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NBC-HIS National Competency Exam Clinical Case
ACTUAL VERIFIED EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS LATEST UPDATE.pdf
Case study #1: Patient JH is a 73-old male retired CEO, in
reportedly good health, who has never worn hearing aids
before. His audiogram reveals a symmetrical moderate
SNHL with a V notch at 3K. WRS scores are 88% AD,
36% AS, 88% AU with bilateral type A tympanograms,
normal AR in his right ear, and absent AR in his left ear.
While obtaining his case history, he reported having
several vestibular episodes within the past 6 months. JH
also reports hearing distorted in his left ear.
What would be the most likely adjustment at JH's final
follow-up visits? - Answer-Program devices to 100% of
target
Case study #1: Patient JH is a 73-old male retired CEO, in
reportedly good health, who has never worn hearing aids
before. His audiogram reveals a symmetrical moderate
SNHL with a V notch at 3K. WRS scores are 88% AD,
36% AS, 88% AU with bilateral type A tympanograms,
normal AR in his right ear, and absent AR in his left ear.
While obtaining his case history, he reported having
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several vestibular episodes within the past 6 months. JH
also reports hearing distorted in his left ear.
If JH were to return after wearing his devices for two years
complaining of hearing unfamiliar noises in his right
device, how would you resolve his complaint? - Answer-
Connect the device to a 2cc coupler
Case study #1: Patient JH is a 73-old male retired CEO, in
reportedly good health, who has never worn hearing aids
before. His audiogram reveals a symmetrical moderate
SNHL with a V notch at 3K. WRS scores are 88% AD,
36% AS, 88% AU with bilateral type A tympanograms,
normal AR in his right ear, and absent AR in his left ear.
While obtaining his case history, he reported having
several vestibular episodes within the past 6 months. JH
also reports hearing distorted in his left ear.
Had JH informed you he has an infectious disease, what
action would you least perform? - Answer-Disinfect the
specula
Case study #1: Patient JH is a 73-old male retired CEO, in
reportedly good health, who has never worn hearing aids
before. His audiogram reveals a symmetrical moderate
SNHL with a V notch at 3K. WRS scores are 88% AD,
36% AS, 88% AU with bilateral type A tympanograms,
, 3|Page
normal AR in his right ear, and absent AR in his left ear.
While obtaining his case history, he reported having
several vestibular episodes within the past 6 months. JH
also reports hearing distorted in his left ear.
Assuming JH had an above average ear canal diameter,
which would be the most appropriate coupling system? -
Answer-8mm vented dome
Case study #1: Patient JH is a 73-old male retired CEO, in
reportedly good health, who has never worn hearing aids
before. His audiogram reveals a symmetrical moderate
SNHL with a V notch at 3K. WRS scores are 88% AD,
36% AS, 88% AU with bilateral type A tympanograms,
normal AR in his right ear, and absent AR in his left ear.
While obtaining his case history, he reported having
several vestibular episodes within the past 6 months. JH
also reports hearing distorted in his left ear.
Assuming JH returned with a complaint that whenever he
is in any type of noisy environment, speech becomes
garbled no matter how he tries to adjust his devices, what
would be your best course of action? - Answer-Monaural
fitting
Case study #2: Patient RH is a 59-year-old working male
auto mechanic with a profound loss in his right and a mild
NBC-HIS National Competency Exam Clinical Case
ACTUAL VERIFIED EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS LATEST UPDATE.pdf
Case study #1: Patient JH is a 73-old male retired CEO, in
reportedly good health, who has never worn hearing aids
before. His audiogram reveals a symmetrical moderate
SNHL with a V notch at 3K. WRS scores are 88% AD,
36% AS, 88% AU with bilateral type A tympanograms,
normal AR in his right ear, and absent AR in his left ear.
While obtaining his case history, he reported having
several vestibular episodes within the past 6 months. JH
also reports hearing distorted in his left ear.
What would be the most likely adjustment at JH's final
follow-up visits? - Answer-Program devices to 100% of
target
Case study #1: Patient JH is a 73-old male retired CEO, in
reportedly good health, who has never worn hearing aids
before. His audiogram reveals a symmetrical moderate
SNHL with a V notch at 3K. WRS scores are 88% AD,
36% AS, 88% AU with bilateral type A tympanograms,
normal AR in his right ear, and absent AR in his left ear.
While obtaining his case history, he reported having
,2|Page
several vestibular episodes within the past 6 months. JH
also reports hearing distorted in his left ear.
If JH were to return after wearing his devices for two years
complaining of hearing unfamiliar noises in his right
device, how would you resolve his complaint? - Answer-
Connect the device to a 2cc coupler
Case study #1: Patient JH is a 73-old male retired CEO, in
reportedly good health, who has never worn hearing aids
before. His audiogram reveals a symmetrical moderate
SNHL with a V notch at 3K. WRS scores are 88% AD,
36% AS, 88% AU with bilateral type A tympanograms,
normal AR in his right ear, and absent AR in his left ear.
While obtaining his case history, he reported having
several vestibular episodes within the past 6 months. JH
also reports hearing distorted in his left ear.
Had JH informed you he has an infectious disease, what
action would you least perform? - Answer-Disinfect the
specula
Case study #1: Patient JH is a 73-old male retired CEO, in
reportedly good health, who has never worn hearing aids
before. His audiogram reveals a symmetrical moderate
SNHL with a V notch at 3K. WRS scores are 88% AD,
36% AS, 88% AU with bilateral type A tympanograms,
, 3|Page
normal AR in his right ear, and absent AR in his left ear.
While obtaining his case history, he reported having
several vestibular episodes within the past 6 months. JH
also reports hearing distorted in his left ear.
Assuming JH had an above average ear canal diameter,
which would be the most appropriate coupling system? -
Answer-8mm vented dome
Case study #1: Patient JH is a 73-old male retired CEO, in
reportedly good health, who has never worn hearing aids
before. His audiogram reveals a symmetrical moderate
SNHL with a V notch at 3K. WRS scores are 88% AD,
36% AS, 88% AU with bilateral type A tympanograms,
normal AR in his right ear, and absent AR in his left ear.
While obtaining his case history, he reported having
several vestibular episodes within the past 6 months. JH
also reports hearing distorted in his left ear.
Assuming JH returned with a complaint that whenever he
is in any type of noisy environment, speech becomes
garbled no matter how he tries to adjust his devices, what
would be your best course of action? - Answer-Monaural
fitting
Case study #2: Patient RH is a 59-year-old working male
auto mechanic with a profound loss in his right and a mild
