Chapter 10 - Understanding and Interpreting the Audiogram

Question 1

The letters of the alphabet found between 250 Hz and 750 Hz and from 30 dB HL and 65 dB are which type of sounds when spoken?

A. Intelligibility.
B. Foundational.
C. Strong.
D. Power.
E. None of the above.

Answer 1

D. Power.

Question 2

The letters in the alphabet found between 1500 and 6000 Hz and between 20 and 50 dB are which types of sounds when spoken?

A. Faint.
B. Consonal.
C. Double consonal.
D. Intelligibility.
E. Low Volume.

Answer 2

D. Intelligibility.

Question 3

The audiometric battery allows you to determine the extent of the loss of hearing. But, it does not allow you to determine the extent of the loss of understanding.

A. True.
B. False.

Answer 3

B. False.

Question 4

The patient who has reduced hearing usually equates hearing with understanding.

A. True.
B. False.

Answer 4

A. True.

Question 5

Normal hearing for a child ranges from _____ to _____ dB.

A. -20/20.
B. -10/10.
C. -10/30.
D. -10/15.

Answer 5

D. -10/15.

Question 6

Normal hearing for an adult ranges from _____ to _____ dB.

A. 0/40.
B. 0/30.
C. -10/20.
D. -10/25.
E. 0/20.

Answer 6

D. -10/25.

Question 7

A mild loss of hearing for an adult ranges from _____ to _____ dB.

A. 20/45.
B. 15/30.
C. 25/40.
D. 25/50.

Answer 7

C. 25/40.

Question 8

A moderate loss of hearing for an adult ranges from _____ to _____ dB.

A. 35/60.
B. 25/45.
C. 40/45.
D. 40/55.

Answer 8

D. 40/55.

Question 9

A moderately severe loss of hearing for an adult ranges from _____ to _____ dB.

A. 55/90.
B. 55/70.
C. 35/70.
D. 30/60.
E. None of the above.

Answer 9

B. 55/70.

Question 10

A severe loss of hearing for an adult ranges from _____ to _____ dB.

A. 60/100.
B. 70/90.
C. 75/105.
D. 60/75.

Answer 10

B. 70/90.

Question 11

A profound loss of hearing for an adult ranges from _____ to _____ dB.

A. >70.
B. >80.
C. >90.
D. >100.
E. >101.

Answer 11

C. >90.

Question 12

Dotted vertical lines on the audiogram denote:

A. Intertones.
B. Half Hertz.
C. Interoctaves.
D. Convenient graph locations.

Answer 12

C. Interoctaves.

Question 13

Frequencies are measured in:

A. Hoitz [if you are from the NE U.S.].
B. Show me [if you are from Missouri]
C. Low’uns and High’uns [if you are from the South]
D. Green tones [if you are from CA]
E. Hertz…

Answer 13

E. Hertz…

Question 14

Threshold levels are measured in:

A. Hertz.
B. Decibels SPL.
C. Decibels HL (on the audiogram).
D. Other.
E.

Answer 14

C. Decibels HL (on the audiogram).

Question 15

Of the remaining five percent, the following conditions are included:

A. Cochlear implant candidates.
B. Tympanoplasty candidates.
C. Conductive HL.
D. Stapedectomy candidates.
E. A and D.
F. B, C, and D.

Answer 15

F. B, C, and D.

Question 16

A mixed HL combines _____ with sensorineural HL.

A. Bone conduction HL.
B. Myringoplasty Type IV.
C. Conductive HL.
D. None of the above.

Answer 16

C. Conductive HL.

Question 17

Sensorineural HL is mainly due to the following:

A. Aging.
B. Loss of hair cell cuticles.
C. Tonotopic degeneration.
D. Thickening of the basilar membrane.
E. Noise and Drugs.
F. A and E.

Answer 17

F. A and E.

Question 18

Ossicular chain ossification leads to:

A. Converting the oval window into a door.
B. Conductive HL.
C. Intolerance of loud sounds.
D. Quiet speaking voice.
E. Excellent speech discrimination.
F. A through E.

Answer 18

F. A through E.

Question 19

If bone conduction scores are elevated from AC scores but remain below 30 dB, the category of hearing loss is:

A. Sensorineural.
B. Conductive.
C. Mixed.
D. Contoured.
E. Other.

Answer 19

C. Mixed.

Question 20

95% of the population of persons with hearing loss [PWHL] have a condition called:

A. Sensorineural HL.
B. Sudden Sensorineural HL.
C. Noice Induced HL [NIHL].
D. Mixed HL.
E. None of the above.

Answer 20

A. Sensorineural HL.

Question 21

If bone conduction scores are below AC scores by 40 dB or more, the type of hearing loss you are encountering is:

A. Mixed.
B. Inverse Mixed.
C. Reverse cookie bite.
D. Not going to happen.

Answer 21

D. Not going to happen.

Question 22

A positive response in the profound level of three frequencies in the lower octaves with NR [no response] in the higher frequencies is an example of:

A. A deafened person.
B. Profound HL.
C. Residual hearing.
D. A cochlear implant candidate.

Answer 22

Not C

Question 23

Noise induced HL is usuall identified by a notch. This notch is a low threshold at _____ Hz.

A. 3000.
B. 6000.
C. 2500.
D. 4000.

Answer 23

D. 4000.

Question 24

A flat loss has generall less than 6 decibels per octave decline from lower octaves to higher octaves.

A. True.
B. False.
C. False, a flat loss is flat with a slope of less than 2.

Answer 24

C. False, a flat loss is flat with a slope of less than 2.

Question 25

A sloping loss is indicative of what condition? A. The impact of noise.. B. Presbycusis. C. Conductive HL. D. Mitochondrial ATP loss.

Answer 25

B. Presbycusis.

Question 26

A precipitous HL has a slope that can be _____ dB/Octave or greater. A. 6. B. 12 C. 50 D. None of the above.

Answer 26

B. 12

Question 27

A mild reverse slope hearing loss is an indication of a genetic disorder or Meniere’s Disease. A. True. B. False.

Answer 27

A. True.

Question 28

Meniere’s disease patients generally will have the following loss. A. Symmetrical. B. Bilateral. C. Monaural. D. Need more information

Answer 28

C. Monaural.

Question 29

When an audiogram demonstrates excellent hearing below 250 Hz and above 8000 Hz, but declines to low thresholds between 1000 and 2000 Hz, this is a _____ type of audiogram. A. Valley. B. Central Depression C. HiLo. D. Oreo.. e. Cookie Bite.

Answer 29

e. Cookie Bite.

Question 30

The SRT [Speech Reception Threshold] is a dB level where the patient correctly hears/repeats Spondees at lease 90% of the time in the test. A. True. B. False.

Answer 30

B. False.

Question 31

Using the Speech Banana allows you to: A. Provide a frame of reference to help patients understand the difference between hearing and understanding. B. Demonstrate how coping skills are employed. C. How hearing instruments can provide supplementary help. D. Make a transition between education and testing to consultative fitting recommendations. E. All of the above.

Answer 31

D. Make a transition between education and testing to consultative fitting recommendations.

Question 32

The SRT level and the PTA level must be within about _____ dB to be deemed reliable. A. 5. B. 15. C. 25. D. 30.

Answer 32

B. 15.

Question 33

A hearing screen can mislead a person with: A. Early onset high frequency hearing loss. B. A mild hearing loss. C. A moderate hearing loss. D. None of the above. E. A and B.

Answer 33

E. A and B.

Question 34

The area between the LDL [or UCL] and the SRT is _____. A. The Dynamic Residual. B. The residual hearing capacity. C. The range I have to work with to improve hearing and understanding D. The dynamic range. E. B, C, and d. F. A, C, and D.

Answer 34

E. B, C, and d.

Question 35

The most comfortable listening level is determined by which instrument? A. Microphone and speaker. B. Trial hearing instrument. C. Master hearing aid function on audiometer. D. Natural voice and unaided hearing. E. None of the above.

Answer 35

C. Master hearing aid function on audiometer.

Question 36

Speech Discrimination Scores [SDS] are tests given to measure whether simple acoustical signals are capable of being understood at a short distance. A. True. B. False.

Answer 36

A. True.

Question 37

If a noise in a room is twice as loud as the voice/signal, the ratio of signal-to-noise is: A. 14:1. B. 1:1. C. 2:1. D. -2:1. E. -1/2:1

Answer 37

D. -2:1.

Question 38

Another test used to determine how well a patient can hear and understand in noisy acoustical environments is the _____ test. A. Noise speech ratio. B. Signal Noise Test. C. Speech in Noise test. D. Multipass environmental complex. E. Band Filter fourier test.

Answer 38

C. Speech in Noise test.

Question 39

You must re-administer the AC and BC tests if: A. SDS is less than 50%. B. SRT is above 90%. C. SRT is below PTA. D. SRT and PTA aren't within 15 dB. E. C and D. F. B and C.

Answer 39

E. C and D.

Question 40

A serial audiogram test is performed _____ over _____ and are most likely used to track SSNHL. A. Once/year or so. B. Twice/year. C. Regularly/short periods of time.

Answer 40

C. Regularly/short periods of time.

Question 41

Without an accurate audiometric battery, you cannot: A. Properly fit hearing instruments. B. Explain the consequences of uncorrected HL. C. Realistically predict success levels or manage your patient's progress. D. Develop a comprehensive, independent treatment plan. E. A, C, and D.

Answer 41

E. A, C, and D.

Question 42

Medical intervention referrals are considered in the following battery results. A. Mixed losses. B. Conductive losses. C. SDS/PTA asymmetry. D. Sensorineural HL. E. All of the above. F. A, B, and C.

Answer 42

F. A, B, and C.

Question 43

Your fitting potential in the population of persons with hearing loss will primarily consist of individuals with: (check all that apply) A. Noise induced HL. B. Presbycusis. C. Sensorineural HL. D. Mixed HL. E. Conductive HL.

Answer 43

A. Noise induced HL. B. Presbycusis. C. Sensorineural HL.

Question 44

Please list the four levels of speech discrimination percentages in reference to excellent, good to average, fair, and poor in order D. 94 C. 76 A. 64 B. 44

Answer 44

D. 94 C. 76 A. 64 B. 44