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