ioral thresholds for frequencies of D.
A) 1000Hz The correlation between ABR and be-
B) 250-500 Hz havioral thresholds is greatest at fre-
C) 500-1000 Hz quencies between 2000 and 4000 Hz
D) 2000-4000 Hz
E) 6000-8000 Hz
A 40-year-old patient has normal hearing
D.
from 250 to 1000 Hz sloping to a moder-
Performance level rises most steeply
ately severe SNHL, AU since the age of
with small increases in intensity when
6. Which of the following speech-recogni-
the speech sample is large and pro-
tion materials should the audiologist use
vides some context; this is true of syn-
in order to obtain the steepest possible
thetic sentences, even though they do
performance-intensity function?
not provide as much context as natural
A) nonsense syllables
sentences. In addition, the synthetic-sen-
B) CID W-1
tence test allows the subject to pick out
C) CID W-22
a word from a list, which provides addi-
D) Synthetic sentences
tional clues.
E) NU-6
An audiologist fit a young woman with
binaural digital BTEs 3 weeks ago. The
patient reports that the devices have
provides suitable amplification in most
environments, but she complains that
low-level ambient noise has been dis-
tracting. In an effort to reduce the
E.
adverse noise effect, what adjustment
Expansion reduces the gain of low-level
might the audiologist make to the HAs?
ambient sounds
A) increasing threshold kneepoint
B) decreasing threshold kneepoint
C) enabling wide dynamic range com-
pression
D) decrease the gain in all frequency
bands
E) enabling expansion
Mr. Smith an audiologist who works at a
rural speech-language-hearing center, is
, Audiology Praxis
scheduled to conduct several follow-up
assessments for patients who have been
fitted with HAs. Mr. Smith has an acri-
monious relationship with the owner of
the practice and objects to the changes
imposed by the owner for follow-up evals.
He quits work and walks out at noon on
the day the patients are scheduled to be
seen for follow-up. There are no other
C.
audiologists in the practice. Which of the
The audiologist's actions leave the pa-
following is true of Mr. Smith?
tients with no other audiologist present
A) he was justified in leaving because
to preform follow-up procedures, which
there is customarily no charge for fol-
could lead to charges of patient aban-
low-up visits
donment
B) he should have called the patients to
let them know there would be a charge
for their follow-up visits
C) he can be charged with patient aban-
donment
D) he should report the owner to the
licensure board
E) he should inform the patients that they
can be seen in a neighboring community
Which of the following is the most com-
monly accepted reason for not using
250 Hz in identification audiometry in a
school environment?
A) school-age children rarely can re-
spond to the 250 Hz tone reliably C.
B) hearing loss at 250 Hz via air conduc- Background noise in schools is likely to
tion is most commonly associated with be of consistently high amplitude at low
collapsing ear canals frequencies; a 250 Hz tone is more diffi-
C) noise in the test environment is likely cult to distinguish from such background
to interfere with detection of the 250 Hz noise than higher frequencies
tone
D) the responses school-age children
give at 250 Hz are most likely to be vi-
brotactile rather than auditory
E) sound at 250 Hz contributes virtually
, Audiology Praxis
nothing toward the understanding of of
speech
Which of the following is the primary rea-
son investigators have given for limiting
a HA's OSPL90 to a lower level when it
is worn by a child than when it is worn by
an adult?
A) loud amplified sounds may frighten a
young child and result in reection of the
HA B.
B) the volume of the external auditory The SPL at the eardrum is a function of
meatus in children is less than that rep- the volume of the external auditory mea-
resented by a 2 cc couple, and conse- tus; the smaller the volume, the greater
quently the SPL at the eardrum is greater the sound pressure. An OSPL90 set to a
C) measuring the degree of hearing loss level appropriate for adults may produce
in preschoolers is often imprecise and an undesirably high maximum SPL in a
may lead to improper fitting of an aid child
D) parents and teachers of children with
hearing impairments typically talk louder
than do people who interact with adults
with hearing impairments
E) the primary speech signal will be
masked because room noise and rever-
beration will be amplified
Which of the following is true of the oc-
clusion effect observed during pure tone
D.
audiometry?
The occlusion effect is the sensation
A) it results in artificially poor thresholds
of increased loudness of low-frequency
at all frequencies
sounds transmitted through bone con-
B) it can affect the measurement of
duction when the outer ear is blocked.
air-conduction thresholds at low frequen-
In cases of conductive hearing loss
cies
the greater the degree of hearing loss,
C) it can affect the measurement of
the louder these sounds are likely to
air-conduction thresholds at high fre-
be perceived, so measurement of the
quencies
bone-conduction threshold at low fre-
D) it can affect the measurement of
quencies is affected
bone-conduction thresholds at low fre-
quencies
A patient who has a moderate SNHL also
complains of bothersome tinnitus. Which
of the following is the most appropriate
recommendation for treatment for the pa-
B.
tient?
A tinnitus instrument is a device that
A) fitting the patient with a tinnitus
combines a tinnitus masker, which will
masker
help relieve the patient from tinnitus, and
B) fitting the patient with a tinntius instru-
a hearing aid, which will help with the
ment
hearing loss.
C) creating CDs that contain noise that
can mask the patient's tinnitus
D) recommending that the patient pur-
chase a sound machine
An audiologist suspects that a patient
who has had a traumatic brain injury
may not have understood the directions
for a test given for pure-tone thresholds.
Which of the following is a test that the D.
audiologist could appropriately use to Individuals with TBIs are more likely to
confirm the patient's responses repre- respond to speech than they are to
sent true thresholds? respond to pure tones. Speech-aware-
A) Tymps ness tests have a high correlation with
B) ARTs pure-tones at certain frequencies.
C) Word Rec
D) Speech awareness/speech-recogni-
tion thresholds
E) MCLs
A patient who has a unilateral, progres-
sive SNHL accompanied by significant
decay of the stapedial reflex and no iden-
tifiable waves on ABR shows a dispro-
D.
portionately poor WRS. The result is sug-
8th nerve disorders typically produce
gestive of
unilateral hearing impairment that can
A) cochlear disorder
interfere with WRS.
B) temporal lobe lesion
C) middle-ear dysfunction
D) 8th nerve disorder
E) external-ear dysfunction
, Audiology Praxis
Click-evoked ABR thresholds are gener-
ally most closely correlated with behav-
ioral thresholds for frequencies of D.
A) 1000Hz The correlation between ABR and be-
B) 250-500 Hz havioral thresholds is greatest at fre-
C) 500-1000 Hz quencies between 2000 and 4000 Hz
D) 2000-4000 Hz
E) 6000-8000 Hz
A 40-year-old patient has normal hearing
D.
from 250 to 1000 Hz sloping to a moder-
Performance level rises most steeply
ately severe SNHL, AU since the age of
with small increases in intensity when
6. Which of the following speech-recogni-
the speech sample is large and pro-
tion materials should the audiologist use
vides some context; this is true of syn-
in order to obtain the steepest possible
thetic sentences, even though they do
performance-intensity function?
not provide as much context as natural
A) nonsense syllables
sentences. In addition, the synthetic-sen-
B) CID W-1
tence test allows the subject to pick out
C) CID W-22
a word from a list, which provides addi-
D) Synthetic sentences
tional clues.
E) NU-6
An audiologist fit a young woman with
binaural digital BTEs 3 weeks ago. The
patient reports that the devices have
provides suitable amplification in most
environments, but she complains that
low-level ambient noise has been dis-
tracting. In an effort to reduce the
E.
adverse noise effect, what adjustment
Expansion reduces the gain of low-level
might the audiologist make to the HAs?
ambient sounds
A) increasing threshold kneepoint
B) decreasing threshold kneepoint
C) enabling wide dynamic range com-
pression
D) decrease the gain in all frequency
bands
E) enabling expansion
Mr. Smith an audiologist who works at a
rural speech-language-hearing center, is
, Audiology Praxis
scheduled to conduct several follow-up
assessments for patients who have been
fitted with HAs. Mr. Smith has an acri-
monious relationship with the owner of
the practice and objects to the changes
imposed by the owner for follow-up evals.
He quits work and walks out at noon on
the day the patients are scheduled to be
seen for follow-up. There are no other
C.
audiologists in the practice. Which of the
The audiologist's actions leave the pa-
following is true of Mr. Smith?
tients with no other audiologist present
A) he was justified in leaving because
to preform follow-up procedures, which
there is customarily no charge for fol-
could lead to charges of patient aban-
low-up visits
donment
B) he should have called the patients to
let them know there would be a charge
for their follow-up visits
C) he can be charged with patient aban-
donment
D) he should report the owner to the
licensure board
E) he should inform the patients that they
can be seen in a neighboring community
Which of the following is the most com-
monly accepted reason for not using
250 Hz in identification audiometry in a
school environment?
A) school-age children rarely can re-
spond to the 250 Hz tone reliably C.
B) hearing loss at 250 Hz via air conduc- Background noise in schools is likely to
tion is most commonly associated with be of consistently high amplitude at low
collapsing ear canals frequencies; a 250 Hz tone is more diffi-
C) noise in the test environment is likely cult to distinguish from such background
to interfere with detection of the 250 Hz noise than higher frequencies
tone
D) the responses school-age children
give at 250 Hz are most likely to be vi-
brotactile rather than auditory
E) sound at 250 Hz contributes virtually
, Audiology Praxis
nothing toward the understanding of of
speech
Which of the following is the primary rea-
son investigators have given for limiting
a HA's OSPL90 to a lower level when it
is worn by a child than when it is worn by
an adult?
A) loud amplified sounds may frighten a
young child and result in reection of the
HA B.
B) the volume of the external auditory The SPL at the eardrum is a function of
meatus in children is less than that rep- the volume of the external auditory mea-
resented by a 2 cc couple, and conse- tus; the smaller the volume, the greater
quently the SPL at the eardrum is greater the sound pressure. An OSPL90 set to a
C) measuring the degree of hearing loss level appropriate for adults may produce
in preschoolers is often imprecise and an undesirably high maximum SPL in a
may lead to improper fitting of an aid child
D) parents and teachers of children with
hearing impairments typically talk louder
than do people who interact with adults
with hearing impairments
E) the primary speech signal will be
masked because room noise and rever-
beration will be amplified
Which of the following is true of the oc-
clusion effect observed during pure tone
D.
audiometry?
The occlusion effect is the sensation
A) it results in artificially poor thresholds
of increased loudness of low-frequency
at all frequencies
sounds transmitted through bone con-
B) it can affect the measurement of
duction when the outer ear is blocked.
air-conduction thresholds at low frequen-
In cases of conductive hearing loss
cies
the greater the degree of hearing loss,
C) it can affect the measurement of
the louder these sounds are likely to
air-conduction thresholds at high fre-
be perceived, so measurement of the
quencies
bone-conduction threshold at low fre-
D) it can affect the measurement of
quencies is affected
bone-conduction thresholds at low fre-
quencies
