Audiology Praxis Detailed Exam Study
Guide with Elaborate Answers Already
Graded A+ | Brand New Version
1. A patient comes to a clinic complaining of short, intense dizzy spells. An
audiologist suspects that the patient may have benign paroxysmal positional
vertigo (BPPV). Which of the following tests is most appropriate to use to
confirm the diagnosis? - ANSWER Dix-Hallpike test
2. A 5-year-old child was recently diagnosed with a bilateral, moderately
severe sensorineural hearing loss after a bout of meningitis. She had
typically developing speech and language before her illness but now has
significant difficulty communicating because of her hearing loss. She also
has other comorbidities as a result of the meningitis. Knowledge of which of
the following would assist other professionals who are working with this
child? - ANSWER Use of communication strategies. Knowledge and
application of repair and facilitative strategies would assist interprofessional
practice
3. Coupling a child's hearing aid to an auditory trainer typically has what effect
on the output of the hearing aid? - ANSWER It changes the output in an
unpredictable way?
4. The most likely adult candidate for a cochlear implant is one with a... -
ANSWER bilateral hearing loss due to adult meningitis
5. When school children with hearing impairments and school children with
normal hearing are compared in terms of their performance on intelligence
tests, it is generally true that the children with hearing impairments
, perform... - ANSWER less well than children with normal hearing on verbal
tests of intelligence, but no differently than children with normal hearing on
nonverbal tests
6. A TDH-30 earphone with an MX-41 AR cushion on a 9-A coupler with the
audiometer dial set at 1000 Hz and 25 dB HL ANSI-1969 should produce a
sound pressure level of approximately how many dB? - ANSWER 32.0
7. A patient reports that her hearing loss in both ears has slowly worsened. She
reports further that she can often hear better under noisy conditions than
under quiet conditions. The hearing loss is most likely... - ANSWER
conductive
8. Information about the importance of spectral, temporal, and intensity cues
for accurate localization would suggest that a person should do what? -
ANSWER Localize a sound above 2000 Hz toward the ear receiving the
most intense stimulus
9. The IDEA enacted in October 1986, amended Public Law 94-142 so as to
include provisions for special needs services for which age groups? -
ANSWER Under age 6
10.In an experiment in which one group receives a given treatment and the
control group receives no treatment, failure to demonstrate the effectiveness
of the therapeutic intervention may be caused by any except... - ANSWER
an inappropriately large sample size
11.Which TWO of the following are accurate statements concerning assessment
measures of speechreading ability? - ANSWER Speechreading tests are
difficult to administer and assess because of intertalker differences and lack
of naturalness.
,The most realistic measures of speechreading ability are administered in a
combined auditory-visual mode.
Option (B) is correct because intertalker differences are difficult to control for
consistency in speechreading assessments. Option (D) is correct because
speechreading in actual use depends on both auditory and visual input for most
clients. The measure of speechreading ability that best reflects a client's real
ability is one that is administered in a combined auditory-visual mode. Creating
a video assessment is often unnatural and lacks validity in assessing
speechreading skills.
12.A 54-year-old patient who will start cisplatin treatment in two days has been
referred to audiology. Which of the following is consistent with guidelines
for audiological management of the patient? - ANSWER If the patient is
able, serial hearing assessment using ultrahigh frequency thresholds should
be conducted up to 20 kHz20 kilohertz or the highest frequency with a
threshold at or below 100 dB100 decibels SPL.
13.Which type of hearing protection device provides the greatest amount of
noise reduction (attenuation) ? - ANSWER A custom solid full-shell
silicone earplug
14.A 42-year-old male is being seen for vestibular testing. He reports that his
primary symptoms are feeling off balance and some triggered symptoms of
slight dizziness with head movements. Vestibular evoked myogenic
potentials (VEMPs) were performed as part of a comprehensive vestibular
evaluation. The results of the cervical (cVEMP) and ocular (oVEMP)
responses for each ear are summarized in the following table. Testing was
performed at 125125 decibels dB SPL at 500 Hz500 hertz for air conduction
stimuli. Otoscopy and tympanometry were performed prior to VEMP testing
and verified normal outer and middle ear status. Appropriate
electromyography (EMG) levels were maintained throughout testing. Which
of the following statements best describes the VEMP test results? -
ANSWER The ocular VEMP afferent pathway consists of the utricle and
superior vestibular nerve branch and is recorded contralateral to the ear of
, stimulation. In this example, when the stimulus (125125 decibels dB SPL) is
applied to the left ear, there is no recordable response from the right inferior
oblique. The ear in question is the left ear as no repeatable waveforms were
obtained.
15.A 60-year-old patient has bilateral, mild-to-moderate sensorineural hearing
loss. Dissatisfaction is reported by the patient during a behind-the-ear (BTE)
hearing aid trial period because sounds heard from behind are louder than
sounds heard from the front. The patient wants the issue resolved. Which of
the following is the best first option for determining hearing aid
directionality? - ANSWER Front-to-back real ear measures. Directional
microphones are designed to reduce sounds from behind the listener. If the
listener perceives that sounds are loud from behind, it is likely that the front
microphone is functioning like the back microphone and undesirable sounds
are not being canceled from behind. Measuring the front-to-back ratio will
determine which microphone has greater output and help to resolve the
problem.
16.A 61-year-old female patient is referred to the vestibular clinic with
symptoms of imbalance and dizziness associated with loud sounds,
including her own voice and chewing. She is more sensitive to loud sounds
in the right ear. A recent audiogram revealed normal hearing sensitivity with
no air-bone gaps in the left ear. A mild low-frequency conductive hearing
loss was observed for the right ear with normal tympanometry. The patient
denies any additional symptoms. Which of the following vestibular tests is
the most clinically appropriate first step to evaluate the patient's symptoms?
- ANSWER Vestibular evoked myogenic materials. The patient reported
symptoms, and audiometric findings strongly suggest superior semicircular
canal dehiscence (SSCD). Vestibular evoked myogenic potentials (VEMPs)
are used to screen for this condition: large VEMP amplitudes, low
thresholds, or present responses at high frequency testing (e.g., 4000 Hz4000
hertz ocular VEMPs) are found in patients with SSCD.
Guide with Elaborate Answers Already
Graded A+ | Brand New Version
1. A patient comes to a clinic complaining of short, intense dizzy spells. An
audiologist suspects that the patient may have benign paroxysmal positional
vertigo (BPPV). Which of the following tests is most appropriate to use to
confirm the diagnosis? - ANSWER Dix-Hallpike test
2. A 5-year-old child was recently diagnosed with a bilateral, moderately
severe sensorineural hearing loss after a bout of meningitis. She had
typically developing speech and language before her illness but now has
significant difficulty communicating because of her hearing loss. She also
has other comorbidities as a result of the meningitis. Knowledge of which of
the following would assist other professionals who are working with this
child? - ANSWER Use of communication strategies. Knowledge and
application of repair and facilitative strategies would assist interprofessional
practice
3. Coupling a child's hearing aid to an auditory trainer typically has what effect
on the output of the hearing aid? - ANSWER It changes the output in an
unpredictable way?
4. The most likely adult candidate for a cochlear implant is one with a... -
ANSWER bilateral hearing loss due to adult meningitis
5. When school children with hearing impairments and school children with
normal hearing are compared in terms of their performance on intelligence
tests, it is generally true that the children with hearing impairments
, perform... - ANSWER less well than children with normal hearing on verbal
tests of intelligence, but no differently than children with normal hearing on
nonverbal tests
6. A TDH-30 earphone with an MX-41 AR cushion on a 9-A coupler with the
audiometer dial set at 1000 Hz and 25 dB HL ANSI-1969 should produce a
sound pressure level of approximately how many dB? - ANSWER 32.0
7. A patient reports that her hearing loss in both ears has slowly worsened. She
reports further that she can often hear better under noisy conditions than
under quiet conditions. The hearing loss is most likely... - ANSWER
conductive
8. Information about the importance of spectral, temporal, and intensity cues
for accurate localization would suggest that a person should do what? -
ANSWER Localize a sound above 2000 Hz toward the ear receiving the
most intense stimulus
9. The IDEA enacted in October 1986, amended Public Law 94-142 so as to
include provisions for special needs services for which age groups? -
ANSWER Under age 6
10.In an experiment in which one group receives a given treatment and the
control group receives no treatment, failure to demonstrate the effectiveness
of the therapeutic intervention may be caused by any except... - ANSWER
an inappropriately large sample size
11.Which TWO of the following are accurate statements concerning assessment
measures of speechreading ability? - ANSWER Speechreading tests are
difficult to administer and assess because of intertalker differences and lack
of naturalness.
,The most realistic measures of speechreading ability are administered in a
combined auditory-visual mode.
Option (B) is correct because intertalker differences are difficult to control for
consistency in speechreading assessments. Option (D) is correct because
speechreading in actual use depends on both auditory and visual input for most
clients. The measure of speechreading ability that best reflects a client's real
ability is one that is administered in a combined auditory-visual mode. Creating
a video assessment is often unnatural and lacks validity in assessing
speechreading skills.
12.A 54-year-old patient who will start cisplatin treatment in two days has been
referred to audiology. Which of the following is consistent with guidelines
for audiological management of the patient? - ANSWER If the patient is
able, serial hearing assessment using ultrahigh frequency thresholds should
be conducted up to 20 kHz20 kilohertz or the highest frequency with a
threshold at or below 100 dB100 decibels SPL.
13.Which type of hearing protection device provides the greatest amount of
noise reduction (attenuation) ? - ANSWER A custom solid full-shell
silicone earplug
14.A 42-year-old male is being seen for vestibular testing. He reports that his
primary symptoms are feeling off balance and some triggered symptoms of
slight dizziness with head movements. Vestibular evoked myogenic
potentials (VEMPs) were performed as part of a comprehensive vestibular
evaluation. The results of the cervical (cVEMP) and ocular (oVEMP)
responses for each ear are summarized in the following table. Testing was
performed at 125125 decibels dB SPL at 500 Hz500 hertz for air conduction
stimuli. Otoscopy and tympanometry were performed prior to VEMP testing
and verified normal outer and middle ear status. Appropriate
electromyography (EMG) levels were maintained throughout testing. Which
of the following statements best describes the VEMP test results? -
ANSWER The ocular VEMP afferent pathway consists of the utricle and
superior vestibular nerve branch and is recorded contralateral to the ear of
, stimulation. In this example, when the stimulus (125125 decibels dB SPL) is
applied to the left ear, there is no recordable response from the right inferior
oblique. The ear in question is the left ear as no repeatable waveforms were
obtained.
15.A 60-year-old patient has bilateral, mild-to-moderate sensorineural hearing
loss. Dissatisfaction is reported by the patient during a behind-the-ear (BTE)
hearing aid trial period because sounds heard from behind are louder than
sounds heard from the front. The patient wants the issue resolved. Which of
the following is the best first option for determining hearing aid
directionality? - ANSWER Front-to-back real ear measures. Directional
microphones are designed to reduce sounds from behind the listener. If the
listener perceives that sounds are loud from behind, it is likely that the front
microphone is functioning like the back microphone and undesirable sounds
are not being canceled from behind. Measuring the front-to-back ratio will
determine which microphone has greater output and help to resolve the
problem.
16.A 61-year-old female patient is referred to the vestibular clinic with
symptoms of imbalance and dizziness associated with loud sounds,
including her own voice and chewing. She is more sensitive to loud sounds
in the right ear. A recent audiogram revealed normal hearing sensitivity with
no air-bone gaps in the left ear. A mild low-frequency conductive hearing
loss was observed for the right ear with normal tympanometry. The patient
denies any additional symptoms. Which of the following vestibular tests is
the most clinically appropriate first step to evaluate the patient's symptoms?
- ANSWER Vestibular evoked myogenic materials. The patient reported
symptoms, and audiometric findings strongly suggest superior semicircular
canal dehiscence (SSCD). Vestibular evoked myogenic potentials (VEMPs)
are used to screen for this condition: large VEMP amplitudes, low
thresholds, or present responses at high frequency testing (e.g., 4000 Hz4000
hertz ocular VEMPs) are found in patients with SSCD.
