IHS - International Hearing Society Troubleshooting Hearing Instruments Questions and Answers — Questions and Answers
Question 1: A client with a two-year-old BTE hearing aid and custom earmold reports a recent and persistent issue with feedback (whistling). The client has not had significant weight changes, and an otoscopic inspection shows the ear canal is clear. Which of the following is the MOST likely cause of the feedback?
- The microphone ports are clogged with debris.
- The receiver is beginning to fail.
- The earmold tubing has hardened and shrunk over time. (Correct answer)
- The hearing aid's vent has become blocked.
Correct answer: The earmold tubing has hardened and shrunk over time.
Over time, the plastic tubing that connects a BTE hearing aid to its earmold can harden, shrink, and lose its flexibility. This degradation can cause the tubing to pull away slightly from the earmold, breaking the acoustic seal and allowing amplified sound to leak from the ear canal and re-enter the microphone, which is the definition of feedback.
Question 2: A client calls stating their Receiver-In-Canal (RIC) hearing aid is completely 'dead,' with no sound output. They confirm they have already inserted a fresh, new battery. What is the next most common and user-serviceable component the practitioner should instruct the client to check or change?
- The internal circuit board.
- The wax guard on the end of the receiver. (Correct answer)
- The microphone cover on the hearing aid body.
- The battery contacts inside the battery door.
Correct answer: The wax guard on the end of the receiver.
The most common reason for a RIC hearing aid to seem dead, after ruling out the battery, is a clogged wax guard. The wax guard is a small filter at the tip of the receiver that prevents earwax from entering the speaker. When it becomes fully blocked, no sound can pass through, making the aid appear non-functional. It is designed to be easily replaced by the user.
Question 3: A client reports that their hearing aid produces sound that is 'scratchy and garbled,' particularly at louder volumes. A fresh battery does not solve the problem, and a listening check confirms the distortion. Which component is the most probable source of this issue?
- A blocked earmold vent.
- A damaged or failing receiver (speaker). (Correct answer)
- An over-aggressive noise reduction feature.
- A malfunctioning telecoil.
Correct answer: A damaged or failing receiver (speaker).
A damaged receiver is a common cause of sound distortion, often described as scratchy, fuzzy, or garbled. This can occur due to moisture exposure, physical shock, or simply component failure over time. The distortion is often more noticeable at higher output levels when the receiver is being driven harder.
Question 4: Which of the following is a primary cause of a hearing aid cutting in and out intermittently, assuming the battery is fresh and the battery door is secure?
- The hearing aid program has been accidentally changed.
- The earmold tubing has developed a small crack.
- Dirty or corroded battery contacts. (Correct answer)
- The volume control is set too low.
Correct answer: Dirty or corroded battery contacts.
Dirty or corroded battery contacts can disrupt the consistent flow of power from the battery to the hearing aid's internal components. This poor electrical connection can cause the hearing aid to lose power intermittently, resulting in the sound cutting in and out. Cleaning the contacts often resolves this issue.
Question 5: A long-time BTE user complains of very weak volume. They have cleaned the earmold and replaced the battery. A visual inspection shows the tubing is clear. What is the practitioner's MOST logical next step to diagnose the problem in the office?
- Immediately send the aid to the manufacturer for repair.
- Use a listening stethoscope to check the aid's output directly. (Correct answer)
- Schedule the client for a new hearing test.
- Increase the overall gain in the programming software.
Correct answer: Use a listening stethoscope to check the aid's output directly.
Using a listening stethoscope is a fundamental in-office troubleshooting step. It allows the practitioner to listen directly to the sound coming from the earhook, objectively assessing the aid's quality and volume. This helps to confirm the client's complaint and isolate the issue (e.g., weak output, distortion) before attempting reprogramming or sending it for repair.
Question 6: A client who works outdoors frequently complains that their hearing aids often stop working, especially in the summer. The issue often resolves after the aids sit out overnight. This problem is most characteristic of malfunction due to:
- Battery drain from Bluetooth streaming.
- Software corruption.
- Excessive moisture or perspiration. (Correct answer)
- Earwax blocking the microphone ports.
Correct answer: Excessive moisture or perspiration.
Intermittent failure, especially when related to environmental conditions like heat and humidity, is a classic sign of moisture affecting the electronic components. Perspiration or humidity can cause short circuits or interfere with the microphone and receiver. The fact that the problem resolves after the aids dry out overnight strongly points to moisture as the culprit. Regular use of a hearing aid dehumidifier is the recommended solution.
IHS - International Hearing Society Troubleshooting Hearing Instruments Questions and Answers
A client with a two-year-old BTE hearing aid and custom earmold reports a recent and persistent issue with feedback (whistling).
The client has not had significant weight changes, and an otoscopic inspection shows the ear canal is clear.
Which of the following is the MOST likely cause of the feedback?