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How Loud is Too Loud? Using LDL Measures for Hearing Aid Fitting and Verification (Part 2)

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1.  While we still have a lot to learn about aided bilateral summation for speech signals, it is generally assumed that: Summation increases as the input sensation level increases Summation decreases as the input sensation level increases Summation is rarely more than 3 dB at any level None of the above

2.  If you know the patient's LDLs in HL, what would you add to those values to convert to the "language" of the AGCo kneepoints in the fitting software? The RETSPL The patient's RECD The patient's REAR The patient's REUG

3.  If you know the OSPL90 of a given hearing aid, what would you add to these values to estimate the ear canal maximum output of that same hearing aid? The RETSPL The patient's RECD The patient's REAR The patient's REUG

4.  During your post-fitting verification of loudness, you present continuous speech to the patient at 85 dB SPL. If all is "set correctly", the patient should report what category from the Cox Loudness Chart? #4 Comfortable #5 Comfortable but slightly loud #6 Loud, but OK #7 Uncomfortably loud

5.  If a patient said that soft sounds, average sounds and loud sounds were all too loud, the easiest treatment probably would be: Turn down overall gain Make the AGCi compression ratio less aggressive Make the AGCCi kneepoint higher Make the expansion kneepoint lower

6.  If a patient said that loud speech was a little too loud, but soft and average speech was just right, a reasonable treatment would be: Turn down overall gain Make the AGCi compression ratio more aggressive Make the AGCi kneepoint higher Make the expansion kneepoint lower

7.  When would it be most appropriate to adjust the WDRC ratio rather than the AGCo kneepoint for a loudness problem? When loud environmental sounds are too loud When loud speech is too loud, but loud environmental sounds are okay When the RESR exceeded the ear canal SPL MPO target None of the above

8.  Which of the following is a false statement about the PAL? It utilizes the Loudness Anchors of the Cox Contour Test Patients can judge their loudness Some of the items are designed to be rated as uncomfortably loud The test is based on how normal hearing individuals rate loudness

9.  What subscale is most closely linked with the hearing aid's maximum output setting? ED BN RV AV

10.  Based on the APHAB, what would be an expected finding for questions related to loud sounds for new hearing aid users? Sound different, but not more annoying than unaided More annoying than unaided Less annoying than unaided About the same as unaided