Study Questions for ILE

Study Questions for ILE When the right A/C threshold is 10 dB and the left A/C threshold is 80 dB what will occur once 3 5dB increases of masking have been presented to the right ear? A) Overmasking B) Undermasking ...

Study Questions for ILE When the right A/C threshold is 10 dB and the left A/C threshold is 80 dB what will occur once 3 5dB increases of masking have been presented to the right ear? A) Overmasking B) Undermasking C) Central masking D) Effective masking - ✔✔B Spondees are used for determining _____________? A) MCL B) UCL C) SRT D) WRS - ✔✔C A 31 yr old female patient/client has a bilateral conductive hearing loss. She reports that her mother had a stapedectomy when she was about her same age. What is the most likely cause of the conductive component of our patient's/client's hearing loss? A) Otosclerosis B) Otitis media C) Ototoxicity D) Disarticulation - ✔✔A Which of the following is an octave? A) 500- 750 Hz B) 250- 500 Hz C) 2K- 8K Hz D) 750- 2K Hz - ✔✔B When headphones are used when should speech audiometry be masked? A) When there is a 40 dB difference between the best B/C threshold and presentation level B) When there is a 15 dB or more air-bone gaps for the better ear C) When there is a 10 dB or more air-bone gaps for the better ear D) You never need to mask for speech audiometry - ✔✔A Which infection control process refers to the killing of 100% of germs? A) Sterilization B) Cleaning C) Disinfecting D) None of the above - ✔✔A When a patient/client reports difficulty hearing words like sip/tip/ship, but can hear words like door/floor/more. Where would the hearing healthcare provider expect there to be a hearing loss on the audiogram? A) Hearing loss in the high frequencies B) Hearing loss in the mid frequencies C) Hearing loss in the low frequencies D) Degree of hearing loss cannot be determined from speech results - ✔✔A Which of the following is the preferred order for audiometric testing? A) MCL before WRS B) Bone conduction before air conduction C) Speech UCL before SRT D) 500 Hz before 1K Hz - ✔✔A Which frequencies are usually affected when a noise induced hearing loss is suspected? A) 250- 750 Hz B) 1500- 3000 Hz C) 3000- 6000 Hz D) 750- 1500 Hz - ✔✔C Which of the following statements is most true about the use of gloves? A) Latex gloves should be used for ear impressioning B) Gloves can be saved to be used during a different appointment with the same patient/client C) Gloves are considered one-time use and should be disposed of after each use D) Gloves can be cleaned and reused if properly sanitized in cold soak bath - ✔✔C When the bone conduction threshold is 15 dB or better than the air conduction threshold what action should occur? A) Mask all bone conduction thresholds B) Apply appropriate masking to NTE to obtained masked bone conduction threshold C) Apply appropriate masking to NTE to obtained masked air conduction threshold D) Immediate medical referral for air-bone gaps - ✔✔B Why is it important to determine if there is a PTA/SRT discrepancy? A) To determine dynamic range B) To determine level for MCL which effects the level for WRS testing C) To determine if malingering or misunderstanding of directions is occurring during pure tones D) To determine needs for masking pure tones - ✔✔C When establishing UCL/LDL/TD it is important that _______________________________. A) The face is observed for any discomfort (grimace, eyebrows, raise, etc) B) They indicate when the sound is slightly loud C) They indicate when the sound is unbearable D) They indicate when the sound is comfortable - ✔✔A Using the audiogram, what type of hearing loss is indicated for the left ear? (Audiogram shows mild to severe sloping SNHL AD and a flat mild CDHL AS) A) Normal hearing B) Mixed hearing loss C) Conductive hearing loss D) Sensorineural hearing loss - ✔✔C When masking for air-conduction the initial masking level is how many dB greater than the NTE threshold? A) 10 dB B) 20 dB C) 40 dB D) 0 dB - ✔✔A Ambient room noise can have what effect during un-occluded bone conduction testing? A) All frequencies will present poorer B) Low frequencies will present better C) High frequencies will present poorer D) Low frequencies will present poorer - ✔✔D When there is a 15-20 dB difference between an octave what should occur A) Continue testing octaves B) Test the inter-octave C) Apply masking for air conduction D) Apply masking for bone conduction - ✔✔B When masking for puretones which type of masking noise is most effective? A) Speech noise B) Narrowband noise C) White noise D) Pink noise - ✔✔B At 2K Hz the best bone conduction threshold is a 30 dB HL. The air conduction threshold for the right ear is at 45 dB HL and for the left ear at 50 dB HL. The hearing healthcare provider wants to find the left masked bone conduction threshold. How should the transducers be set for masking? A) A/C: right and left; B/C: left mastoid B) A/C: right; B/C: left mastoid C) A/C: right and left; B/C: right mastoid D) A/C: left; B/C: right mastoid - ✔✔B A patient/client has a moderate hearing loss. Which type of hearing loss would the speech discrimination still be good to excellent with this degree of hearing loss? A) Central hearing loss B) Conductive hearing loss C) Normal hearing D) Sensorineural hearing loss - ✔✔B What should occur next when 1K Hz threshold shifts 10 dB when being retested? A) Record new threshold and complete testing B) Re-instruct and test remaining thresholds C) Record both threshold levels D) Re-instruct and retest all thresholds - ✔✔D A patient/client obtains a 76% on a word recognition testing. How many words did they miss if a 25 word list was used? A) 5 B) 7 C) 6 D) 4 - ✔✔C What is the biological check? A) Daily listening check of audiometer's transducers and attenuator B) Annual calibration of audiometer C) Blood pressure and pulse rate of patient/client D) Listening to patient's/client's hearing instrument - ✔✔A