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160 Cards in this Set

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