聽力學(xué)專業(yè)英語與助聽器驗配測試試題及答案考試時長：120分鐘滿分：100分班級：__________姓名：__________學(xué)號：__________得分：__________試卷名稱：聽力學(xué)專業(yè)英語與助聽器驗配測試試題考核對象：聽力學(xué)專業(yè)學(xué)生、行業(yè)從業(yè)者題型分值分布：-判斷題（10題，每題2分）總分20分-單選題（10題，每題2分）總分20分-多選題（10題，每題2分）總分20分-案例分析（3題，每題6分）總分18分-論述題（2題，每題11分）總分22分總分：100分---一、判斷題（每題2分，共20分）1.Audiometryisasubjectivetestusedtomeasureanindividual'shearingsensitivity.2.Theterm"pure-toneaudiogram"referstoagraphthatdisplaysapatient'shearingthresholdsacrossdifferentfrequencies.3.Asoundpressurelevel(SPL)of60dBHLisconsiderednormalhearingforadults.4.The"Webertest"isusedtodeterminethelateralizationofhearinglossbypresentingatoneatmidline.5.A"sinewave"isatypeofsoundwavethatiscommonlyusedinpure-toneaudiometry.6.The"acousticreflex"isaninvoluntarymusclecontractioninthemiddleearthathelpsprotecttheearfromloudsounds.7.The"Knicktest"isaprocedureusedtoassesstheintegrityoftheossicularchain.8.A"scoopingeffect"isaphenomenonwheretheaudiogramshowsadipinhearingsensitivityathigherfrequencies.9.The"OSSIE"(Oto-Sensory-Integrity-Exam)isatestusedtoevaluatethefunctionoftheinnerear.10.The"Real-EarInsertionResponse"(REIR)isameasurementtakeninthepatient'searcanaltoverifytheperformanceofahearingaid.二、單選題（每題2分，共20分）1.Whichofthefollowingtermsreferstothesoftestsoundapersoncanhearatagivenfrequency?A.AuditorythresholdB.DecibellevelC.HearinglossD.Soundpressurelevel2.Whatistheprimarypurposeofthe"Webertest"?A.TomeasurethedegreeofhearinglossB.TodeterminethelateralizationofhearinglossC.ToassessthefunctionofthemiddleearD.Toevaluatetheintegrityoftheossicularchain3.Whichtestisusedtomeasuretheloudnessdiscomfortlevel(LDL)ofasound?A.Pure-toneaudiometryB.SpeechaudiometryC.AcousticreflextestD.Loudnessdiscomforttest4.Whatdoestheterm"dBHL"standfor?A.DecibelsinhearinglevelB.DecibelsinhearinglossC.DecibelsinhearinglossD.Decibelsinhearinglevel5.Whichofthefollowingisacommoncauseofsensorineuralhearingloss?A.OtitismediaB.PerforatedeardrumC.OtosclerosisD.Noiseexposure6.Whatisthetypicalfrequencyrangeforpure-toneaudiometry?A.250Hzto8kHzB.500Hzto4kHzC.1kHzto2kHzD.100Hzto1kHz7.Whichofthefollowingisasubjectivetestusedtomeasureaperson'sabilitytounderstandspeech?A.Pure-toneaudiometryB.SpeechaudiometryC.AcousticreflextestD.Auditorybrainstemresponse8.Whatisthepurposeofthe"Real-EarInsertionResponse"(REIR)?A.Tomeasurethehearingaid'soutputinthepatient'searcanalB.ToassessthefunctionofthemiddleearC.TodeterminethedegreeofhearinglossD.Toevaluatetheintegrityoftheossicularchain9.Whichofthefollowingisatypeofhearingaidthatiswornbehindtheear?A.In-the-ear(ITE)hearingaidB.Behind-the-ear(BTE)hearingaidC.In-the-canal(ITC)hearingaidD.Completely-in-the-canal(CIC)hearingaid10.Whatisthetypicalthresholdfornormalhearinginadults?A.0dBHLto20dBHLB.20dBHLto40dBHLC.40dBHLto60dBHLD.60dBHLto80dBHL三、多選題（每題2分，共20分）1.Whichofthefollowingarecomponentsofapure-toneaudiometrytest?A.AirconductionthresholdsB.BoneconductionthresholdsC.SpeechdiscriminationscoresD.Loudnessdiscomfortlevels2.Whatarethepossibleoutcomesofthe"Webertest"?A.LateralizationtothebetterearB.LateralizationtotheworseearC.NolateralizationD.Indeterminateresult3.Whichofthefollowingtestsareusedtoassessthefunctionofthemiddleear?A.AcousticreflextestB.TympanometryC.Pure-toneaudiometryD.Auditorybrainstemresponse4.Whatarethecommoncausesofconductivehearingloss?A.OtitismediaB.PerforatedeardrumC.OtosclerosisD.Noiseexposure5.Whichofthefollowingaretypesofhearingaids?A.In-the-ear(ITE)hearingaidB.Behind-the-ear(BTE)hearingaidC.In-the-canal(ITC)hearingaidD.Middle-earimplant6.Whatarethecomponentsofaspeechaudiometrytest?A.WordrecognitionscoresB.SentencerecognitionscoresC.AuditoryfigurescoresD.Loudnessdiscomfortlevels7.Whichofthefollowingareusedtomeasuretheperformanceofahearingaid?A.Real-EarInsertionResponse(REIR)B.AuditorybrainstemresponseC.Pure-toneaudiometryD.Speechmapping8.Whatarethecommonsymptomsofhearingloss?A.DifficultyunderstandingspeechinnoisyenvironmentsB.Ringingintheears(tinnitus)C.MuffledhearingD.Earpain9.Whichofthefollowingaretypesofhearingloss?A.SensorineuralhearinglossB.ConductivehearinglossC.MixedhearinglossD.Presbycusis10.Whatarethestepsinvolvedinahearingaidfittingprocess?A.HearingassessmentB.HearingaidselectionC.ProgrammingandverificationD.Follow-upandadjustment四、案例分析（每題6分，共18分）Case1:A45-year-oldmalepatientpresentswithcomplaintsofdifficultyhearinginnoisyenvironmentsandfrequentmisunderstandingsduringconversations.Audiometryrevealsamildslopinghearinglossintheairconduction(40dBHLat250Hz,30dBHLat500Hz,25dBHLat1kHz,20dBHLat2kHz,and15dBHLat4kHz).Thepatientreportsnohistoryofearinfectionsortrauma.Questions:1.Whattypeofhearinglossdoesthepatienthave?2.Whataretherecommendednextstepsforthispatient?Case2:A70-year-oldfemalepatientisreferredforahearingevaluationduetocomplaintsofprogressivehearinglossoverthepast5years.Audiometryshowsamoderatesensorineuralhearingloss(50dBHLat500Hz,60dBHLat1kHz,70dBHLat2kHz,and80dBHLat4kHz).Thepatientreportstinnitusanddifficultyhearingthetelevision.Questions:1.Whattypeofhearinglossdoesthepatienthave?2.Whatarethepotentialtreatmentoptionsforthispatient?Case3:A3-year-oldchildisreferredforahearingevaluationduetodelayedspeechdevelopment.Audiometryrevealsamoderateconductivehearingloss(40dBHLinbothears).Tympanometryshowsnormalmiddleearfunction.Questions:1.Whattypeofhearinglossdoesthechildhave?2.Whatarethepossiblecausesofthishearingloss?五、論述題（每題11分，共22分）1.Discusstheimportanceofpure-toneaudiometryinthediagnosisofhearingloss.Includethetypicalfrequencyrange,thresholds,andapplications.2.Explaintheroleofhearingaidsinthemanagementofhearingloss.Discussthedifferenttypesofhearingaids,theiradvantages,andlimitations.---標(biāo)準(zhǔn)答案及解析一、判斷題1.√2.√3.√4.√5.√6.√7.×（Knicktestisnotastandardtest;refertoothertestsliketympanometry）8.√9.√10.√解析：-TheWebertestisusedtodeterminethelateralizationofhearingloss,notthedegree.-TheKnicktestisnotastandardtest;refertoothertestsliketympanometryformiddleearassessment.二、單選題1.A2.B3.D4.A5.D6.A7.B8.A9.B10.A解析：-TheWebertestlateralizeshearingloss,notmeasuresit.-TheREIRmeasuresthehearingaid'soutputintheearcanal.-Normalhearingistypically0dBHLto20dBHL.三、多選題1.A,B2.A,B,C3.A,B4.A,B,C5.A,B,C,D6.A,B7.A,D8.A,B,C,D9.A,B,C,D10.A,B,C,D解析：-Speechaudiometryincludeswordandsentencerecognitionscores.-HearingaidsincludevarioustypeslikeBTE,ITE,ITC,andCIC.四、案例分析Case1:1.Thepatienthasamildslopingconductivehearingloss.2.Nextstepsincludeadetailedhistory,otoscopy,andpossiblyimaging(e.g.,MRI)toruleoutmiddleearpathology.Ifnopathologyisfound,hearingaidevaluationmayberecommended.解析：-Thehearinglossisconductiveduetotheslopingpattern.-Furtherevaluationisneededtodeterminethecause.Case2:1.Thepatienthasamoderatesensorineuralhearingloss.2.Treatmentoptionsincludehearingaids,assistivelisteningdevices,andauditorytraining.解析：-Thehearinglossissensorineuralduetotheflatpattern.-Hearingaidsaretheprimarytreatment.Case3:1.Thechildhasamoderateconductivehearingloss.2.Possiblecausesincludeotitismedia,cerumenimpaction,orcongenitalanomalies.解析：-Thehearinglossisconductiveduetotheflatpattern.-Furtherevaluationisneededtodeterminethecause.五、論述題1.ImportanceofPure-ToneAudiometryPure-toneaudiometryisafundamentaldiagnostictoolinaudiologyusedtomeasureanindividual'shearingsensitivityacrossdifferentfrequencies.Thetypicalfrequencyrangeforpure-toneaudiometryis250Hzto8kHz,withthresholdsmeasuredindecibelshearinglevel(dBHL).Thetestassessesbothairconduction(AC)andboneconduction(BC)thresholds,helpingtodifferentiatebetweenconductiveandsensorineuralhearingl