UPDATED QUESTIONS WITH ACCURATE SOLUTIONS
AND EXPLANATIONS WITH ALL INFORMATION YOU
NEED TO PASS.
1. Using the following data—SSPL-90: 107.2 dB; HFA SSPL-90: 102.7 dB;
Peak gain: 45.8 dB; HFA gain: 38.4 dB—if the maximum output (HFA SSPL-
90) is 102.7 dB, what is the most likely full-on gain?
• Answer: 34.8 dB
• Explanation: Full-on gain ≈ HFA SSPL-90 minus the reference input
level (typically 68 dB SPL for HFA measurements): 102.7 dB − 68 dB ≈
34.7 dB.
2. Which of the following most directly causes acoustic feedback in a
hearing aid?
• Answer: The output signal picked up by the microphone
• Explanation: Feedback occurs when amplified sound leaks from the
receiver back into the mic, creating a feedback loop.
3. If an open-canal (non-occluding) coupling is used, you may:
• Answer: All of the above
• Explanation: Open fittings can (1) slightly exceed the patient’s LDL, (2)
increase feedback risk, and (3) are often chosen to address high-
frequency losses.
,4. The term UCL (uncomfortable loudness level) can also be called:
• Answer: All of the above
• Explanation: UCL is synonymous with LDL (loudness-discomfort level),
TD (threshold of discomfort), and TL (tolerance level).
5. Which earmold style can incorporate a metal snap ring to secure a thin-
tube receiver?
• Answer: All of the above
• Explanation: Receiver-in-ear molds, body-aid molds, and standard BTE
custom molds can all be fitted with snap rings to hold “slim-tube”
receivers.
6. The most common custom earmold style in modern BTE fittings is the:
• Answer: Skeleton
• Explanation: Skeleton molds (also called half-shells) offer a secure fit
with minimal contact and are favored for comfort and feedback control.
7. To boost low-frequency output in an earmold, you would:
• Answer: Make the canal longer and the vent smaller
• Explanation: A longer canal increases LF acoustic mass, and a smaller
(or no) vent traps low-frequency energy in the canal.
8. The most appropriate speech-test level for determining SSPL
(saturation sound-pressure level) is the:
, • Answer: UCL
• Explanation: SSPL-90 is measured at the loudness discomfort level (90
dB input approximates UCL) to find maximum undistorted output.
9. The binaural loudness summation effect typically adds about:
• Answer: 3 to 6 dB
• Explanation: Two ears perceive sounds as roughly 3–6 dB louder than
one ear alone when presented binaurally.
10. Equal-loudness contours (phon curves) are plotted in units called:
• Answer: Phons (phon lines)
• Explanation: Phon lines map SPL required at each frequency to match
a reference loudness (e.g., 1 kHz tone).
11. Phonemic regression indicates:
• Answer: A central auditory-processing problem resulting in poor
discrimination even with an appropriate hearing aid
• Explanation: When word-recognition falls disproportionately, it points
to a retrocochlear or central lesion, not mere audibility.
12. Stress and tension often produce which type of hearing loss?
• Answer: Non-organic
• Explanation: Functional (non-organic) hearing losses can arise from
psychological factors rather than physiological pathology.