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Clinical Considerations for Fitting Modern Hearing Aids

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1.  Who is a candidate for a middle-ear implant (MEI)?
  1. Patients with chronic middle-ear disorder
  2. Patients with severe to profound hearing loss
  3. Patients with normal hearing and auditory processing difficulty
  4. Patients with moderate to moderately-severe hearing loss
2.  The fully implanted MEI devices discussed in this presentation are:
  1. Carina by Otologics and Esteem by Envoy
  2. Ototronix Maxum and Vibrant Soundbridge
  3. Oticon Medical Ponto Pro and Cochlear Baha
  4. Cochlear Nucleus and Advanced Bionics Naida
3.  What are some of the advantages of a partially implanted MEI?
  1. increased gain can be achieved without feedback
  2. it can be worn in the shower
  3. it can be worn 24/7
  4. All of the above
4.  What are some of the advantages of a fully implanted MEI?
  1. increased gain can be achieved without feedback
  2. it can be worn in the shower
  3. it can be worn 24/7
  4. All of the above
5.  Dr. Alexander discussed research showing that digital noise reduction:
  1. improves speech intelligibility
  2. decreases speech intelligibility
  3. neither improves nor decreases speech intelligibility
  4. worsens the acceptable noise level
6.  Reverberation
  1. reduces benefit from directional microphones
  2. increases benefit from directional microphones
  3. improves speech understanding in noise
  4. has no effect on directional microphone benefit
7.  What is the basic principle responsible for the benefit derived from directional microphones?
  1. They aid in sound localization
  2. They increase the intensity of sounds arriving from the front
  3. They decrease the intensity of sounds arriving from the back and sides
  4. They spatially separate the wanted and unwanted signals
8.  Which factors influence the benefit derived from wireless connectivity relative to directional microphones?
  1. Distance
  2. Noise
  3. Both A and B
  4. None of the above
9.  Dr. Ricketts discussed studies that showed that nonlinear frequency compression:
  1. provides better long term outcomes for speech and language skills than conventional amplification.
  2. provides worse long term outcomes for speech and language development than conventional amplification.
  3. and conventional amplification show no differences in speech or language outcomes or speech perception after several months of use.
  4. should be used in pediatric fittings only.
10.  Cox, Johnson & Xu (2014) found that premium hearing aids, as compared to basic hearing aids:
  1. provided better speech understanding but had no impact on quality of life
  2. provided improved quality of life although there were no differences in speech understanding
  3. improved speech understanding and quality of life
  4. showed no statistically significant differences
11.  Desjardins & Doherty (2014) found:
  1. noise reduction improves speech recognition for both new and experienced users.
  2. people with less severe hearing loss and better cognitive functioning benefit more from noise reduction.
  3. people with more severe hearing loss and slower processing show more benefit from noise reduction.
  4. noise reduction improves quality of life for hearing aid wearers.
12.  Dr. Ricketts discussed a study that suggested that audiologists may improve relationships with their patients and outcomes by paying attention to:
  1. explaining hearing aid technology in patients' terms
  2. moving patients through the process to accept amplification
  3. emotionally-focused communication
  4. cost concerns and price of amplification
13.  The purpose of the Evidence Based Practice Hearing Aid Performance Report form is:
  1. create a standardized platform to report hearing aid outcome
  2. demonstrate benefit to third party payors
  3. demonstrate benefit to patients
  4. all of the above
14.  Which speech in noise test is recommended for children developmental ages five years and above?
  1. Q-SIN
  2. BKB SIN
  3. WIN
  4. HINT
15.  Based on Olsen’s report of typical background noise levels when do we recommend an external microphone for adults?
  1. when Q-SIN scores are 10.5 SNR Loss or worse
  2. when Q-SIN scores are 3.5 SNR Loss or worse
  3. when Q-SIN scores are 15.5 SNR Loss or worse
  4. none of the above