IHS ILE FINAL PAPER 2025/2026 QUESTIONS WITH
ANSWERS RATED A+
✔✔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
✔✔At 1K Hz the best bone conduction threshold is at 30 dB HL. The A/C threshold for
the right ear is at 40 dB HL and 45 dB Hl for the left ear. The left masked bone
,conduction threshold needs to be obtained. How much initial masking noise should be
presented?
A) 40 dB+ 10 dB for audibility+ 10 dB OE
B) 45 dB + 10 dB for audibility
C) 45 dB + 10 dB for audibility + 10 dB OE
D) 40 dB + 10 dB for audibility - ✔✔A
✔✔Using the audiogram, the right ear degree of hearing loss can be described as
_____________________. (Audiogram shows: Mild to severe slopping SNHL AD; Mild
to moderate flat CDHL AS)
A) Mild to moderate
B) Mild to severe
C) Mild to profound
D) Hearing loss degree cannot be determined - ✔✔B
✔✔There is a discrepancy of 15 dB when a reliability check is obtained for pure tones.
Which frequency is used for this check?
A) 3000 Hz
B) 1000 Hz
C) 4000 Hz
D) 500 Hz - ✔✔B
✔✔A patient/client has a Type B tympanogram with normal ear canal volume. Which
types of hearing loss would a hearing healthcare provider expect to see on the
audiogram?
A) Conductive hearing loss; sensorineural hearing loss
B) Mixed hearing loss; conductive hearing loss
C) Mixed hearing loss; sensiorneural hearing loss
D) Normal hearing loss; mixed hearing loss - ✔✔B
✔✔Which of the following complaints warrants an immediate referral to a physician,
preferably one who specializes in diseases of the ear?
A) Use of blood thinners
B) History of cerumen impaction
C) Tinnitus after recent noise exposure
D) Sudden hearing loss - ✔✔D
✔✔Which of the following would indicate an SRT/PTA discrepancy?
A) SRT: 10; PTA: 15
, B) SRT: 40; PTA: 42
C) SRT: 15; PTA: 13
D) SRT: 35; PTA: 60 - ✔✔D
✔✔The most important finding of the SRT is to __________________________.
A) Determine the softest level 50% of the words are repeated back
B) Determine if there is a discrepancy with the PTA
C) Obtain the percent of words repeated back correctly
D) Determine MCL - ✔✔B
✔✔If a patient/client has a disarticulated ossicular chain what type of tympanogram type
would they most likely have?
A) Type A
B) Type As
C) Type Ad
D) Type B - ✔✔C
✔✔Which speech test utilizes phonetically balanced words?
A) MCL
B) SRT
C) WRS
D) SAT - ✔✔C
✔✔Narrow band noise is used for ____________________________?
A) Air conduction masking
B) Bone conduction masking
C) Speech masking
D) Pure tone masking - ✔✔D
✔✔Where will masked bone conduction thresholds fall in a conductive hearing loss?
A) Within 15 dB of A/C thresholds
B) 15 dB better than A/C thresholds
C) 250-500 Hz will be within normal hearing limits
D) Within normal hearing limits - ✔✔D
✔✔A patient/client has a perforation of their TM for the right ear. Tympanometry
indicates a Type B tympanogram. What should the hearing healthcare provider expect
for the ear canal volume?
A) Normal ear canal volume
ANSWERS RATED A+
✔✔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
✔✔At 1K Hz the best bone conduction threshold is at 30 dB HL. The A/C threshold for
the right ear is at 40 dB HL and 45 dB Hl for the left ear. The left masked bone
,conduction threshold needs to be obtained. How much initial masking noise should be
presented?
A) 40 dB+ 10 dB for audibility+ 10 dB OE
B) 45 dB + 10 dB for audibility
C) 45 dB + 10 dB for audibility + 10 dB OE
D) 40 dB + 10 dB for audibility - ✔✔A
✔✔Using the audiogram, the right ear degree of hearing loss can be described as
_____________________. (Audiogram shows: Mild to severe slopping SNHL AD; Mild
to moderate flat CDHL AS)
A) Mild to moderate
B) Mild to severe
C) Mild to profound
D) Hearing loss degree cannot be determined - ✔✔B
✔✔There is a discrepancy of 15 dB when a reliability check is obtained for pure tones.
Which frequency is used for this check?
A) 3000 Hz
B) 1000 Hz
C) 4000 Hz
D) 500 Hz - ✔✔B
✔✔A patient/client has a Type B tympanogram with normal ear canal volume. Which
types of hearing loss would a hearing healthcare provider expect to see on the
audiogram?
A) Conductive hearing loss; sensorineural hearing loss
B) Mixed hearing loss; conductive hearing loss
C) Mixed hearing loss; sensiorneural hearing loss
D) Normal hearing loss; mixed hearing loss - ✔✔B
✔✔Which of the following complaints warrants an immediate referral to a physician,
preferably one who specializes in diseases of the ear?
A) Use of blood thinners
B) History of cerumen impaction
C) Tinnitus after recent noise exposure
D) Sudden hearing loss - ✔✔D
✔✔Which of the following would indicate an SRT/PTA discrepancy?
A) SRT: 10; PTA: 15
, B) SRT: 40; PTA: 42
C) SRT: 15; PTA: 13
D) SRT: 35; PTA: 60 - ✔✔D
✔✔The most important finding of the SRT is to __________________________.
A) Determine the softest level 50% of the words are repeated back
B) Determine if there is a discrepancy with the PTA
C) Obtain the percent of words repeated back correctly
D) Determine MCL - ✔✔B
✔✔If a patient/client has a disarticulated ossicular chain what type of tympanogram type
would they most likely have?
A) Type A
B) Type As
C) Type Ad
D) Type B - ✔✔C
✔✔Which speech test utilizes phonetically balanced words?
A) MCL
B) SRT
C) WRS
D) SAT - ✔✔C
✔✔Narrow band noise is used for ____________________________?
A) Air conduction masking
B) Bone conduction masking
C) Speech masking
D) Pure tone masking - ✔✔D
✔✔Where will masked bone conduction thresholds fall in a conductive hearing loss?
A) Within 15 dB of A/C thresholds
B) 15 dB better than A/C thresholds
C) 250-500 Hz will be within normal hearing limits
D) Within normal hearing limits - ✔✔D
✔✔A patient/client has a perforation of their TM for the right ear. Tympanometry
indicates a Type B tympanogram. What should the hearing healthcare provider expect
for the ear canal volume?
A) Normal ear canal volume
