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160 Cards in this Set
- Front
- Back
Sound cannot travel through what medium:
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Vaccum
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Any complex sound can be broken down into individual frequencies by a technique known as:
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Fourier Spectral Analysis
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How many octaves occur from 125 Hz to 2000 Hz?
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4
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The quality or timbre of a sound is a property that depends on:
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*how many frequencies are in the complex sound
*the relative strength of each frequency *the resonance of the sound cavities |
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The speed of sound in air, in feet per second, is:
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1100
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What does the term '67 dB' mean?
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It's meaningless without a refrence level.
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The decible is:
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A ratio between two intensities.
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A formant is:
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a frequency region within a complex tone where certain harmonics have relatively large energy
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The weakest sound normal human ears can hear in the most sensitive frequency range of the ear is an effective sound pressure of about:
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0.0002 dynes/cm2
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The normal human ear canal resonance is in the approximate range of:
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2500- 4000HZ
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The harmonics of speech reinforce some frequencies more than others. The reinforced frequencies are:
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Formants
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Vowels differ from consonants in that they:
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use more open vocal cord voicing
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When tilting the frequency response, the last number in a matrix, i.e. 110/37/15, means:
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the 15 dB difference occurs between 500 Hz and the first peak
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The patient's MCL on a speech circuit of the audiometer is usually judged on:
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the volume at 1000 Hz
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ANSI developed the Articulation Index (AI) to express:
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Speech Clarity
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'Positive reinforcement' involves:
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presenting a tone that is only inaudible without the instrument on
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Our quest of improving speech understanding begins by studying:
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speech production
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Most auditory systems follow a power law. This logarithmic concept is:
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a 10 dB increase in sound pressure doubles the loudness
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Sones compare:
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loudness up frequency
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Mels measure:
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Pitch
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Dexterity of a patient's fingers enter into the choice of instruments because of difficulty in:
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*inserting the earmold into the ear
*replacing the battery *adjusting the volume or any of the controls of the hearing aid |
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A bone conduction instrument should be used when:
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The patient has chornic otitis media.
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Basic problems for clients with an asymmetrical hearing loss are:
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*discriminating speech from the side of the head with no usable hearing
*an inability to locate sound *hearing in the presence of noise |
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Pressure Measuring Instruments (PMI's) are:
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built to the sound pressure standard of 20 micropascals
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Properly selected hearing instruments should allow:
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*the patient to wear an instrument at a comfortable loudness level
*improved communication ability of normal conversational speech in noise *better hearing, aided, than unaided |
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Slope of loss can determine a successful fitting. A most favorable slope is:
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Flat or gradually falling.
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Calculations of amplified sound to patients MCL include:
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operating gain, functional gain, insertion gain
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Calculating prescription formulas are compared to:
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specification sheets
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Some patients with binaural amplification can experience:
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degradation effect
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The following fitting requires amplification to two ears:
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binaural
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Functional gain testing with CIC instruments is:
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simple for the patient to understand with less test-retest variablility than conventional sound field testing
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With real ear measurement testing, which of the following is true:
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the probe should be within 5 mm of the eardrum in order to avoid standing waves
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The deeper microphone placement offers what advantage:
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natural high frequency emphasis between 2700 and 4000 Hz
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The deeper receiver placement offers what advanatage:
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increased headroom with undistorted output
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CIC's offer a reduction in feedback for ALL but the following reasons:
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increased headroom with undistorted output
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The Occlusion Effect is due to:
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increase in bone-conduction sound for frequencies below 2000 Hz
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When the wind is coming from directly ahead, wind noise is reduced in CIC's by the following amount:
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23dB
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What is an advantage of CIC fittings:
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introduction of programmable CIC's
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Earmold impressions for CIC's should:
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extend at least 2 mm beyond the second bend using medium viscosity, silicon material
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With CIC fittings, which of the following frequency modifications should be made:
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less high frequency amplification should be provided due to the deeper microphone placement
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The Zeta Noise Blocker was:
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an example of a hybrid analog-digital hearing instrument
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The first commercially available digital signal processing hearing instrument:
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included a body-worn electronic processor
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A programmable hearing instrument with 4 channels and 1 memory could be considered a ___________ programmable hearing instrument:
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class 3
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In digital signal processing, a set of mathematical steps involving multiplication, addition, and subtraction is referred to as:
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algorithm
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The number 512 would have a binary code of:
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100000000
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The sampling rate:
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*refers to how often the waveform amplitude is measured
*has a direct bearing on the frequency bandwidth of the hearing instrument *must be at least twice as fast as the highest desired frequency |
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Quantization is related to:
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number of bits
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The number of bits impact the:
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dynamic range of the hearing instrument
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Imaging occurs during the:
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digital to analog conversion stage
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List 3 items related to SIE-O fitted hearing aids
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*the occlusion effect is minimized
*the speaker uses a soft silicone dome or molded, vented acrylic tip to secure the speaker in the ear canal *allows for more gain than does a SIA instrument |
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Which statement is correct relative to the comparison between the SIE-O and SIE-S hearing instrument styles?
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the SIE-S provides greater acoustic advantages than does the SIE-O
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SIA hearing aids are designed primarily to:
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reduce occlusion and the occlusion effect
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SIA open-fit hearing aid applicable gains, without feedback cancellation, shows that the maximum stable gain before feedback to be closest to:
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20 dB
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The Vent as a two-channel device, is identified with:
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any open fit or vented hearing aid
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Small diameter tubing of SIA hearing aids has the effect of:
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reducing the high-frequency gain
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With SIE-S hearing aids:
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the only signal is from the hearing aid and phase effects from a vent are not an issue
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Evidence suggests that the practical, maximum stable high-frequency gain of an open-fit device, when feedback cancellation is activated, is closest to:
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30dB
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Performance verification of SIA, SIE-O, and SIE-S hearing aid fittings is best made by:
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real-ear probe microphone measurements
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Name 3 advantages of both the SIA and SIE hearing aid fittings:
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*cosmetic improvement, rendering the instrument essentially 'invisible' when worn
*improved efficiency in the dispensing office *same-session fit with patient having an opportunity to experience immediately the final fit (cosmetics, sound, comfort) |
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Does a programable hearing aid cost more than an analog hearing aid?
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Programable hearing aid cost more
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When you cup your hand behind the ear, sound:
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increases by 5-8 dB
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The first patent for a telephone type hearing instrument was in:
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1892
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The first electric hearing instrument
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collected and amplified sound
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The carbon granule microphone:
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caused static and fading with body movement
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Desk and suitcase sized hearing instruments, popular in the 1920's, had more gain and clarity because of:
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vacuum tube amplifiers
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Wearable instruments were a result of:
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the miniature vacuum tube
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Crystal microphones and receivers:
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are very fragile
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A FET changed the high impedance problems of the:
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ceramic microphone
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Magnetic microphones:
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have a good frequency response in the speech range
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The miniature vacuum tube was introduced in about:
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1938
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The three major concepts in the use of electricity are:
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current, voltage and resistance
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A capacitor:
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blocks the low frequencies and passes the high frequencies
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A resistor:
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restricts the flow of electrons
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'Energy cannot be created or destroyed' is:
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the law of conservation of energy
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The following is not a transducer:
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volume control
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Electrical energy uses the atom. Atoms:
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are electrically neutral
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Part of the basic law of electrical energy is:
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protons attract electrons
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To produce current:
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electrons move from atom to atom
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A greater flow of current produces:
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more volume
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Semi-conductors act like a conductor with the application of:
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heat, light or an electric field
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The function of a microphone is to:
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convert acoustic energy into electrical energy
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Coupling in a hearing instrument refers to connecting:
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one stage of an amplifier to the next
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The 'T' position on a hearing aid switch can be used to:
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*amplify a telephone conversation
*couple a hearing aid into a loop inductor system *couple directly into the audio of a radio or TV set with a separate induction coil |
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The following components can change or modify the frequency response of a hearing instrument:
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a microphone
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The following is a transducer:
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electret microphone
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Amplifiers:
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generate distortion
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A linear amplifier has a 1:1 relationship. This means that if you rotate the volume control on a linear aid, you change:
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the gain and output
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Hard peak clipping occurs in a:
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a class A amplifier
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Peak rounding:
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causes harmonic distortion above the knee
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There are two types of compression - input and output. The difference is:
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the placement of the feedback loop
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The signal/noise ratio of a hearing aid response is:
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the difference in decibels between the signal and the noise in the system
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Acoustic gain is measured in:
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decibels SPL
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High Frequency Average (HFA) full-on gain is measured by averaging the gain at:
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1000, 1600 and 2500 Hz
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High Frequency Average SSPL 90 (HFA SSPL 90) refers to:
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high frequency average saturation sound pressure level with a 90 dB SPL input
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The Saturation Sound Pressure level should:
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directly relate to the client's UCL
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ANSI standards can compare:
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one instrument to another
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The SSPL90 curve measures:
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all the tones across frequency
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All ANSI instrument measurements are:
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SPL
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Input sound pressure is measured:
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at the microphone opening of the hearing instrument
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Gain control is another name for:
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volume wheel
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A small pressure vent (0.020 to 0.030) in an earmold will:
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*have little or no effect on frequencies above 400 Hz
*generally reduce levels at frequencies below 200 Hz *reduce atmospheric pressure build-up |
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A long canal on the earmold has the effect of:
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accentuating the low frequencies
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Venting an earmold:
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is the most common modification made on an earmold
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The non-occluding earmold is excellent to use on:
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a CROS fitting
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Earmolds have two important parts:
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outer appearance and canal acoustics
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The greatest acoustic change in an earmold or ITE is:
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parallel venting
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The greatest deciding factors in material selection for an earmold are:
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power requirements
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To shift the resonant peak upward between 1500-3000 Hz, use:
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larger bore diameter
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In general, mold modifications are as follows:
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venting affects lows, damping the midrange and horn effects boost highs
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Which molds have the same outer appearance:
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skeleton and 2 HF
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Residual hearing, in combination with the hearing instrument, will:
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help improve communication
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At night, the battery in the instrument:
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can be left in the open battery door
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A BTE instrument, properly attached:
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fits the contour of the ear
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An advantage of a CIC fitting is:
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*reduced acoustic feedback during phone use
*decreased wind noise |
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When adjusting the volume control, the patient must:
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find an area on the control where sounds are comfortable
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When a standard instrument has a telephone coil, the patient:
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*switches to the 'T' position
*needs to increase the volume control |
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Advise the patient to wear the instrument:
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regularly on a daily basis
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Binaural amplification allows the patient to:
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wear both instruments at a quieter volume setting
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The patient maintains the instrument by:
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keeping it clean and free of wax
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Teach the patient to:
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operate the OTM switches and noise switches
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Basic verification involves:
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checking MCL and UCL in quiet and noise
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Verification procedures:
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check the accuracy of your fitting
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An effective verification is:
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a measurable improvement in communication
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Functional gain of the instrument:
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is one method of fitting verification
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Speech tests measured through the audiometer circuit:
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are 20 dB less because of ANSI Standards
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Ideally, when presenting recorded words in noise:
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the words are 10 dB louder than the noise
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Sound field is:
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a controlled environment
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Most patients use enough gain in the hearing instrument to understand quiet speech at a level of:
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55 dB SPL
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When UCL's are not balanced, a loud signal is perceived as:
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lateralizing to the ear with the higher output
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The following measurements use SPL as a reference:
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*probe microphones
*sound field aided thresholds *ANSI specifications |
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Which of the following is not a coupler used for measuring hearing aid performance:
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Zwisks Ear Simulator
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A Real Ear Measurement System incorporates all of the following:
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Signal Generator, Reference Microphone, Measurement Microphone, Display Device
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REUR Measurements are taken in:
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an open human ear canal
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At what distance from the Tympanic Membrane should the end of the probe tube be placed:
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within 5 millimeters
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When testing compression hearing aids which signal type is best to use:
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Fast Fourier Transform
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Loud speaker placement should be:
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1 meter at 45° azimuth
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Which of the following are included in correct test protocols:
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*adjusting the Probe Tube to minimize Standing Waves
*using the same stimulus type and level for all measurements *inserting the instrument with the power turned off |
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RESR Measurements for compression hearing aids have been replaced with:
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Real Ear aided responses
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Which of he following Real Ear targets has been documented to be the best for non-linear hearing aids:
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none have been proven to be better than any other
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Insertion Loss occurs when:
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The level in the ear canal with a hearing aid inserted is less than the input level
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Follow-up care is a variety of procedures which comprise:
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*long term management of the client's needs and use of amplification
*a process which never ends while the client is under the care of the hearing aid specialist *bringing out the best that the instrument can give |
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Emphasizing counseling to maximize amplification benefits is:
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a program that should start before the fitting
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Aural rehabilitation:
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continues for as long as the patient wears an instrument
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Patients are always aware of:
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the way they hear today
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When the patient experiences difficulties, one of the problems could be:
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*a procedural flaw in the original hearing loss assessment
*an error in judgement in hearing instrument selection *misestimation of some aspect of the hearing problem |
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User satisfaction must include:
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patient preference
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Client acceptance involves counseling on:
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*emotional and social concerns
*attitude and motivation |
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Friends and family help patients wearing hearing instruments to hear better by:
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combining visual clues
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Your counseling avoids:
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unreasonable expectations
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Family and friends can have a negative influence on the patient by:
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expressing frustration that the patient does not have 'normal' hearing
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When a hearing aid sounds weak, hollow, distorted, or intermittent, the first check is:
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a weak battery
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An otoscope helps when cleaning the:
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receiver
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When a hearing aid is dead, you can check receiver and microphone function by:
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turning the instrument to telecoil
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A hearing aid that works with the battery door slightly open, but shuts off when you close the door has:
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wires touching the battery
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You CANNOT use feedback checks when:
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checking the telephone coil
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An earhook damper is plugged when, during a feedback check:
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the instrument feeds back only when the coupler is removed
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A sign of a dirty volume control is:
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intermittent static
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Reduction of background noise can be improved by:
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directional microphones
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When a new hearing instrument has feedback at the patient's comfortable level, the problem is usually:
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too much wax in the ear canal
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An ITE or Canal aid has internal feedback when:
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the receiver tubing is not completely sealed to the sound bore
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