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20Q: Changes to Auditory Processing and Cognition During Normal Aging – Should it Affect Hearing Aid Programming? Part 1 – Changes Associated with Normal Aging

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1.  Which of the following elements of auditory processing declines the LEAST during normal aging?
  1. Gap detection
  2. Processing the speech envelope in frequency bands
  3. Processing temporal fine structure in frequency bands
  4. Binaural processing
2.  Which of the following cognitive domains IMPROVES with normal aging?
  1. Episodic memory
  2. Working memory
  3. Processing speed
  4. Crystallized intelligence
3.  Older adults, with a greater reduction in auditory processing and some cognitive processes, and those with a greater hearing loss, will be more dependent on which element of the speech signal in each frequency band?
  1. The speech envelope
  2. Periodicity
  3. Temporal fine structure
  4. They need all of them for good speech intelligibility
4.  Which of the following sentences best describes the “central” effects on hearing with age?
  1. The main cause of poorer auditory processing in older adults is dementia.
  2. Auditory processing and cognitive decline only start to affect our ability to hear in later old age.
  3. Auditory processing and some elements of cognition decline constantly throughout our early-to-late adult lives.
  4. The effects of auditory processing and cognitive decline don’t have much impact in relation to normal age-related hearing loss.
5.  A decline in auditory processing and cognition due to normal aging will mean that older adults find it harder in which listening situations?
  1. Fast speech
  2. Speech in noise
  3. Speech in quiet
  4. All of the above

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