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CASE 1Patient Profile: A 68-year-old individual with bilateral sensorineural hearing loss. No contraindications to ear mold.General Medical History: Generally healthy, managed hypertension.Otologic History: No history of ear infections or surgeries. Gradual onset of hearing loss over the past 10 years.Audiometric Profile: Bilateral sensorineural hearing loss with a pure-tone average (PTA) of 60 dB HL in both ears. Speech discrimination score (WORD REC IN QUIET) is 50%, bilaterally.Family and Social Context: Retired, lives with a spouse. Enjoys social gatherings with family and friends.Physical Functioning and Manual Dexterity: Good physical health and manual dexterity. Able to handle and maintain hearing aids.What hearing aid style would you recommend?

CASE 1 Patient Profile: A 68-year-old individual with bilateral sensorineural hearing loss. No contraindications to ear mold. General Medical History: Generally healthy, managed hypertension and diabetes. Otologic History: No history of ear infections or surgeries. Gradual onset of hearing loss over the past 10 years. Audiometric Profile: Bilateral FLAT sensorineural hearing loss with a pure-tone average (PTA) of 60 dB HL in both ears. Speech discrimination score (WORD REC IN QUIET) is 50%, bilaterally. Family and Social Context: Retired, lives with a spouse. Enjoys social gatherings with family and friends. Physical Functioning and Manual Dexterity: Good physical health and manual dexterity. Able to handle and maintain hearing aids. What receiver strength would you recommend? Fitting ranges all.JPG

Match the following characteristics to the appropriate prescription algorithm, NAL-NL2 or DSLv5.0.

CASE 3 Patient Profile: A 63-year-old with severe hearing loss in one ear and a mild loss in the other. Requires improved hearing in the severe loss ear and better awareness in the mild loss ear. General Medical History: Generally healthy, mild osteoarthritis. Otologic History: No ear surgeries. Unilateral hearing loss since childhood. Audiometric Profile: Severe hearing loss in the right ear (PTA 70 dB HL) and mild hearing loss in the left ear (PTA 30 dB HL). WORD REC IN QUIET was 36% for the right ear and 96% for the left ear. Family and Social Context: Married with grandchildren. Enjoys family gatherings and outings. Physical Functioning and Manual Dexterity: Some arthritis in fingers but manageable. Moderate manual dexterity. Fitting ranges all.JPG What receiver strength would you recommend in your amplification arrangement? Choose based on your response to the previous question.

CASE 1Patient Profile: A 68-year-old individual with bilateral sensorineural hearing loss. No contraindications to ear mold.General Medical History: Generally healthy, managed hypertension and diabetes.Otologic History: No history of ear infections or surgeries. Gradual onset of hearing loss over the past 10 years.Audiometric Profile: Bilateral FLAT sensorineural hearing loss with a pure-tone average (PTA) of 60 dB HL in both ears. Speech discrimination score (WORD REC IN QUIET) is 50%, bilaterally.Family and Social Context: Retired, lives with a spouse. Enjoys social gatherings with family and friends.Physical Functioning and Manual Dexterity: Good physical health and manual dexterity. Able to handle and maintain hearing aids.What coupling would you recommend?

Define AND discuss the interconnected terms and concepts of RETSPL, RECD, and REDD. As part of your answer, you should justify the importance of RECD measures in hearing aid fittings. (short answer, paragraph form)

CASE 1Patient Profile: A 68-year-old individual with bilateral sensorineural hearing loss. No contraindications to ear mold.General Medical History: Generally healthy, managed hypertension.Otologic History: No history of ear infections or surgeries. Gradual onset of hearing loss over the past 10 years.Audiometric Profile: Bilateral sensorineural hearing loss with a pure-tone average (PTA) of 60 dB HL in both ears. Speech discrimination score (WORD REC IN QUIET) is 50%, bilaterally.Family and Social Context: Retired, lives with a spouse. Enjoys social gatherings with family and friends.Physical Functioning and Manual Dexterity: Good physical health and manual dexterity. Able to handle and maintain hearing aids.What amplification type would you recommend for this patient?

CASE 5Patient Profile: A 15-year-old with bilateral congenital aural atresia, preventing sound transmission through the ear canals. Normal cochlear function in both ears (purely conductive hearing loss).General Medical History: Good overall health.Otologic History: Bilateral congenital aural atresia. No previous surgical interventions for reconstruction or hearing.Audiometric Profile: Bilateral congenital aural atresia, preventing sound transmission through the ear canals. Normal cochlear function in both ears. Moderate conductive hearing loss bilaterally (AC PTA is 57 for the right ear and 53 for the left ear; BC PTA is 10 dB for the right ear and 15dB for the left ear).Family and Social Context: Parents are actively involved in care. Attends special education school.Physical Functioning and Manual Dexterity: Child with normal physical health and manual dexterity.What side(s) would you aid?

 Which of the following verifies that the business objectives of the system are in fact working? 

Which of the following muscles raises each labial commissure of the lips to contribute to a patient’s smile?