COMD465 Final Exam

Adults & Geriatrics

100

For a patient with presbycusis, what are some of the complaints they're likely to report?

(1) difficulty understanding speech in noise

(2) they can hear, but can't understand words

200

What are some ways you might assess benefit with a hearing aid for an adult?

Compare aided to unaided performance to determine how much speech understanding improves with the device. Alternative self-report questionnaires/surveys may also be used

300

If an individual with hearing loss is asking their primary care doctor for more information on what causes hearing loss, which stage of the patient journey are they most likely in?

Movement

400

What are some factors that would influence your hearing aid selection process for an 85-year-old patient?

(1) physical variables (e.g., vision, motor, cognition)

(2) social network

(3) motivation to pursue hearing aids

(4) communication needs

(5) degree of hearing loss

500

How could a patient's social network influence aural rehabilitation?

(1) More social interactions = less likely to suffer from loneliness/depression

(2) More social interactions = more motivated to pursue hearing aids

(3) More social interactions = larger perceived impact of hearing loss on social life

Pediatrics

100

What are three reasons why listening in the classroom environment is challenging?

(1) Distance
(2) Noise

(3) Reverberation

200

What are some differences you'd expect between a prelingual cochlear implant user and a post lingual cochlear implant user?

The prelingual user would have no foundation for language - so may require more explicit therapy/training aimed at establishing spoken language. The post lingual user would have a language foundation already, so the goal from therapy/training would be learning to listen again.

300

What does it mean if a parent wants to "mainstream" their deaf child?

The goal would be to put in supports to integrate the child with hearing loss into classes with normal hearing children.

400

What is an example of the audiologist's role on an IEP?

Ex. school-age child struggles with auditory discrimination. A goal is set to have the child master discrimination between two phonemes with 75% accuracy

500

What are three benefits of the FM system for classroom use?

(1) child has improved auditory access by bypassing barrier of distance/noise

(2) teacher does not have to strain voice to improve signal to noise ratio for child

(3) less reliance on visual cues, so teacher can move about and child still has good access

Random

100

Give an example of a sound comprehension task?

Read a story aloud to a child and have them answer comprehension questions.

200

True or False: A teacher should routinely change the channel on the FM system for different students in the same classroom.

False! Each classroom can use its own channel with multiple students on the same channel.

300

True or False: Families of pediatric patients with hearing loss are likely to be choosing between ASL and cochlear implant by the time the child is 8.

False! Communication mode should be established by the time the child enters elementary school.

400

What is the difference between cued speech and a signed language (ex. ASL)?

Cued speech uses phonemically-based hand gestures to supplement speechreading. Sign language uses hand and body movements to signal concrete words & concepts.

500

Describe a theory on potential etiology of tinnitus.

Brain creating a sound in the absence of sound stimulating the auditory system.