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Considerations in the Evaluation of Auditory Fitness for Duty in Military Personnel, presented in partnership with American Auditory Society

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1.  What are the most frequent permanent injuries suffered by military personnel Musculoskeletal Injuries Tinnitus and Hearing Loss Visual Impairment Traumatic Brain Injuries

2.  Individuals with hearing loss may be expected to behave More aggressively in military operations than those with normal hearing About the same as those with normal hearing More conservatively than those with normal hearing No information is available to assess this

3.  Military operations typically occur in Noisy environments Environments with a lot of variability in target and masker sounds Environments that are difficult to replicate in the clinic All of the above

4.  Current auditory fitness for duty standards in the DoD define requirements based on Speech in noise performance Otoacoustic Emissions Audiometric Thresholds A & C

5.  According to a recent study in the UK, the most important speech communication task for military personnel is: Accurately hearing grid reference Accurately hearing commands in a casualty situation Accurately hearing directions on patrol Accurately hearing fire control orders

6.  According to a recent study in the UK, the most important sound localization task for military infantry and combat support personnel is: Locating the moving sound source of a motorbike Locating the moving sound source of enemy footsteps Locating a small arms firing point Locating artillery firing point

7.  According to a recent study in the UK, the most important sound detection task for military infantry and combat support personnel is: Identifying talker identity Detecting a malfunction of an item of machinery Identifying the type of weapon systems being fired Identifying the mood of a crowd

8.  According to a recent study conducted at West Point, soldiers in dismounted combat who have impaired localization ability are Likely to be aware of that impairment Likely to be negatively impacted by that impairment Both A and B None of the above

9.  Anecdotal evidence from DoD and VA audiologists and the results of recent studies suggest that individuals who have normal audiometric thresholds but have been blast exposed Are unlikely to have any other auditory impairment May report having difficulties understanding speech in complex environments May have difficulty in laboratory tests involving complex listening tasks B & C

10.  If a Solider or Marine acquires hearing loss from military service, that hearing loss is probably most likely to be detected When the individual schedules a medical appointment to discuss hearing loss When the individual separates from the military and completes the VA eligibility examination As part of a military hearing conservation program that requires annual audiogram screenings When the hearing conservation audiologist drops a book at the back of a training classroom and sees who is not startled