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20Q: Any Color, So Long As It's Black - Individualizing Clinical Audiology Practice

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1.  One problem with looking only at pure tone thresholds when considering treatment for an individual with hearing loss might be:
  1. people with the same pure tone thresholds may have different hearing aid preferences
  2. people with the same pure tone thresholds may have different lifestyles
  3. people with the same pure tone thresholds may have very different levels of comfort and discomfort
  4. all of the above
2.  Researchers at NAL have found the need to individualize the prescription based upon their research that shows:
  1. adult males prefer more gain than females
  2. experienced users prefer more gain than new users
  3. both A and B
  4. none of the above
3.  Historically, the DSL prescription:
  1. prescribed the same gain regardless of age or ear canal differences
  2. individualized the prescription based on many factors
  3. used a 'one size fits all' approach for gain and frequency response
  4. only used pure tone thresholds to determine prescribed gain
4.  A first step in individualizing hearing aid fittings may be through the use of:
  1. self-report questionnaires like the GHABP and COSI
  2. use of manufacturer's automated First Fit settings based upon pure tone thresholds
  3. use of average data to determine the optimal settings for each patient
  4. hearing aids that have automatic gain acclimatization over time
5.  An example of a condition discussed in the article where pure tone thresholds may not reflect the functional hearing ability of an individual is:
  1. auditory neuropathy spectrum disorder
  2. tympanosclerosis
  3. presbycusis
  4. otitis externa
6.  RECDs:
  1. can be used to individualize the programming of a hearing aid
  2. are only relevant to the fitting of hearing aids to infants and young children
  3. are usually clinically significantly different between the right and left ears of an individual
  4. all of the above
7.  Dip listening refers to:
  1. Listening by attending to the loudest sound
  2. Listening while dipping one's head up and down to take advantage of the head shadow effect
  3. the ability to localize sounds in a noisy environment by moving your head toward the speaker
  4. utilizing the dips in fluctuating background noise when trying to follow and understand speech.
8.  The use of Cortical auditory evoked potentials:
  1. are routine clinical practice in pediatric audiology
  2. require hospital admission and therefore are not clinically feasible
  3. show promise as an objective clinical tool for predicting speech recognition and functional outcome in children with ANSD
  4. is now considered obsolete due to functional MRI testing
9.  Individualizing hearing healthcare:
  1. is not needed since people with hearing loss are generally a homogenous group
  2. will be achieved by audiologists working with other professionals such as hearing scientists, geneticists, psychologists, and others
  3. has more benefits for the audiologist than for the patient
  4. none of the above
10.  The GHABP:
  1. is a measure of hearing handicap
  2. is a measure of the impact of the hearing loss on the significant other
  3. is a questionnaire where the patient identifies listening environment(s) that are important to himself/herself to hear well in
  4. is a speech-in-noise test that the patient can self-administer