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Department-hosted Hearing Aid Dispenser Exam (DHADE) — Information & Free Practice

US-AZ · Examination information

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Department-hosted Hearing Aid Dispenser Exam (DHADE)

Examination outline
  • Test #1: Ear Impression Procedures
    • Preparing the workspace
    • Infection control and sanitation
    • Patient communication- providing instructions and expectations throughout
    • Otoscopic inspection
    • Identifying contraindications to taking an ear impression
    • Selection and placement of an otoblock (otodam)
    • Impression materials and mixing techniques
    • Syringe loading and impression techniques
    • Proper bracing techniques
    • Removal and inspection of the completed impression
    • Patient education and follow-up
    • Packaging and handling of ear impressions
    • Safety considerations throughout the procedure
  • Test #2: Pure Tone and Speech Audiometry
    • Audiometer performance checks
    • Speech circuit calibration
    • Purpose and rationale for calibration
    • Consequences of improper calibration
    • Pure-tone air conduction testing
    • Bone conduction testing
    • Speech reception threshold (SRT)
    • Speech discrimination (word recognition)
    • Uncomfortable Loudness Levels (ULL) or Threshold of Discomfort (TD)
    • Patient instructions for audiometric testing
    • Troubleshooting unexpected patient responses
    • Masking principles
    • Test reliability and validity
    • Infection control during testing
  • Test #3: Counseling and Device Orientation
    • Hearing aid battery replacement or charging procedures
    • Telecoil technology, signage, and operation
    • Hearing aid controls and features
    • Realistic expectations for new hearing aid users
    • Cleaning and routine maintenance
    • Daily care and storage
    • Troubleshooting common hearing aid concerns
    • Communication strategies for hearing aid users and family members
    • Assistive listening devices and other hearing resources
    • Community resources and support services
  • Test #4: Audiogram Review
    • Fitting candidacy
    • Degree of hearing loss
    • Type of hearing loss
    • Symmetry versus asymmetry
    • Air-bone gaps
    • Masking
    • Speech test interpretation
    • Configuration of hearing loss
    • Stenger method
    • Appropriate next steps or medical referrals
    • Identifying clinically significant findings
  • Test #5: Hearing Aid Data Sheet Review
    • Frequency response
    • Gain
    • Output
    • Compression characteristics
    • Battery information
    • Hearing aid features
    • Performance specifications
    • Comparison of hearing aid models
  • Test #6: Fitting Dynamics and Customization
    • Hearing aid fittings
    • Coupling systems
    • Earmolds and domes
    • Venting
    • Tubing
    • Receiver selection
    • Physical fit and retention
    • Acoustic modifications
    • Feedback management
    • Customization techniques
  • Arizona Revised Statutes (A.R.S.) Title 36, Chapter 17 and Arizona Administrative Code (A.A.C.) Title 9, Chapter 16, Article 3: the statutes and rules governing hearing aid dispensers regarding bill of sale and client file requirements.
Examination sources

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This examination may be required or accepted as an alternative, depending on the license and application pathway.