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Cochlear Implants, Hearing Aids, & Therapy for H ...
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A key principle of hearing loss intervention in the school setting is to:
 
Provide access to auditory info in all academic contexts
 
Gradually reduce visual cues to favor auditory pathways
 
Avoid modifying curriculum
 
Use only pull-out therapy
For children with limited auditory experience, the SLP should prioritize:
 
Acoustic highlighting and repetition
 
Conversational analysis
 
Phonological minimal pairs
 
Whispered speech
Adults with long-standing untreated hearing loss often need therapy addressing:
 
Central auditory reorganization and communication strategies
 
Provide consis. access to spoken lang. as early as possible
 
Increase sound discrimination in noise
 
Auditory memory only
A remote microphone/DM system is most beneficial when:
 
The speaker is distant or background noise is present
 
The child uses cochlear implants bilaterally
 
Listening in quiet at home
 
The room has perfect acoustics
Auditory training that requires identifying environmental sounds before words targets which skill level?
 
Detection
 
Comprehension
 
Identification
 
Descrimination
A core component of auditory-verbal therapy (AVT) is:
 
Encouraging full-time use of amplification devices
 
Prioritizing visual cues during communication
 
Device orientation and realistic expectations
 
Gradually reduce visual cues to favor auditory pathways
The primary goal of early amplification for infants with hearing loss is to:
 
Provide consist. access to spoken lang. as early as possible
 
Improve literacy before age 2
 
Access to linguistic input through amplification
 
Communication strategies, counseling, and auditory training
A goal of auditory training for children is to improve:
 
Detection → discrimination → identification → comprehension
 
Comprehension → detection → comprehension → identification
 
Device management and reduced dexterity
 
Acoustic highlighting and auditory bombardment
The most appropriate therapy focus for a child with bilateral severe SNHL who just received CIs is:
 
Auditory access, sound awareness, and early listening skills
 
Oral-motor drills
 
Whispered phoneme practice
 
Detection → discrimination → identification→ comprehension
For older adults with hearing loss, the biggest barrier to success is often:
 
Device management and reduced dexterity
 
Tympanic membrane perforation
 
Speech-rate problems
 
Central lesion
Counseling in aural rehab often includes:
 
Addressing expectations, device care, & comm. strategies
 
Memory training
 
Teaching swallowing strategies
 
Stuttering modification
A common therapy technique for Cochlear Implant users is:
 
Acoustic highlighting and auditory bombardment
 
Oral-motor strengthening
 
Whispered speech
 
Silent articulation
A child using hearing aids still struggles with speech-in-noise. The SLP should recommend:
 
Remote microphone/DM system
 
Cochlear implant revision
 
Occluded earmolds
 
Facial nerve testing
An example of an anticipatory communication strategy is:
 
Choosing quiet seating in a restaurant
 
Using cerumen removal
 
Asking for repetition
 
Speaking louder
Auditory-Verbal Therapy (AVT) emphasizes:
 
Listening-first approach with full-time amplification
 
Gestural communication
 
Choosing quiet seating in a restaurant
 
Access to linguistic input through amplification
Auditory training helps improve:
 
Speech perception & discrimination
 
Vestibular responses
 
Tympanic pressure
 
Pure-tone thresholds
For children with hearing loss, intervention should prioritize:
 
Access to linguistic input through amplification
 
Oral-motor strengthening
 
Phonological minimal pairs only
 
Reducing MLU
Aural rehabilitation for adults often includes:
 
Communication strategies, counseling, and auditory training
 
Balance therapy
 
Lip-reading elimination
 
Only hearing aid fitting
Cochlear Implant outcomes are generally better when implantation occurs:
 
Before age 3
 
During adolescence
 
In adulthood only
 
After age 12
The most common complication of cochlear implantation is:
 
Postoperative infection or device failure
 
Hemorrhage into the semicircular canals
 
Brainstem damage
 
Wernicke’s aphasia
Children with Cochlear Implants (CIs) need early intervention because:
 
Auditory pathways require early, consistent stimulation
 
Cochlear Implant use eliminates need for therapy
 
Cochlear Implant mapping resets language
 
Hearing improves automatically
The “Ling Six Sounds” are used for Cochlear Implant (CI) users to assess:
 
Audibility of speech frequencies
 
Directional microphone function
 
Ear canal resonance
 
Middle ear pressure
Hybrid (electric-acoustic) implants are typically recommended for:
 
Residual low-frequency hearing + steep high-frequency SNHL
 
Conductive loss only
 
Auditory pathways that require early, consistent stimulation
 
Profound bilateral SNHL
Which of the following is NOT an absolute contraindication for CIs?
 
Severe cognitive impairment
 
Cochlear aplasia
 
Active middle ear infection
 
Complete auditory nerve absence
A child with auditory neuropathy spectrum disorder (ANSD) may benefit from:
 
Cochlear implantation
 
Bone-anchored device only
 
Otoscopic cleaning
 
Tympanostomy tubes
Electrodes in a Cochlear Implant (CI) are arranged to preserve:
 
Tonotopic organization of the cochlea
 
Acoustic feedback
 
Setting frequency-specific gain like a hearing aid
 
The round window membrane only
CI mapping refers to:
 
Programming stimulation levels for each electrode
 
Setting frequency-specific gain like a hearing aid
 
Creating a CT scan
 
Measuring tympanometry
The internal CI electrode array is placed in the:
 
Scala tympani
 
Stapes
 
Scala media
 
Scala vestibuli
Open-fit hearing aids are MOST appropriate when:
 
Low-frequency hearing is normal and high-freq. SNHL exists
 
Hearing loss is profound
 
Electrically stimulating the auditory nerve
 
Limited benefit from appropriately fit hearing aids
Which fitting formula is widely used for pediatric hearing aids?
 
DSL (Desired Sensation Level)
 
Speech Reception Threshold (SRT-SRT2)
 
National Acoustic Laboratories-Revised (NAL-R)
 
National Acoustic Laboratories–Non-Linear 2 (NAL-NL2)
Feedback in hearing aids is typically caused by:
 
Sound leakage from a poor earmold seal
 
Overamplification of low frequencies only
 
Excessive wax
 
Dead battery
Directional microphones improve:
 
Speech-in-noise understanding
 
Vestibular function
 
Bone conduction thresholds
 
Amplification received at the eardrum
Real-ear measurement (probe microphone testing) assesses:
 
Amplification received at the eardrum
 
Impr. listening comfort, though not always word recognition
 
Eliminating background noise entirely
 
Increasing overall gain
The telecoil feature on hearing aids is primarily used for:
 
Hearing induction loop systems and telephone conversations
 
Streaming high-frequency noise
 
Masking tinnitus
 
Impr. listening comfort, though not always word recogntion
The component of a hearing aid that converts acoustic energy to electrical signals is the:
 
Microphone
 
Sound waves
 
Amplifier
 
Speaker
The primary purpose of a hearing aid is to:
 
Amplify sound to make it audible and usable
 
Restore normal cochlear function
 
Increase word recognition to 100%
 
Increasing bone conduction thresholds