Vision & Hearing Certification Test

The Tumbling "E" chart is appropriate for children: A. Ages 5-6. B. Who can identify alphabet letters 100% of the time. C. Who do not know directions. D.None of the above.

A. Ages 5-6.

Earphones should: A. Be placed on the child's head for them. B. Be handed to the child for him to put on. C. Fit loosely. D. Placed over glasses.

A. Be placed on the child's head for them.

A ruptured eardrum could be the cause of what type of hearing loss? A. Conductive B. Sensorineural C. Mixed D. Functional

A. Conductive

Intensity refers to the degree of: A. Speech B. Pain C. Time D. Loudness

D. Loudness

The three types of hearing loss are: A. Conductive, sensorineural, mixed. B. Sensorineural, mixed, maximum. C. Mixed, conductive, substantial. D. Minimum, conductive, sensorineural

A. Conductive, sensorineural, mixed.

After the second screen, 4-year-old Sarah has 20/40 acuity in the right eye and 20/20 acuity in the left eye. Sarah should be: A. Failed and referred. B. Passed with no further testing. C. Passed with observation by the classroom teacher. D. None of the above.

A. Failed and referred.

One objective of a screening program is: A. Diagnose vision problems. B. Treat vision problems. C. Identify a potential vision problem. Determine whether a child needs glasses

C. Identify a potential vision problem.

Which of the following is NOT a sign or symptom of a vision problem? A. Clumsiness. B. Squinting. C. Not turning in assignments. D. Avoiding close work.

C. Not turning in assignments.

Carson, a third grader, displays no signs or symptoms of hearing loss, but he has failed two sweep-check screens. What should be your next step as a screener? A. Rescreen next year B. Examine the ear C. Perform extended recheck or refer D. None of the above.

C. Perform extended recheck or refer

The Hirschberg corneal light reflex test is used to detect possible: A. Significant hyperopia (farsightedness). B. Severe myopia (nearsightedness). C. Strabismus (constant muscle imbalance). Astigmatism (uneven corneal curve).

C. Strabismus (constant muscle imbalance).

Binocular vision is: A. The ability to see well from far away. B. A vision problem that can be corrected with glasses. C. The ability to use both eyes at the same time to focus on the same object and combine two images into a single image. D. None of the above.

C. The ability to use both eyes at the same time to focus on the same object and combine two images into a single image.

The unit of measure for intensity is: A. Hz (hertz) B. AP (alternating pressure) C. dB (decibel) D. HL (hearing level)

C. db (decibel)

Pure-tone screening audiometers should include the following frequencies: A. 250, 500, 1000, 2000, 4000, and 6000 Hz. B. 750, 1000, 2000, and 4000 Hz. C. 500, 1000, and 2000 Hz. D. 1000 and 2000 Hz.

A. 250, 500, 1000, 2000, 4000, and 6000 Hz.

Always begin screening for distance acuity: A. On the beginning or practice line. B. One line below the passing line. C. At the 20/20 line. D. At the 20/200 line.

A. On the beginning or practice line.

The ear is divided into three parts: A. Outer ear, middle ear, inner ear. B. External auditory canal, middle ear cavity, neural mechanism. C. Auricle, tympanum, neural mechanism. D. Outer ear, middle ear, vestibular mechanism.

A. Outer ear, middle ear, inner ear.

The type of sound used for hearing screening purposes is called a: A. Pure tone B. Hearing tone C. Alternating tone D. Level off tone

A. Pure Tone

One correct color code for audiometer earphones is: A. Red for right B. Blue for right C. Red for left D. Black for right

A. Red for right

Each candidate for the monthly biological calibration check must be able to hear the tone at all six frequencies (1000, 2000, 4000, 6000, 500, and 250 Hz) in both ears at an intensity of 25 dB or better. A. True B. False

A. True

If one audiometer earphone becomes defective, you do not replace it with an earphone from another audiometer that has recently been calibrated. A. True B. False

A. True

Passing criteria for the Hirschberg corneal light reflex test is a reflection in the center of each pupil-or slightly toward the nose-in the same place in each pupil. A. True B. False

A. True

Passing the visual acuity screen is determined by the child's ability to read the majority (at least one more than half) of the symbols of his or her passing line. A. True B. False

A. True

Visual acuity is always the last line that was read correctly (passed). A. True B. False

A. True

The first frequency to be tested in the pure-tone sweep-check screen is: A. 500 Hz B. 1000 Hz C. 4000 Hz D. 6000 Hz

B. 1000 Hz

While performing the pure-tone sweep-check screen, do not increase the intensity of the test tones above the allowable limit of: A. 15 dB B. 25 dB C. 40 dB D. 50 dB

B. 25 dB

How many frequencies must you hear in each ear in order to pass the sweep-check screen? A. One B. All C. The majority D. Four out of six

B. All

The annual vision screening report is: A. Mailed to the Department of State Health Services. B. Completed online by June 30 of each year. C. Is emailed to doctors' offices each year as part of your follow-up. D. Is mailed to the children's parents.

B. Completed online by June 30 of each year.

Children who wear glasses or contacts should always remove them before screening. A. True B. False

B. False

The HOTV Crowded Test may be used at a 20-foot distance. A. True B. False

B. False

You must have three certified screeners present to conduct a screening. A. True B. False

B. False

Distance acuity screens for ___________________________: A. Muscle imbalance. B. How well a child sees at a distance. C. Strabismus. D. All of the above.

B. How well a child sees at a distance.

Erica is a 4th grader who transferred into your school from another school in the same district. According to Texas law, does she need to be screened? A. Yes B. No

B. No

The most common cause of conductive hearing loss in young children is: A. German measles (rubella). B. Otitis media (ear infection). C. Noise exposure. D. Ototoxic drugs.

B. Otitis media (ear infection).

Muscle balance tests are: A. Not recommended. B. Recommended. C. Required by law. D. Not conducted anymore.

B. Recommended.

The following frequencies should be used for the pure-tone sweep-check screen: A. 250, 500, 1000, 2000, 4000, and 6000 Hz. B. 500, 1000, 2000, 4000, and 6000 Hz. C. 1000, 2000, and 4000 Hz. D. 1000, 2000, 4000, and 6000 Hz.

C. 1000, 2000, and 4000 Hz

_______________ is the most common screening error. A. Using the wrong chart. B. Starting with the wrong beginning line. C. Allowing the child to peek around the occluder. D. Allowing other children to be present during a screening.

C. Allowing the child to peek around the occluder.

When conducting the cover and uncover test, care should be taken that: A. The penlight works. B. Other children are not watching. C. The child holds fixation on the target. D. None of the above

C. The child holds fixation on the target.

Which of the following is not a symptom of hearing loss: A. Dizziness with no apparent cause. B. Ringing or buzzing in the ear(s). C. Unexplained drowsiness. D. Need for loud volume on TV or radio.

C. Unexplained drowsiness.

Before the screener is ready to do the pure-tone sweep-check screen, he or she should check: A. For proper operation of all controls and switches. B. To be sure that all plugs are secured in electrical outlets, jackets, etc. C. That the screening environment is suitable. D. All of the above.

D. All of the Above

A possible source of error is a hearing screening program is: A. The equipment B. The environment C. The examiner D. All of the above

D. All of the above

A 20/30 acuity is considered passing for children who are: A. 5 years old. B. 6 through 10 years of age. C. 11 through 18 years of age. D. All of the above.

D. All of the above.

Before any of the three eye charts may be used for screening, the child must: A. Show an understanding of how the screen works (e.g., how the "game" is played). B. Demonstrate ability to respond accurately to sample symbols 100% of the time (match or name, as the case may be). C. Be able to transfer the "game" to the eye chart for accurate screening. D. All of the above.

D. All of the above.

The chart(s) required by the Department of State Health Services for basic visual acuity screening is: A. The Sloan letter chart. B. The Tumbling "E" chart. C. The HOTV Crowded Test. D. All of the above.

D. All of the above.

When using a vision screening instrument other than an approved eye chart (e.g., photoscreening, telebinocular screening machines), the screener must: A. Be very practiced in the proper use of the instrument. B. Be very attentive to the child's movements or activities during screening (look for signs and symptoms of a vision problem). C. Refer children who fail the photoscreening. D. All of the above.

D. All of the above.

The pure-tone sweep-check screen should be done: A. Only on the right ear. B. Only on the left ear. C. On whichever ear the pure-tone sweep-check screen results indicate there is a problem. D. Always on both ears.

D. Always on both ears

When noise in the screening environment does not permit screening at 25 dB intensity for the pure-tone sweep-check screen, you should: A. Instruct the child to listen for softer tones. B. Increase the screening level to one that can be easily heard. C. Use longer presentations of the tone so that the child can hear them better. D. Discontinue testing and relocate to a quieter area.

D. Discontinue testing and relocate to a quieter area.

The two physical attributes used to define a pure-tone are: A. Loud and soft. B. Pitch and quality. C. Intensity and hearing level. D. Frequency (Hz) and intensity (dB).

D. Frequency (Hz) and intensity (dB).

Each child who fails the first pure-tone sweep-check screen should be: A. Referred for medical attention. B. Set aside for observation. C. Referred for an audiological evaluation. D. Rescreened with another pure-tone sweep-check screen no sooner than three and not more than four weeks later

D. Rescreened with another pure-tone sweep-check screen no sooner than three and not more than four weeks later

If the child fails the first distance acuity screen and has no obvious signs or symptoms of visual difficulty, that child should be: A. Immediately referred to their primary care provider. B. Sent home immediately. C. Rescreened the next year. D. Rescreened within two to three weeks.

D. Rescreened within two to three weeks.

The eye chart should always be placed so that the: A. 20/20 line is level with the eyes of the child being screened. B. Top of the chart is level with the eyes of the child being screened. C. 20/50 line is three feet from the floor. D. The passing line (20/30 or 20/40) is level with the eyes of the child being screened.

D. The passing line (20/30 or 20/40) is level with the eyes of the child being screened.

While screening a child, you should sit so that: A. The child can see the controls on the audiometer. B. Have other children stand behind you. C. Both A and B. D. You are looking at the child with your peripheral vision.

D. You are looking at the child with your peripheral vision