ILE Exam Prep 2023 with Complete Solutions

The PT brings in their 4 year old high end digital signal processing hearing instrument because its not working at all. It is out of warranty. All of the source of the problem has not been found and the hearing instrument is still not working. At this point the hearing instrument specialist has no choice but to _______ A. recommend that they purchase a new set B. send it to an all-make repair facility C. send it to the manufacture for repair and refurbishment D. recommend medical referral - ANSWER-C. send it to the manufacture for repair and refurbishment When a hearing instrument is returned from repair, the hearing instrument specialist should _____ A. preform an electro acoustical analysis to verify that its performance is at specifications B. call the family and have them just pick it up- you don't need to see the PT C. return it to the PT and have them complete APHAB D. preform ear measurements on the hearing instrument before the PT arrives to pick it up. - ANSWER-A. preform an electro acoustical analysis to verify that its performance is at specifications A new PT makes an appointment for a repair of their older BTE. There is an accumulation of wax and debris in the tubing. Once the tubing is changed, feedback is eliminated and a sound check indicates that the aid is working nicely. The new PT reports that they need the performance adjusted, they're just not hearing too well. The hearing aid specialist. A. connected the hearing instrument to the manufacture's software and makes adjustments until the PT reports improvement. B. Has them make a return appointment for an evaluation for new hearing aids C. preforms a hearing test, reprograms the instrument, and preforms real-ear verification. D. Tells them that they will not work on hearing aids that are 5 years old - ANSWER-C. preforms a hearing test, reprograms the instrument, and preforms real-ear verification. common complaints about the quality of the PT own voice are that its echo-y or tinny. These can often be addressed by ____ and ___, respectively A. increasing the low frequency gain, increasing the high frequency gain B. decreasing the low frequency gain, increasing the high frequency gain C. increasing the low frequency gain, decreasing the high frequency gain D. decreasing the low frequency gain, decreasing the high frequency gain. - ANSWER-D. decreasing the low frequency gain, decreasing the high frequency gain. Feedback can be from ____ A. a bad battery B. a plugged earmold C. an internal source ( internal feedback) or an external source ( external feedback) D. and internal source ( split earmold tubing) or an external source ( internal feedback) - ANSWER-C. an internal source ( internal feedback) or an external source ( external feedback) If the reciever and or the mircophone is completely plugged with wax or debris, the hearing aid specalist should _____ A. send it back for repair B. clear out these components and check if the hearing instrument is working C. replace both components in the office D. recommend a medical referral - ANSWER-B. clear out these components and check if the hearing instrument is working ALDs can be categorized according to ____ A. those that connect to the hearing instruments and those that connent to cochlear implants B. the type of alerting device that they activate C. whether they are powered by bluetooth or a 2.4 GHz source D. those that help connect the person with hearing loss to other people and those that accommodate an activity of daily living - ANSWER-D. those that help connect the person with hearing loss to other people and those that accommodate an activity of daily living A gateway device has a unique manufacture specific name but they all ___ A. connect hearing instruments to a bluetooth enabled devices and convert the hearing instruments into a wireless headset for binaural hearing B. provide captions C. require a connection directly into the hearing instruments D. derive their power from the hearing aid batteries - ANSWER-A. connect hearing instruments to a bluetooth enabled devices and convert the hearing instruments into a wireless headset for binaural hearing Direct audio input ____ A. requires a direct connection between a device and the hearing instruments using a special cable. B. Can be used to connect the wearer binaurally to pre-bluetooth technology C. is a simple and older way to input a signal directly into hearing instruments D. all of the above - ANSWER-D. all of the above Looping is a technology that works _____ A. wirelessly through the telecoil B. through a gateway device C. is available for use on all hearing instruments D. works with 2.4 GHz signals - ANSWER-A. wirelessly through the telecoil counseling involves not only providing a supportive resource for people with hearing loss, it also entails _____ A. post-fitting care B. education C. presenting rehabilitation options D. all of the above - ANSWER-D. all of the above regularly scheduled follow-up care is important because the hearing aid specialist may be the first healthcare professional to recognize that a medical referral is indicated. A. True B. False - ANSWER-A. True _____ and ____ must be combined with speech to optimize audibility and intelligibility A. sign language, signed English B. lipreading, sign language C. visual ques, good communication practices D. captions, speechreading - ANSWER-C. visual ques, good communication practices One aspect of councilibng may be to educated family/friends that the acoustic enviroment can be improved in simple ways to benefit a person who wears hearing instruments. An example of this is ___ A. when walking away from the person who wears hearing aids just speak louder B. Always to try to have important conversations in a highly reverberant room C. speech is easier to hearing and understand when the room has few smooth, reflective surfaces ( drapes and carpets work well) D. in the car seat the person with the hearing loss next to the window - ANSWER-C. speech is easier to hearing and understand when the room has few smooth, reflective surfaces ( drapes and carpets work well) When the hearing aid specialist validates the fitting, they ____ A. demonstrate that the PT hearing issues have been resolved B. proved evidence of a desired outcome from the wearers perspective C. have outcomes measures that show that better situational hearing has been achieved D. All of the above - ANSWER-D. All of the above PT challenges with communication must be fully explored so that they hearing aid specalist can educate amplification candidates about ___ A. gateway devices that will wirelessly connect the wearer with a cell phone, Ipod, tablet, computer or any other bluetooth enabled device B. alerting devices C. telecoils D. all of the above - ANSWER-D. all of the above Another aspect of counseling involves introducing the PT to aural rehabilitation to ____ A. enhance their listening skills through improvements in auditory memory and processing speed B. avoid asking "what or HUH" C. enjoy group social events on a monthly basis D. re-train their brain to eventually do without hearing aids - ANSWER-A. enhance their listening skills through improvements in auditory memory and processing speed FOr the hearing aid specialist to adequately validate the fitting they must first define what the PT desired outcome is for the fitting and then select the appropriate tool to measure it. A. True B. False - ANSWER-True Self-assessment methods of validation are also referred to as____ A. objective verification methods B. questionnaires C. subjective methods D. objective Methods. - ANSWER-C. subjective methods Audiometric methods of hearing instrument fitting validation are sometimes referred to as ____ A. objective/subjective methods B. Soundfield audiometry C. Subjective methods D. Objective methods - ANSWER-D. Objective methods The main difference between speech mapping and real ear insertion response verification procedures is _____ A. Speech mapping is real ear aided response using a calibrated sweep signal B. Speech mapping uses a calibrated speech stimulus and REIG uses a sweep frequency stimulus or broad-band noise C. speech mapping is preformed using a family member's voice as a stimulus and REIG measures insertion loss of the hearing aid D. speech mapping is performed in the soundbooth - ANSWER-B. Speech mapping uses a calibrated speech stimulus and REIG uses a sweep frequency stimulus or broad-band noise Speech mapping verifies that the hearing aids provide audibility and listening comfort for using a functionally relevant and important test stimulus A. True B. False - ANSWER-A. True A wearer's ______ is calculated from the ______measurements and compared to the prescriptive targets used for "first fit" programming. A. REUR; REAR and REIG B. insertion loss ; REIG and REUR C. REIG;REUR and REAR D. insertion response; real ear gain - ANSWER-C. REIG;REUR and REAR REUR is measurement of open ear canal resonance. A. True B. False - ANSWER-A. True Fitting accuracy is defined as measured values being _____ A. similar to prescriptive targets B. no more than 3 to 8 dB above the prescriptive targets C. no more than 3 to 7 dB below the prescriptive targets D. within 5 to 8 dB of the prescriptive targets - ANSWER-D. within 5 to 8 dB of the prescriptive targets The PT hearing instruments just came back from repair. At the delivery of the repair the hearing aid specialist should _____ A. perform real ear verification to compare the results to the most recent data before the repair B. tell the wearer they will have to accommodate to the hearing instruments different sound C. modify the earmold to meet prescriptive targets since the hearing instruments programming computer is not working D. tell the PT to start saving for new instruments - ANSWER-A. perform real ear verification to compare the results to the most recent data before the repair A new binaural fitting has just been completed. The wearer complains that the hearing instruments sound much too tinny. The hearing aid specialist adjusts the frequency response of the hearing aids and solicits the wearer's impression to find complete listening satisfaction. The speech mapping is repeated but fitting targets are now way off. The hearing aid specialist ________. A. returns that settings to where they were when they met all targets and tells the wearer that they'll just have to get used to it B. ignores all of the real ear data and addresses that cosmetic appeal of the instruments C. documents the printed speech mapping results and the wearer's chart notes that the real ear data reflect the PT preferred settings D. ignores the prescriptive targets and preforms soundfield testing - ANSWER-C. documents the printed speech mapping results and the wearer's chart notes that the real ear data reflect the PT preferred settings Soundfield functional gain measurements can be used as a fitting verification measurement A. True B. False - ANSWER-A. True The three most commonly employed self-assessment questionnaire's are the ___ A. APHAB, HHI, and the COSI B. case history, credit history and the SRT C. LTASS, SII, and AII D. All of the above - ANSWER-A. APHAB, HHI, and the COSI The handicap imposed by hearing loss can be measured using the _____. insight about pre-fitting self-awareness about the hearing loss can be revealed by the _____ A. a case history; family's participation in all discussion B. audiogram; SII C. HII; COSI and APHAB D. COSI;APHAB - ANSWER-C. HII; COSI and APHAB Since objective validation measures are preformed in a controlled environment, they _______ A. Provide more information than self-reporting methods B. don't reflect everyday listening challenges C. the data can be transferred to electronic medical records D. None of the above - ANSWER-B. don't reflect everyday listening challenges Objective ways of measuring post-fitting improvements with understanding speech in noise and with hearing soft sounds are _____ A. using self-assessment questionnaires B. by presenting speech and noise through the same earphones and measuring aided thresholds using a supra-aural headset C. using the APHAB and HII D. by using the QuickSIN and comparing unaided to aided sound field thresholds - ANSWER-D. by using the QuickSIN and comparing unaided to aided sound field thresholds LTASS is an acronym that stands for ______ A. Long term abbreviated speech signal B. Long term average sinusoidal signal C. Length of time of the average speech signal D. Long term average speech spectrum - ANSWER-D. Long term average speech spectrum The SII represents the percent of the speech signal that is audible to the listener. A. True B. False - ANSWER-A. True BTE's and RIC's can be fit using either generic domes or custom earmolds A. True B. False - ANSWER-A. True