HAC exam in 5 weeks — study approach for the audiology science sections

by chloe_g 316 views6 replies
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chloe_gOP
May 26, 2026

I've been a hearing instrument specialist for 3 years and I'm sitting for the HAC exam in 5 weeks. My practical fitting and programming skills are solid but the audiology science sections are where I'm weakest. Anatomy of the auditory system, acoustic physics, and psychoacoustics in particular. I'm scoring around 65-70% on practice questions right now and need to be reliably above 80% to feel confident going in.

My current routine is about 1 hour each weekday morning and 2 hours on Saturdays. I'm going through the IHS study guide as my base and using supplemental flashcards I made for technical terminology. The hearing aid dispensing regulations section is fine since I deal with that daily. The science background is what I need to grind.

A few specific things I'm struggling with: how different audiogram configurations map to specific hearing aid prescription formulas, and the details around real ear measurement procedures. Does the exam go deep on those or is it more conceptual? I've seen conflicting advice on how much technical depth is expected.

The pass rate I've seen quoted is around 72% for first-time takers so it's not automatic but it's not out of reach either. Any advice from people who've taken it recently would help.

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marcus_t
May 26, 2026

Audiogram interpretation questions are definitely on there and they do expect you to connect configuration to recommendation. Ski-slope vs flat loss vs reverse slope — know what those look like and what product characteristics matter for each.

IHS guide covers this but some people find the Academy of Dispensing Audiologists materials supplement it well for the science sections.

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devonte_h
May 27, 2026

65-70% with 5 weeks to go is fine if you're consistent. I was at 68% at 4 weeks out and passed with a 79%. The IHS guide really is the right source — don't stray too far outside it.

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amelia_f
May 29, 2026

The acoustic physics stuff is genuinely abstract if you haven't had formal coursework in it. YouTube has some good audiology fundamentals videos that helped me visualize concepts like impedance and resonance better than reading alone did.

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sophie_m
May 29, 2026

The real ear measurement questions I saw were more conceptual than procedural — understanding what REM is for and how insertion gain relates to target curves, rather than step-by-step procedure details. Know the principles and you'll handle those questions fine.

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PracticeQueen
June 15, 2026

Honestly I almost bailed around week 3 because the psychoacoustics stuff felt like a different language. I'd been fitting aids for years and suddenly I'm reading about critical bands and masking curves and none of it was clicking. What helped me was stopping the passive reading and just forcing myself to draw the auditory pathway from scratch every morning until I could do it without looking. Dumb and repetitive but it actually worked.

The acoustic physics is less scary than it looks once you realize most of the questions test the same handful of relationships over and over. You'll be fine on the practical stuff, don't overthink that. Just make sure you're not neglecting the anatomy because that's where I lost easy points early on. Five weeks is enough time if you're consistent. I passed with room to spare and I genuinely thought I was going to fail walking in.

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FirstAttempt_S
June 15, 2026

I failed my first attempt and honestly the anatomy section killed me. I'd been spending all my time on case studies and completely ignored how the cochlea actually processes sound. What changed for me the second time was slowing way down on the physiology stuff, like really understanding hair cell function and how that connects to the audiogram. I also drilled acoustic physics until it clicked, because once it does, psychoacoustics starts making a lot more sense too. One thing that helped was doing practice questions specifically on those topics, not just reading, and I found free hearing aid audiology hearing assessment questions useful for finding the gaps I didn't know I had.

Five weeks is plenty of time if you're strategic. Don't ignore what you're good at completely, but weight your hours toward the weak spots. The audiology science questions on the actual exam aren't super deep, they just assume you know the foundational stuff cold. Get that foundation solid and you'll be fine.

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