FREE IHS Hearing Loss Assessment Question and Answers

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What is a characteristic of a sensorineural loss?

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A characteristic of sensorineural hearing loss is that it typically affects higher frequencies more than lower frequencies. This means there is greater loss for high-frequency sounds, such as consonant sounds like "s," "f," and "th," compared to low-frequency sounds. This can result in difficulty understanding speech, especially in noisy environments, and may lead to the perception that others are speaking softly or mumbling (hence the "loud talker" impression).

A tympanic membrane perforation may cause a:

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A tympanic membrane perforation may cause a conductive hearing loss. When the tympanic membrane (eardrum) is perforated or damaged, it affects the transmission of sound waves to the middle ear. This disruption leads to reduced efficiency in conducting sound vibrations to the inner ear, resulting in a conductive hearing loss.

The sampling rate:

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The sampling rate refers to how often the waveform amplitude is measured in digital audio processing. It has a direct bearing on the frequency bandwidth of the hearing instrument because it determines the highest frequency that can be accurately captured and reproduced. According to the Nyquist-Shannon sampling theorem, the sampling rate must be at least twice as fast as the highest desired frequency to avoid aliasing and accurately represent the waveform.

Masking is performed during air conduction testing when:

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Masking is performed during air conduction testing when a 40 dB or more difference occurs between the air conduction threshold of the better ear and the poorer ear. This is necessary to prevent the better ear from hearing the test signal and influencing the results.

A hearing aid that works with the battery door slightly open, but shuts off when you close the door:

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The correct answer to the options provided would be "wires touching the battery." This scenario suggests that there could be an issue with the wiring or connection inside the hearing aid, possibly due to wires that are not properly connected or are touching the battery when the door is closed.

Which noise is best for masking during pure tone air and bone conduction testing?

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During pure tone air and bone conduction testing, narrow band noise is often considered the most effective for masking. Narrow band noise is a type of noise that has a relatively narrow bandwidth, centered around a specific frequency. This noise type is used in masking to effectively cover up or mask the test ear during audiometric testing, particularly when testing air and bone conduction thresholds. It is selected to match the frequency being tested, ensuring that the sounds presented to the non-test ear do not interfere with the thresholds being measured in the test ear.

High frequency Average SSPL 90 (HFA SSPL 90) refers to:

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High Frequency Average SSPL 90 (HFA SSPL 90) refers to the high frequency average saturation sound pressure level with a 90 dB SPL input. This measurement indicates the average output level of a hearing aid for high-frequency sounds when the input level is set at 90 dB SPL. It is an important specification used to evaluate the performance and effectiveness of hearing aids, particularly in amplifying high-frequency sounds for individuals with hearing loss in those ranges.

User satisfaction must include:

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User satisfaction in the context of a topic like "parallel venting," "calcium deposits," and "loudest frequency" typically involves considerations that prioritize patient preferences. In various fields such as healthcare, technology, and design, user satisfaction is key to ensuring that products or services meet the needs and preferences of the individuals using them. Patient preference specifically refers to the importance of understanding and accommodating the desires, comfort levels, and specific needs of patients when designing or providing healthcare services or products. This focus on patient preferences contributes to overall user satisfaction and can enhance the effectiveness and adoption of the solution or service being offered. Therefore, "patient preference" is the most relevant and appropriate consideration for user satisfaction in healthcare contexts.

Audiometric zero is:

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Audiometric zero, often denoted as 0 dB HL (decibels Hearing Level), is the reference point used in audiometry to represent the lowest sound intensity that a normal human ear can perceive at each specific frequency. It serves as the baseline or starting point for measuring hearing thresholds across different frequencies. When testing hearing, sounds presented at 0 dB HL are generally perceived as just barely audible to individuals with normal hearing.

Insertion Loss occurs when;

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Insertion Loss occurs when the level in the ear canal with a hearing aid inserted is less than the input level. This term refers to the reduction in sound level that occurs when a hearing aid is placed in the ear canal. It's a measure of how much sound the hearing aid attenuates or reduces before reaching the eardrum. The goal is to minimize insertion loss to ensure that the wearer receives the appropriate amplification for their hearing needs.

Which surgical technique repairs the tympanic membrane?

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The surgical technique that repairs the tympanic membrane (eardrum) is called myringoplasty. This procedure involves repairing a perforation or hole in the tympanic membrane to restore its integrity and function. Myringotomy, on the other hand, is a surgical procedure that involves making a small incision in the eardrum to relieve pressure and drain fluid from the middle ear. Stapedectomy is a surgical procedure to treat otosclerosis by removing part or all of the stapes bone and replacing it with a prosthesis. Cholesteatoma refers to a type of benign cyst or growth in the middle ear that may require surgical removal, which can involve cholesteatoplasty.