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20Q: Hearing Aid Verification - Will AutoREMfit Move the Sticks?

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1.  autoREMfit is:
  1. the same as "first fit" in a hearing aid manufacturer's hearing aid fitting software
  2. the same as 'factory default settings' from a hearing aid manufacturer
  3. a real ear measure that involves the probe-mic equipment and hearing aid fitting software talking to each other
  4. a new automotive technology that is being applied to hearing aid fitting
2.  The goal of autoREMfit is:
  1. setting the hearing aid to the patient's preferred listening levels
  2. obtaining a fit to target more quickly especially with bilateral fittings
  3. obtaining a hearing aid fitting that will allow the patient automatic acclimatization throughout the trial period
  4. eliminating the fitting professional from the hearing aid fitting process
3.  In situ fit:
  1. is the same as autoREMfit
  2. delivers the signal closer to the tympanic membrane than typical probe mic measures
  3. may estimate the signal in the ear at a point that is further away from the tympanic membrane than probe mic measures
  4. delivers the signal via an external speaker of the probe mic equipment
4.  "Move the sticks" in the course title refers to:
  1. moving the real ear aided response closer to prescriptive targets for a 50 dB input level
  2. moving the real ear aided response closer to prescriptive targets for a 90 dB input level
  3. getting more professionals to conduct real ear hearing aid verification routinely
  4. getting more professionals to use slim tube hearing aids over custom models
5.  Which statement best describes the history of autoREMfit?
  1. autoREMfit became available for the first time in 2017
  2. autoREMfit has widespread use in the US and is now being introduced in Europe
  3. autoREMfit is in beta testing and is not yet available
  4. autoREMfit has been around since the early 2000s, but a new development from HIMSA now allows cross manufacturer communication so that it can be more easily implemented by more companies
6.  According to the authors, hearing aid manufacturers:
  1. encourage the use of autoREMfit
  2. prohibit the use of autoREMfit
  3. discourage the use of autoREMfit
  4. deem autoREMfit as experimental and risky
7.  Which of the follow factors affects how a hearing aid fitting using the autoREMfit procedure compares to a fitting that uses speechmapping following best practices?
  1. whether the autoREMfit fits to the REIG or REAR
  2. whether the autoREMfit turns off the hearing aid features or leaves them on
  3. whether the autoREMfit procedure uses the probe mic targets for NAL
  4. all of the above
8.  Which of the following statements best describes hearing aid manufacturers' implementation of NAL-NL2 targets in their fitting software based on research in this area?
  1. all manufacturers implement NAL-NL2 exactly the same
  2. manufacturers may implement NAL-NL2 slightly differently, but research shows these differences result in no more than a 2 dB difference in measured output from the NAL targets
  3. manufacturers have all agreed that the NAL-NL2 targets are too loud and have all implemented the same variation of NAL-NL2 which implements slightly lower targets for average and loud inputs
  4. manufacturers likely implement NAL-NL2 differently and it varies among manufacturers; research shows there can be a large degree of error as compared to a true NAL-NL2 target
9.  When using the autoREMfit procedure, the authors recommend:
  1. using validated prescriptive methods rather than manufacturer proprietary fitting targets
  2. using each manufacturer's proprietary fitting targets that have been optimized for that manufacturer's products
  3. assume that fitting to 65 dB SPL targets is probably ok for all patients and just go with it without verifying on a few patients
  4. turning off all hearing aid features
10.  Which of the following statements best summarizes the take away messages in this article regarding autoREMfit?
  1. since more than 90% of audiologists already use speechmapping and are comfortable with it, autoREMfit is unlikely to change the way professionals verify fittings
  2. Pilot data on autoREMfit shows it is highly inaccurate for most hearing aid manufacturers and is still in the experimental phase; it is not recommended for clinical use at this time.
  3. Pilot data on autoREMfit accuracy is encouraging for at least a few of the major manufacturers, and audiologists can heed some recommendations to help ensure accuracy when implementing autoREMfit
  4. yes! This is the magic bullet we've been waiting for to make fittings extremely accurate with a single click - no thinking required!

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