Running each element
A practical, test-by-test guide to performing each simulation element during a submission and recording your result.
This is your hands-on hub for the simulator. For each element type below, you'll find a short walkthrough of what you do during a submission — the controls you touch and how you record a result. Each section links to that element's full page if you want the complete picture (including how it's designed and scored).
If you haven't yet, skim The submission flow first — it covers how you move between elements, how work saves, and how to submit.
You'll only ever see the elements your instructor included in the lesson, and only the ones meant for you. Not every lesson has every test.
At a glance
| Element | What you do | Full guide |
|---|---|---|
| Audiometry | Present tones, add masking, plot the audiogram | Audiometry |
| Otoscopy | Examine the ear canal and eardrum, record what you see | Otoscopy |
| Tympanometry | Run a trace per ear, read the result | Tympanometry |
| Acoustic Reflexes | Test reflexes across frequencies, mark present/absent | Acoustic Reflexes |
| Speech in Quiet | Find thresholds and score words with the audiometer | Speech in Quiet |
| Information | Read the briefing and answer any questions | Information |
Audiometry
You sit at a simulated two-channel audiometer and find the patient's hearing thresholds. Pick the ear, the transducer (air via headphones, or bone), and a frequency, then present a tone and adjust the level up or down until you find the softest level the patient reliably responds to. When you've nailed a threshold, plot it on the audiogram by placing the marker at that frequency and level.
When air and bone results suggest crossover, switch on masking in the second channel and follow the masking procedure before re-recording the threshold. Your plotted audiogram — every marker you place — is your answer.
On phones and tablets the audiometer simplifies to a combined audiogram with a Channel 1 / Channel 2 tab switch, and you place markers by touch.
See Audiometry for the full test.
Otoscopy
You perform a visual exam of the ear. Use the otoscope view to look down the ear canal at the eardrum, moving the light or spotlight to inspect the field (this works by touch as well as mouse). Once you've appraised what you see, record your finding — typically by selecting the condition you observe and any relevant details for that ear.
Do both ears if the lesson includes them. Your recorded observation is what gets scored.
See Otoscopy for the full test.
Tympanometry
You measure middle-ear function. For each ear, run the trace to produce a tympanogram, then read and record the result — the shape/type of the curve and its key values. Switch ears and repeat.
The chart sizes itself to your screen, so the trace is readable on a phone just as on desktop. The values you log per ear are your answer.
See Tympanometry for the full test.
Acoustic Reflexes
You test the stapedial reflex. Work through the frequencies and the relevant ipsilateral / contralateral conditions, presenting at each and deciding whether a reflex is present or absent — and, where present, at what level. Mark each result in the grid as you go.
The plot and controls stack into a single scrollable column on small screens. Your completed grid of present/absent (and thresholds) is what's scored.
See Acoustic Reflexes for the full test.
Speech in Quiet
"Speech in Quiet" covers the speech tests run on the audiometer. Depending on the lesson you may see one or more of:
- SRT (Speech Recognition Threshold) — present spondee words and adjust the level to find the softest level the patient can repeat them, then record the threshold.
- WRS (Word Recognition Score) — play a word list at a set level, mark each word correct or incorrect as the patient responds, and Theta tallies your percent-correct score for that ear.
- Sound Sensitivity (SAT / MCL / UCL) — present signals and record the patient's most comfortable and uncomfortable levels.
Each speech test is tied to the patient's audiogram, and you can apply masking to the non-test ear when needed, just like in the audiometry element. Choose the ear, run the test, and log the result for each.
See Speech in Quiet for the full set of tests.
Information
Not every element is a test. An Information element gives you something to read — a case history, a clinical briefing, or context for the patient — and may ask you to respond. When a response is requested, type your answer in the field provided; it saves automatically like everything else.
Information elements that only present material (no response) are there to brief you — read them and move on with Next.
See Information for the full element.
Wrapping up
Once you've recorded a result for every element, head to the last one and press Submit (the Next button becomes Submit there). Theta scores your attempt and returns you to the lesson page, where you can review your score and download the report. The full path is covered in The submission flow.
On timed lessons, the countdown auto-submits your attempt at zero exactly as it stands. Record your most important findings early so nothing is left blank.