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A May help the patient feel more balanced
B. A hearing aid will not help the left ear
C. Will enable the patient to hear from the left side - CORRECT ANSWER: A patient
comes to the office after losing all hearing in the left ear over a period
of about six weeks. The hearing in the right ear is within normal limits. The patient
has been to an ENT doctor and has been given medical clearance to seek
amplification.
The only viable option is a CROS fitting. The patient is reluctant to comply. Which
of the following option(s) should be included in counseling the patient?
Choose ALL that apply.
A May help the patient feel more balanced
B. A hearing aid will not help the left ear
C. Will enable the patient to hear from the left side
D. Will restore the hearing in left ear to near normal
a) adaptive compression - CORRECT ANSWER: Refer to the exhibit. An elderly
patient/client lives in an Assisted Living residence. The patient/client is brought to a
hearing healthcare professional at the request of Assisted Living staff and family to
obtain hearing instruments. The patient/client advises they have tried hearing
instruments before and they were too noisy. Audiometric testing reveals significant
recruitment. What is the most important feature to ensure successful amplification for
this patient/client?
a) adaptive compression
b) manual volume controls
,c) directional microphones
250 R30 L35
500 R/L 35
1K R50 L55
2K R55 L60
2500 R65 L70
4K R65 L75
6K R70 L75
8K R/L80
a) connects both the scala tympani and the scala vestibuli - CORRECT ANSWER: What
is the function of the helicotrema?
a) connects both the scala tympani and the scala vestibuli
b) supports the Organ of Corti
c) separates the scala vestibuli and the scala media
d) generates the electrical charge that drives the function of the scala media
a) counsel about program switch - CORRECT ANSWER: During the initial post-fitting
check up a patient/client reports difficulty understanding speech in noisy environments.
Data logging reveals limited use of additional programs in comparison to environment
logging. How should the hearing healthcare professional proceed?
a) counsel about program switch
b) eliminate additional programs
c) recommend reading aloud daily
d) recommend monaural use in noise
a) external venting - CORRECT ANSWER: Refer to the case history and audiometric
results.
, CASE HISTORY:
Patient/client referred to hearing healthcare professional with written medical clearance
for chronically draining ear.
Long-term hearing instrument use in the left ear only.
AUDIOMETRIC RESULTS:
Right ear: Normal at all frequencies with 92% word recognition.
- Left ear: Flat 60 dB conductive hearing loss with 88% word recognition, obtained with
masking.
Otoscopy reveals moistness in the left ear. Which earmold/shell option will provide the
greatest benefit to the patient/client?
a) external venting
b) extremely soft material
c) smallest style possible
a) QuickSIN - CORRECT ANSWER: Which assessment should the hearing healthcare
professional use to determine the hearing instrument benefit in complex listening
environments?
a) QuickSIN
b) POGO
c) REM
d) IHAFF
a) reduce the gain and output of the hearing instruments and counsel the patient/client
on wearing schedule - CORRECT ANSWER: A patient/client returns for an initial hearing
instrument fitting. Real-ear verification indicates that the hearing instruments
appropriately match the prescriptive target. The patient/client reports that the
instruments are too loud and states, "If this is what hearing instruments are like, I'm not