SLP5005 Aural Rehabilitation Exam

What typically results in hearing aid feedback?

hearing aid volume too high, earmold too small for ear, and cracks in earmold tubing

What would NOT result in hearing aid feedback?

earmold tube is blocked with cerumen

What term refers to using 2 different types of hearing amplification between the ears?

bimodal

How is acoustic feedback from hearing aids best remedied?

by ensuring that sound is not leaking from around the edges of earmold/earpiece

What is frequency lowering?

process of taking unaidable or inaudible high frequencies and moving them into the speech region

True/False: Current digital technology was originally introduced in the 1960's but was not successfully implemented due to space/size requirements.

True

True/False: A BAHA may be worn externally or surgically

true

True/False: A hearing aid listening tube is what connects the body of the hearing aid to the receiver, which in turn delivers sound to the ear.

false

True/False: SLPs should always defer hearing aid and visual listening checks to an audiologist.

False

True/False: You are doing a routine functional/listening check on your client's in-the-ear hearing aid prior to starting your therapy session. You discover that there is a significant amount of wax in the receiver of the hearing aid. Any small/thin device that fits the opening of the hearing aid may be used to remove the wax.

false

Many assistive listening devices can overcome the primary disadvantage of conventional hearing aids by improving the:

signal-to-noise ratio

Which of the following would be the device of choice for a client who is unwilling or unable to tolerate earphones?

desktop speaker

The newer terminology to describe a classroom-based sound enhancement system is known as:

classroom audio distribution system (CADS)

What contains high levels of gain that must be adjusted to meet the needs of a specific hearing loss, or are to be coupled directly to the hearing aid?

auditory trainer

What assistive listening device is impacted most by sunlight?

sound field infrared

True/False: All assistive listening devices in the classroom make use of an FM transmitting modality of the signal

False

True/False: One characteristic of an analog FM device is that each classroom or meeting hall must have a different frequency in order to avoid cross-contamination of signals.

true

True/False: One characteristic of an analog DM device is that each classroom or meeting hall must have a different frequency in order to avoid cross-contamination of signals.

false

True/False: Infrared-based systems do not require a dedicated frequency to transmit a signal.

true

True/False: The direct stream of a signal can be provided via a Bluetooth signal & sent through a person's hearing aid.

true

A student has a cochlear implant. What is the school responsible for?

what is deemed as state law as the responsibility of the school system

True/False: Students with hearing impairment who have a 504 plan, as well as those not receiving any support services, should have their hearing & school performance monitored at least annually to determine if they are exhibiting educational problems that require a future referral for special education.

true

True/False: The law specifies that there should be goals related to parent counseling & training. Parents do not have a choice, under the law they must participate or be reported to the authorities.

false

True/False: An IFSP is a document that serves the school-aged child with hearing loss, specifying the services that will be provided throughout elementary & middle school.

false

True/false: The EAA stands for the Environmental Acoustics Association and is a great resource for the classroom.

false

True/False: Free and appropriate education (FAPE) and the best program designed for a student will always be available to the child.

false

True/False: A school system is required to provide a student with appropriate (which may not be optimal) educational setting.

true

What is tinnitus?

ringing or a clicking sound in the ears in the absence of auditory stimuli

What is hyperacusis?

sound sensitivity where all sounds are too loud

What is misophonia?

hatred of sound; provokes intense emotional reactions and arousal of the limbic/ANS

Please name some common difficulties attributed to tinnitus.

sleep, persistence, speech understanding, depression, irritation, confusion, drug dependence, headaches

What are the 2 steps to Tinnitus Retraining Therapy (TRT)?

directive counseling & auditory (low level noise) therapy

What is a neurological phenomenon in which stimulation of 1 sensory or cognitive pathway leads to automatic, involuntary experiences in a 2nd or cognitive pathway?

synesthesia

True/False: Migraine, post head injury syndrome, Lyme disease, & Bell's palsy can all cause hyperacusis.

true

True/False: When experiencing hyperacusis, one should avoid overuse of ear protection.

true

Which is addressed first: hyperacusis or tinnitus?

hyperacusis

What are comorbid conditions associated with misophonia?

OCPD, ADD, APD, hyperacusis, tinnitus, and PTSD

True/False: For those with misophonia, ear protection should be replaced with sound therapy.

true

True/False: There are no treatments available for the management of misophonia and hyperacusis.

false

Misophonia is defined as:

sensitivity to specific sounds

Hyperacusis is defined as:

sensitivity to ALL loud sounds

True/False: Low level sound therapy should be considered as a treatment for individuals with misophonia and hyperacusis.

true

What is a communication mode that uses 8 hand shapes in 4 different positions on the face to provide a phonemic representation of English syllables?

cued speech

What is an auditory verbal approach, utilizing primarily audition as a communication approach?

listening & spoken language

What is a philosophy that incorporates multiple modalities to communicate?

total communication

What is a communication approach that discourages fingerspelling and sign language, but encourages visual communication strategies such as facial expression, lip reading, gestures, etc.?

auditory-oral

What is a communication approach that incorporates American Sign Language and spoken English, yielding communication in two languages and two modalities?

bilingual-bimodal

What is a dual approach of speaking and signing?

simultaneous communication

True/False: A speech-language pathologist should advise families which communication approach should be chosen for a child who is deaf or hard of hearing.

false

What is a complete language with grammatical structures presented in visual form?

American Sign Language (ASL)

What is a type of implantable device most likely recommended for a patient with single sided deafness or permanent conductive or mixed hearing losses?

bone-anchored hearing aid, BAHA

True/False: Cochlear implants are only appropriate for patients that receive good benefit from hearing aids.

false

The external speech processor picks up sound from the environment via the:

microphone

What is the programming of cochlear implants called?

mapping

Hybrid cochlear implants are generally recommended for individuals with what type of hearing loss?

less than severe to profound

How would you troubleshoot hearing aid batteries?

Ask if the batteries have a usable charge, have the batteries been put in properly, inspect for corrosion, &/or use a battery tester

How would you troubleshoot a hearing aid transmitting coil?

use a device-specific signal check accessory, check the lights/visual display on the processor

How would you troubleshoot a microphone on a hearing aid?

use a device-specific listening scope, check the lights/visual display on the processor, see if using the auxiliary/lapel microphone solves the problem

How would you trouble shoot the processer unit (electronic) on a hearing aid?

check the lights/visual display on the processor, check that processor settings are correct (such as program location, volume, &/or sensitivity)