Hearing Aid Academy – Final Examination
Practice Questions
1. Which of the following statements about the occlusion effect is TRUE?
✅ A) It occurs when the ear canal is blocked, resulting in an increased perception of low-
frequency sounds, especially the patient’s own voice.
B) It is caused by excessive amplification at high frequencies.
C) It results in feedback oscillation and whistling.
D) It is only relevant in patients with sensorineural hearing loss.
2. When conducting pure-tone audiometry, what is the recommended frequency sequence
for testing air conduction thresholds in each ear?
A) 500 Hz, 1000 Hz, 2000 Hz, 8000 Hz, 250 Hz, 4000 Hz
✅ B) 1000 Hz, 2000 Hz, 4000 Hz, 8000 Hz, retest 1000 Hz, 500 Hz, 250 Hz
C) 250 Hz, 500 Hz, 1000 Hz, 2000 Hz, 4000 Hz
D) 2000 Hz, 4000 Hz, 8000 Hz, 1000 Hz, 500 Hz
3. What is the purpose of performing real-ear measurement (REM) during hearing aid
fitting?
A) To verify the tympanogram shape and middle ear function
B) To estimate the bone conduction thresholds objectively
✅ C) To objectively measure the amplified sound output in the patient’s ear canal to ensure
prescribed gain is achieved
D) To confirm the correct programming of wireless connectivity
4. In which situation is a CROS (Contralateral Routing of Signal) hearing aid system
typically indicated?
✅ A) For patients with single-sided deafness and normal hearing in the contralateral ear
B) For patients with symmetrical mild sensorineural hearing loss
C) For patients with bilateral conductive hearing loss
D) For patients with mixed hearing loss in both ears
5. What is the main reason to conduct speech-in-noise testing during the assessment
process?
,A) To determine if the tympanic membrane is intact
✅ B) To evaluate the patient’s functional hearing ability in realistic listening environments
C) To measure the dynamic range of hearing
D) To calculate the occlusion effect quantitatively
6. Which electroacoustic parameter is used to describe the maximum sound pressure level a
hearing aid can produce?
✅ A) OSPL90 (Output Sound Pressure Level with 90 dB input)
B) Full-on gain
C) Equivalent input noise
D) Harmonic distortion
7. When programming hearing aids for a patient with sloping high-frequency
sensorineural hearing loss, what fitting consideration is MOST important?
A) Maximizing low-frequency gain to enhance loudness perception
✅ B) Avoiding over-amplification of high frequencies to reduce feedback and distortion
C) Providing equal gain across all frequencies
D) Using omnidirectional microphones exclusively
8. Which of the following best defines recruitment in sensorineural hearing loss?
A) An abnormal tolerance to loud sounds resulting in hyperacusis
B) A reduction in bone conduction thresholds
✅ C) A rapid growth in perceived loudness as sound level increases
D) A delay in auditory nerve conduction time
9. The primary purpose of performing otoscopy prior to hearing aid fitting is to:
A) Measure the acoustic reflex thresholds
✅ B) Inspect the external auditory canal and tympanic membrane for obstruction, infection, or
contraindications
C) Determine the precise air-bone gap
D) Record interaural attenuation values
10. Which hearing aid feature uses directional microphones and digital processing to
improve speech understanding in background noise?
✅ A) Adaptive directional microphone system
B) Telecoil
, C) Compression limiting
D) Expansion
11. What is the main benefit of wide dynamic range compression (WDRC) in modern
hearing aids?
A) It increases maximum output for patients with severe loss
✅ B) It compresses a broad input level range into the patient’s reduced dynamic range to
improve audibility and comfort
C) It exclusively reduces background noise
D) It provides frequency transposition
12. When performing the Modified Hughson-Westlake method for threshold
determination, how should you proceed after a patient responds to a tone?
A) Decrease intensity by 10 dB, then increase by 20 dB if no response
✅ B) Decrease intensity by 10 dB until no response, then increase in 5 dB steps until response
returns
C) Increase intensity by 10 dB until consistent response
D) Keep the same intensity and retest
13. In binaural hearing aid fittings, one of the documented benefits compared to monaural
fitting is:
A) Increased occlusion effect
✅ B) Improved localization and better speech understanding in noise
C) Greater battery consumption only
D) Reduced auditory deprivation
14. A patient reports their hearing aid makes their own voice sound boomy and echo-like.
What adjustment is most appropriate?
A) Increase low-frequency gain
✅ B) Reduce low-frequency gain or provide more venting to alleviate occlusion
C) Increase output limiting
D) Activate frequency lowering
15. Which feature in digital hearing aids detects and reduces feedback without sacrificing
gain?
A) Expansion
Practice Questions
1. Which of the following statements about the occlusion effect is TRUE?
✅ A) It occurs when the ear canal is blocked, resulting in an increased perception of low-
frequency sounds, especially the patient’s own voice.
B) It is caused by excessive amplification at high frequencies.
C) It results in feedback oscillation and whistling.
D) It is only relevant in patients with sensorineural hearing loss.
2. When conducting pure-tone audiometry, what is the recommended frequency sequence
for testing air conduction thresholds in each ear?
A) 500 Hz, 1000 Hz, 2000 Hz, 8000 Hz, 250 Hz, 4000 Hz
✅ B) 1000 Hz, 2000 Hz, 4000 Hz, 8000 Hz, retest 1000 Hz, 500 Hz, 250 Hz
C) 250 Hz, 500 Hz, 1000 Hz, 2000 Hz, 4000 Hz
D) 2000 Hz, 4000 Hz, 8000 Hz, 1000 Hz, 500 Hz
3. What is the purpose of performing real-ear measurement (REM) during hearing aid
fitting?
A) To verify the tympanogram shape and middle ear function
B) To estimate the bone conduction thresholds objectively
✅ C) To objectively measure the amplified sound output in the patient’s ear canal to ensure
prescribed gain is achieved
D) To confirm the correct programming of wireless connectivity
4. In which situation is a CROS (Contralateral Routing of Signal) hearing aid system
typically indicated?
✅ A) For patients with single-sided deafness and normal hearing in the contralateral ear
B) For patients with symmetrical mild sensorineural hearing loss
C) For patients with bilateral conductive hearing loss
D) For patients with mixed hearing loss in both ears
5. What is the main reason to conduct speech-in-noise testing during the assessment
process?
,A) To determine if the tympanic membrane is intact
✅ B) To evaluate the patient’s functional hearing ability in realistic listening environments
C) To measure the dynamic range of hearing
D) To calculate the occlusion effect quantitatively
6. Which electroacoustic parameter is used to describe the maximum sound pressure level a
hearing aid can produce?
✅ A) OSPL90 (Output Sound Pressure Level with 90 dB input)
B) Full-on gain
C) Equivalent input noise
D) Harmonic distortion
7. When programming hearing aids for a patient with sloping high-frequency
sensorineural hearing loss, what fitting consideration is MOST important?
A) Maximizing low-frequency gain to enhance loudness perception
✅ B) Avoiding over-amplification of high frequencies to reduce feedback and distortion
C) Providing equal gain across all frequencies
D) Using omnidirectional microphones exclusively
8. Which of the following best defines recruitment in sensorineural hearing loss?
A) An abnormal tolerance to loud sounds resulting in hyperacusis
B) A reduction in bone conduction thresholds
✅ C) A rapid growth in perceived loudness as sound level increases
D) A delay in auditory nerve conduction time
9. The primary purpose of performing otoscopy prior to hearing aid fitting is to:
A) Measure the acoustic reflex thresholds
✅ B) Inspect the external auditory canal and tympanic membrane for obstruction, infection, or
contraindications
C) Determine the precise air-bone gap
D) Record interaural attenuation values
10. Which hearing aid feature uses directional microphones and digital processing to
improve speech understanding in background noise?
✅ A) Adaptive directional microphone system
B) Telecoil
, C) Compression limiting
D) Expansion
11. What is the main benefit of wide dynamic range compression (WDRC) in modern
hearing aids?
A) It increases maximum output for patients with severe loss
✅ B) It compresses a broad input level range into the patient’s reduced dynamic range to
improve audibility and comfort
C) It exclusively reduces background noise
D) It provides frequency transposition
12. When performing the Modified Hughson-Westlake method for threshold
determination, how should you proceed after a patient responds to a tone?
A) Decrease intensity by 10 dB, then increase by 20 dB if no response
✅ B) Decrease intensity by 10 dB until no response, then increase in 5 dB steps until response
returns
C) Increase intensity by 10 dB until consistent response
D) Keep the same intensity and retest
13. In binaural hearing aid fittings, one of the documented benefits compared to monaural
fitting is:
A) Increased occlusion effect
✅ B) Improved localization and better speech understanding in noise
C) Greater battery consumption only
D) Reduced auditory deprivation
14. A patient reports their hearing aid makes their own voice sound boomy and echo-like.
What adjustment is most appropriate?
A) Increase low-frequency gain
✅ B) Reduce low-frequency gain or provide more venting to alleviate occlusion
C) Increase output limiting
D) Activate frequency lowering
15. Which feature in digital hearing aids detects and reduces feedback without sacrificing
gain?
A) Expansion
