SLP Hearing and Aural Rehabilitation 4

Question 1

During otoacoustic emission (OAE) testing, a pass result indicates which of the following?

Accepted Answer

Normal cochlear outer hair cell function

Answer

OAEs are generated by the outer hair cells of the cochlea; a pass result indicates that outer hair cell function is intact at the tested frequencies.

Question 2

A patient with bilateral moderate-to-severe sensorineural hearing loss and poor word recognition scores is evaluated for cochlear implantation. Which word recognition threshold typically indicates candidacy under current FDA guidelines for adults?

Accepted Answer

≤50% on sentence recognition in the best-aided condition

Answer

Current FDA/CMS cochlear implant candidacy for adults generally requires ≤50% sentence recognition in the best-aided condition.

Question 3

Which tympanogram type, according to Jerger's classification, is most consistent with a middle ear effusion?

Accepted Answer

Type B

Answer

A Type B tympanogram shows a flat tracing with no discernible peak, indicating little or no mobility of the tympanic membrane, consistent with middle ear effusion.

Question 4

An SLP recommends FM system use in the classroom for a child with hearing loss. The primary advantage of an FM system over hearing aids alone is that it:

Accepted Answer

Improves the signal-to-noise ratio by transmitting the teacher's voice directly

Answer

An FM system transmits the speaker's voice directly to the listener's receiver, dramatically improving the signal-to-noise ratio regardless of distance or background noise.

Question 5

A patient newly fitted with hearing aids reports that their own voice sounds hollow or like they are speaking in a barrel. This perception is caused by:

Accepted Answer

The occlusion effect from the earmold blocking the ear canal

Answer

The occlusion effect occurs when a vent-less or tightly-fitting earmold traps bone-conducted sound energy in the ear canal, making the user's own voice sound hollow.

SLP - Speech-Language Pathology Practice Test

SLP - Speech-Language Pathology Practice Test

SLP Hearing and Aural Rehabilitation 4