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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
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For children with limited auditory experience, the SLP should prioritize:
Acoustic highlighting and repetition
Conversational analysis
Phonological minimal pairs
Whispered speech
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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
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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
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Auditory training that requires identifying environmental sounds before words targets which skill level?
Detection
Comprehension
Identification
Descrimination
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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
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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
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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
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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
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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
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Counseling in aural rehab often includes:
Addressing expectations, device care, & comm. strategies
Memory training
Teaching swallowing strategies
Stuttering modification
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A common therapy technique for Cochlear Implant users is:
Acoustic highlighting and auditory bombardment
Oral-motor strengthening
Whispered speech
Silent articulation
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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
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An example of an anticipatory communication strategy is:
Choosing quiet seating in a restaurant
Using cerumen removal
Asking for repetition
Speaking louder
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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
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Auditory training helps improve:
Speech perception & discrimination
Vestibular responses
Tympanic pressure
Pure-tone thresholds
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For children with hearing loss, intervention should prioritize:
Access to linguistic input through amplification
Oral-motor strengthening
Phonological minimal pairs only
Reducing MLU
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Aural rehabilitation for adults often includes:
Communication strategies, counseling, and auditory training
Balance therapy
Lip-reading elimination
Only hearing aid fitting
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Cochlear Implant outcomes are generally better when implantation occurs:
Before age 3
During adolescence
In adulthood only
After age 12
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The most common complication of cochlear implantation is:
Postoperative infection or device failure
Hemorrhage into the semicircular canals
Brainstem damage
Wernicke’s aphasia
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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
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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
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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
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Which of the following is NOT an absolute contraindication for CIs?
Severe cognitive impairment
Cochlear aplasia
Active middle ear infection
Complete auditory nerve absence
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A child with auditory neuropathy spectrum disorder (ANSD) may benefit from:
Cochlear implantation
Bone-anchored device only
Otoscopic cleaning
Tympanostomy tubes
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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
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CI mapping refers to:
Programming stimulation levels for each electrode
Setting frequency-specific gain like a hearing aid
Creating a CT scan
Measuring tympanometry
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The internal CI electrode array is placed in the:
Scala tympani
Stapes
Scala media
Scala vestibuli
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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
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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)
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Feedback in hearing aids is typically caused by:
Sound leakage from a poor earmold seal
Overamplification of low frequencies only
Excessive wax
Dead battery
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Directional microphones improve:
Speech-in-noise understanding
Vestibular function
Bone conduction thresholds
Amplification received at the eardrum
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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
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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
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The component of a hearing aid that converts acoustic energy to electrical signals is the:
Microphone
Sound waves
Amplifier
Speaker
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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
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