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20Q: Acceptable Noise Level Test - The Basics and Beyond

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1.  The Acceptable Noise Level Test was developed by:
  1. Anna Nabelek & Sam Burchfield
  2. Gus Mueller & Patrick Plyler
  3. James Jerger & Charles Berlin
  4. Erin Picou & Ben Hornsby
2.  The ANL test may help predict:
  1. speech recognition in noise
  2. the presence of absence of retrocochlear pathology
  3. pathophysiology of tinnitus
  4. hearing aid usage
3.  The ANL is based on the premise that:
  1. people with a higher tolerance for background noise have a better chance of success with hearing aids
  2. people with a higher tolerance for background noise have a decreased chance of success with hearing aids
  3. people who tolerate background noise do not need noise reduction circuitry
  4. people with good speech recognition are more likely to be successful hearing aid users
4.  A low ANL score:
  1. indicates a low tolerance for background noise
  2. indicates a high tolerance for background noise
  3. is indicative of a poor prognosis for success with hearing aids
  4. none of the above
5.  A high ANL score:
  1. indicates a low tolerance for background noise
  2. indicates a high tolerance for background noise
  3. is indicative of a good prognosis for success with hearing aids
  4. none of the above
6.  When conducting the ANL test, the first measure is:
  1. MCL for pure tones
  2. MCL for running speech
  3. ULL for pure tones
  4. ULL for running speech
7.  When conducting the ANL test, the highest level a patient is willing to "put up with" speech babble while listening to a passage of running speech is:
  1. MCL
  2. ANL
  3. BNL
  4. UCL
8.  The ANL equals
  1. BNL-MCL
  2. UCL-MCL
  3. UCL-BNL
  4. MCL-BNL
9.  For a reliable ANL it is recommended:
  1. to test patients first thing in the morning when they are most alert
  2. to use a male talker, monitored live voice with speech peaks at 0
  3. to use written instructions
  4. to use standard test materials and instructions, and to repeat the test
10.  You conduct your first ANL test on one of your patients with hearing loss who you would consider typical or average in their acceptance of background noise. Which of the following ANL scores might you expect?
  1. -5 dB
  2. 10 dB
  3. 30 dB
  4. 50 dB

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