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DHLS Exam Paper: Communication Disorders

The document outlines the examination details for the Diploma in Hearing Language and Speech (DHLS) at the Ali Yavar Jung National Institute of Speech and Hearing Disabilities, scheduled for December 23, 2020. It includes various sections with questions related to communication disorders, hearing aids, auditory training, and government welfare schemes for children with hearing impairment. The exam consists of multiple-choice questions, short answer questions, and detailed essay prompts.

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0% found this document useful (0 votes)
704 views2 pages

DHLS Exam Paper: Communication Disorders

The document outlines the examination details for the Diploma in Hearing Language and Speech (DHLS) at the Ali Yavar Jung National Institute of Speech and Hearing Disabilities, scheduled for December 23, 2020. It includes various sections with questions related to communication disorders, hearing aids, auditory training, and government welfare schemes for children with hearing impairment. The exam consists of multiple-choice questions, short answer questions, and detailed essay prompts.

Uploaded by

001examp
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

ALI YAVAR JUNG NATIONAL INSTITUTE OF SPEECH AND HEARING DISABILITIES (DIVYANGJAN),

MUMBAI - 400 050

DIPLOMA IN HEARING LANGUAGE AND SPEECH (DHLS) (REV)


EXAMINATION FOR RCI RECOGNIZED CENTRES- DECEMBER, 2020
(REGULAR (2019 - 20) BATCH AND FAILED & ELIGIBLE (2016-17, 2017-18 & 2018-19) BATCH
CANDIDATES MAY APPEAR FOR THIS EXAMINATION)

PAPER- DHLS 3 (P02-T03): MANAGEMENT OF COMMUNICATION DISORDERS -1

Date : 23.12.2020 Duration : 3 hrs.


Time: 10.00 a.m. to 01.00 p.m. Max. Marks: 70
====================================================================================
SECTION -I
(Q.1) STATE TRUE OR FALSE (All Compulsory) (1 m x 5 = 5 marks)

(1) Hearing aids can be immersed in water without any damage.

(2) fol is one of the six sound of the Ling's test.

(3) Ear mould can be used for children with no pinna.

(4) Pencil cells are used in ear level hearing aids.

(5) Identification is the second stage of auditory training.

(Q.2) ANSWER IN ONE WORD (All Compulsory) (1 m x 5 =5 marks)


( 1) Write the range of hearing thresholds for severe hearing loss.

(2) State the function of microphone.

(3) Name one integral part of hearing aid .

(4) Name the act that provides guardianship to persons with disabilities.

(5) Hearing impairment affects one of the noblest functions of the human being , which is called
as_ __

SECTION - II

(Q.1) ANSWER IN ONE OR TWO SENTENCES (ANY 7 OUT OF 9) (2 m x 7 =14 marks)


'
(1) Two characteristics of children with multiple disability.

(2) Functions of receiver

(3) Types of Ear mould

(4) Use of teaching aids used for children with hearing impairment

(5) Possible reasons for "Aid makes a whistling sound when worn"

(6) Stages of auditory training.

(7) Functions of microphone and telecoil in .hearing aid

(8) Role of Community awareness programme

(9) Two reasons of why hearing aid selection for infants and young children are different than
adults

P.T.O
(Q.2) ANSWER IN BRIEF (ANY 4 OUT OF 6) (3mx4=12marks)

(1) Mention the limitations of group Auditory Training

(2) What is cued speech?

(3) Explain about ADIP Scheme.

(4) What is Ling's six sound test?

(5) Write a note about role of a teacher in guiding parents about acceptance of hearing aids by
them .

(6) Define a mould and its basic functions in brief.

SECTION - Ill

(Q. 1) WRITE SHORT NOTES ON (ANY 3 OUT OF 5) (6 m x 3 = 18 marks)

(1) Explain care and maintenance of BTE hearing aid .

(2) Describe the factors affecting speech reading training .

(3) What are the faults that can be detected in a hearing aid by doing a daily check?

(4) Explain the use of teaching aids and language workbook for children with hearing impairment.

(5) What is speech banana? Describe its importance.

SECTION - IV

(Q. 1) WRITE IN DETAIL (ANY 2 OUT OF 4) (8 m x 2 = 16 marks)

(1) Describe and discuss the Government Welfare schemes for children with hearing impairment.

(2) Explain the advantages and limitations of body and ear level hearing aids.

(3) Mention about the assessment of auditory performance and methods of recording auditory
responses and its progress.

(4) Explain the working of a body level hearing aid. Draw a block diagram and also explain how
each part of the hearing aid functions.

**********

Common questions

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Community awareness programs are vital in managing communication disorders as they promote understanding, reduce stigma, and encourage inclusive practices. By educating the public about the challenges faced by individuals with communication disorders, these programs foster a supportive environment that can lead to better social integration. Moreover, they can increase accessibility to resources and services, ultimately enabling individuals to achieve improved quality of life and participation in community activities .

The effectiveness of speech reading training is impacted by several key factors including the individual's residual hearing ability, visual acuity, cognitive processing skills, and motivation. Environmental factors, such as lighting and the background of the speaker, also play significant roles. Emotional factors, such as the individual's confidence and anxiety levels, can further influence how effectively speech reading skills are developed and applied in real-world situations .

Teaching aids and language workbooks play a crucial role in the education of children with hearing impairments by offering structured support to enhance learning. They provide visual and tactile stimuli that can complement auditory information, reinforcing language concepts and helping to bridge gaps in understanding that may arise from auditory limitations. These resources allow for individualized instruction, addressing specific learning needs, and promoting engagement through interactive activities that encourage language use and comprehension .

A hearing aid may produce a whistling sound due to feedback, which can occur if the earmold does not fit properly, causing sound to leak back into the microphone. Other reasons include buildup of earwax or a malfunctioning hearing aid. To mitigate these issues, it's important to ensure a proper fit of the earmold, regular ear cleaning to prevent wax blockages, and routine maintenance checks on the hearing aid components to address any technical malfunctions .

Body-level hearing aids offer high amplification, making them suitable for profound hearing losses, and they often include larger controls, making them easier for some individuals to operate. However, they can be cumbersome and less discreet. On the other hand, ear-level hearing aids are more cosmetically appealing and convenient for daily wear but may not provide the same level of amplification for profound losses and can be more challenging to manipulate for individuals with dexterity issues. Both types require different maintenance considerations and offer various functionalities that must be matched to individual needs .

The selection of hearing aids for infants and young children differs from adults primarily due to the developmental and anatomical differences. Children have smaller ear canals, which can affect the acoustics of hearing aids, requiring custom fittings to ensure proper sound delivery and comfort. Additionally, the auditory system of children is still developing, so there's a greater emphasis on ensuring that hearing aids support speech and language development. Safety and durability are also heightened considerations, as devices must withstand active play and potential mishandling .

Microphones in hearing aids pick up sound waves from the environment and convert them into electrical signals, which are then processed and amplified for the user. Telecoils enhance auditory processing by allowing hearing aids to directly receive signals from compatible telephones or assistive listening devices, reducing background noise and improving sound clarity. Together, these components facilitate improved sound localization and speech understanding, crucial for effective communication .

The 'speech banana' is significant in audiology as it represents the area on an audiogram where the phonemes of human speech appear when spoken at a normal conversational level. Its role in hearing impairment assessments is to visualize which speech sounds may be inaudible to a person with hearing loss. Understanding a patient's hearing relative to the speech banana helps audiologists design interventions that optimize hearing aid settings to improve speech comprehension, critical for effective communication .

Limitations of group auditory training include difficulty in addressing individual needs, as participants may have varying degrees of hearing loss and require different strategies. There's also a risk of distraction within the group setting, which can reduce the effectiveness of training for some individuals. Additionally, the group context may limit personalized feedback and adjustment of training activities to meet specific learning paces and preferences, which are important in mastering auditory skills .

Potential faults detected in a hearing aid through daily checks include battery issues, distortion or no sound output, buildup of earwax or moisture in the device, and feedback or whistling sounds. Addressing these issues promptly is crucial to ensure the hearing aid functions as intended, providing consistent auditory input which is essential for effective communication and auditory rehabilitation. Regular maintenance helps prevent long-term damage and costly repairs .

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