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Amplified Stethoscope Options for Professionals with Hearing Loss

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1.  Auscultation can be defined as:
  1. heart sounds including heartbeats, murmurs and arrhythmia
  2. lung sounds such as wheezes and rhonchi
  3. listening to internal sounds of the body, usually through a stethoscope
  4. a catabolic reaction that involves the oxidation of one molecule and the reduction of another
2.  The two general categories of stethoscopes are:
  1. cheap and expensive
  2. heart stethoscopes and lung stethoscopes
  3. bell and diaphragm
  4. acoustic and electronic
3.  Heart and breath sounds are essentially:
  1. low frequency sounds
  2. high frequency sounds, over 8kHz
  3. high intensity sounds, 85 dB SPL and greater
  4. in the 4kHz - 8kHz region
4.  For professionals that wear their hearing instruments while using a stethoscope with stethomate tips, challenges may include:
  1. body sounds are often low frequency, and hearing aids may not amplify in this region
  2. comfort when using stethomate tips
  3. stethomate tip occluding hearing aid microphone port
  4. all of the above
5.  E-Scope II amplified stethoscope with headphone modification may be a potential solution for a patient who:
  1. wears a RITE hearing instrument
  2. wears custom hearing instruments
  3. wears an open fit BTE with receiver-in-aid
  4. all of the above
6.  E-Scope II amplified stethoscope with DAI or Silhouette modification:
  1. are options for patients who wear CIC hearing instruments
  2. are options of last resort for patients who wear BTE instruments
  3. can only be used monaurally
  4. are ideal for patients with hearing loss who do not wear hearing instruments
7.  What general statement can be made about selecting the best stethoscope option for a patient with hearing loss?
  1. The patient's degree of hearing of hearing loss is the primary factor the audiologist should consider when selecting the best stethoscope option for a patient
  2. The patient's ear canal size is the primary factor the audiologist should consider when selecting the best stethoscope option for a patient
  3. The best and most hassle-free solution for most patients with hearing loss is to remove the hearing aids and use an amplified stethoscope
  4. There are inherent challenges in most solutions and the audiologist should be prepared to try one or more options to determine which will best meet the patient's needs
8.  Use of a headphone modification with an amplified stethoscope such as E-Scope is commonly rejected because:
  1. the available headphone styles are uncomfortable
  2. this modification requires professionals to remove their hearing aids, which is very inconvenient
  3. aesthetic reasons; professionals may feel self-conscious using an atypical stethoscope configuration
  4. it provides insufficient amplification for most hearing losses
9.  The routine use of traditional stethoscopes by professionals with hearing loss:
  1. is only a problem when the hearing loss is in the severe-profound range
  2. may be difficult since the presence of a hearing loss may prohibit the ability to hear heart, lung and/or bowel sounds for differential diagnosis
  3. is not an issue if the professional wears amplification
  4. all of the above
10.  Which of the following statements is true regarding a stethoscope's bell and diaphragm?
  1. the diaphragm is designed to pick up higher pitched body sounds than the bell
  2. the bell is designed to pick up higher pitched body sounds than the diaphragm
  3. the bell and the diaphragm are both tuned to pick up high frequency body sounds over 4kHz
  4. only acoustic stethoscopes contain a diaphragm and a bell; electronic stethoscopes do not