Introduction To Audiology Practice Exam

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• What is the third step in tympanometry when sampling compliance?
• What is the purpose of pure-tone audiometry, and which frequencies are typically tested?
• This is a subjective test where the infant’s activity state in response to sound is observed in sound field, used with infants 0-6 months.
• PE tubes function as artificial Eustachian tubes to maintain normal middle ear pressure.
• Which emissions are produced after a brief acoustic stimuli (click or tone pip) presented to the ear?
• Exostoses are best described as
• The scala media is filled with which fluid?
• What is the difference between real-ear and coupler-based verification for hearing aids?
• The auricle is more efficient at delivering low frequency sounds than high frequency sounds.
• Which steps are typical in a diagnostic workflow for hearing loss?
• Conditioned Play Audiometry (CPA) is used for which age group?
• Which statement correctly describes air conduction and bone conduction testing?
• Osteomas are best described as
• Acoustic neuromas can be diagnosed solely on the basis of the audiogram.
• Visual Reinforcement Audiometry (VRA) is used to estimate thresholds in which population?
• Sudden Idiopathic Sensorineural Hearing Loss can develop over days or seemingly instantaneous.
• Which test assesses outer hair cell function and requires no patient response?
• What term is used by physicians to describe symptoms of a condition that is not organic?
• Why is it important to ask about history of noise exposure during audiologic assessment?
• Which pediatric test relies on observing a child’s responses to sound without reinforcement?
• Which type of hearing loss shows a combination of outer/middle ear dysfunction and inner ear/nerve dysfunction?
• Which statement best describes central auditory processing disorder (CAPD)?
• What does Conditioned Play Audiometry (CPA) measure in pediatric testing?
• Which feature is commonly seen in CAPD?
• How do insert earphones differ from supra-aural headsets in audiometry?
• When is masking required in audiometry?
• How do modern hearing aids adapt to varying listening environments?
• A tympanogram showing a normal peak compliance with normal ear canal pressure is categorized as which type?
• Which statement about Transient Evoked Otoacoustic Emissions (TEOAEs) is correct?
• During tympanometry, which sequence of pressures is used: initial positive pressure, then decreasing to atmospheric pressure, then negative pressure?
• Common criteria for hearing aid candidacy in adults with SNHL?
• The selection of hearing aids is dependent upon factors including type and degree of hearing loss, patient motivation, lifestyle/communication needs, technology and features, cosmetic preferences, financial resources, and physical limitations. This statement is:
• Myringitis is best defined as
• During threshold testing, masking is used to ensure responses come from which ear?
• Which middle ear disorder is characterized by new spongy bone growth usually over the stapedial footplate?
• What does normal static compliance at ambient pressure imply about middle-ear status?
• Cross hearing is described as which phenomenon?
• Which condition causes sudden unilateral fluctuating hearing loss due to under-absorption of endolymph, with vertigo and tinnitus?
• OAEs are important for which of the following uses?
• In audiometry, what does interaural attenuation describe?
• Which test is most commonly used to assess middle ear function?
• Which term describes the complete absence of the auricle?
• Why must the conductive pathway be normal for OAEs to be interpretable?
• Which statement best distinguishes ANSD from APD?
• What is the role of newborn hearing screening?
• Which component of a cochlear implant directly stimulates the auditory nerve?
• How does a diagnosis of auditory neuropathy spectrum disorder differ from typical sensorineural hearing loss?
• What is the effect of contracting the middle-ear muscles on static acoustic compliance?
• Which pediatric test uses a visual reinforcement to maintain attention and elicit head-turn responses to sound?
• What happens to middle-ear mobility as ear canal pressure becomes more positive or more negative?
• Dynamic Range (DR) is the arithmetic difference between which two measures?
• Cholesteatoma is described as
• DPOAEs can be present in patients with a hearing loss up to about 50 dB.
• Otitis Media is defined as
• What is an Auditory Brainstem Response (ABR) test, and what do waves I–V reflect?
• Which of the following is true about Distortion Product Otoacoustic Emissions (DPOAEs)?
• In speech audiometry, what does SRT stand for?
• What are otoacoustic emissions (OAEs), and what do they assess?
• Which condition describes the absence of the auricle?
• Which tympanogram type is typically observed when the middle ear space is filled with fluid?
• Benign bony tumors in the ear canal that can cause conductive hearing loss are called?
• Which objective test is commonly used to assess neural function in the auditory pathway when indicated?
• Typical upper limit of the Uncomfortable Loudness Level (UCL) for normal hearing individuals is:
• What is the typical audiogram notch pattern seen with noise-induced hearing loss?
• Which measure corresponds to the hearing level at which speech is most comfortably loud for the patient?
• Absent OAEs with SNHL and a normal middle ear confirms which pathology?
• Static Acoustic Compliance is defined as the mobility of the tympanic membrane in response to:
• Which tests are commonly used as supplementary objective measures in audiology to assess outer hair cell function or neural pathways?
• Why is monitoring for ototoxicity important, and how is it typically done?
• The scala tympani is filled with which fluid?
• Which procedure measures how middle-ear pressure changes as ear canal pressure is varied?
• What is the difference between air-conduction and bone-conduction testing?
• Which tympanogram type may be associated with flaccidity of the tympanic membrane or separation of the ossicular chain?
• A false negative response occurs when the patient fails to indicate they heard the tone.
• Why is speech testing included in audiologic assessments?
• What is the infection of the skin of the external auditory canal commonly referred to as swimmer's ear?
• Which of the following is NOT a type of hearing aid?
• How does unilateral hearing loss influence management decisions?
• Auditory Neuropathy/Dys-synchrony (ANSD) occurs when
• What unit is commonly used to express ear canal pressure in tympanometry?
• Recruitment refers to what in audiology?
• Pure Tone Average (PTA) provides a summary of hearing sensitivity for speech frequencies by averaging thresholds at 500, 1000, and 2000 Hz. Which option lists those frequencies?
• In tympanometry, what initial air pressure is applied to the ear canal?
• The Minimum Response Level (MRL) is defined as which of the following?
• What is the typical initial audiometric pattern in Menière's disease?
• Which unit is used to measure tympanometric pressure?
• Which statement describes a contralateral acoustic reflex?
• What does MCL stand for in audiology testing?
• Temporary Threshold Shift in Noise-Induced Hearing Loss is best described as:
• Which statement best describes the presentation level for Speech Recognition Stimulus (SRS) relative to the SRT and MCL?
• Which condition refers to the absence of the external auditory canal?
• What is ototoxicity, and which medications are commonly implicated?
• Which of the following best captures key ethical considerations in audiology practice?
• During pure tone air conduction testing, if the interaural sensitivity is known to differ, you should begin with the better ear.
• What is the lowest level of response to an acoustic stimulus in pediatric testing?
• What is a CROS/BiCROS system, and how does it help unilateral or asymmetric hearing?
• Prescriptive targets like NAL-NL2 or DSL v5 are used in verification for what purpose?
• What term describes the contraction of the middle ear muscles in response to intense sounds?
• Mixed hearing loss is characterized by which combination?
• ABR Threshold refers to:
• Which statement describes Speech Reception Threshold testing?
• Sudden sensorineural hearing loss is defined by a rapid onset occurring within 72 hours or less; why is timely evaluation important?
• The occlusion effect occurs at frequencies of 1000 Hz or below because of osseotympanic bone conduction.
• The term retrocochlear refers to a problem located beyond the cochlea.
• The inner ear lies medial to the middle ear cavity in the ______ portion of the temporal bone.
• Which condition involves never forming either cartilaginous portion or entire external auditory canal?
• Which of the following procedures requires a voluntary response?
• Acoustic Neuroma refers to
• What is the lowest level of response offered by a child to an acoustic stimulus?
• Otosclerosis involves new bone growth around the stapes footplate and can cause conductive hearing loss.
• Which statement differentiates the types of hearing loss?
• The statement that subjective tests require no voluntary responses when non-organic hearing loss is suspected is true or false?
• What is the lowest hearing level at which speech can be understood 50% of the time?
• Which type of hearing loss involves damage to the inner ear or auditory nerve?
• Explain the Down-10 dB Up-5 dB method used in threshold searching.
• Which statement about unilateral hearing loss management is true?
• Three measurements in the plane of the tympanic membrane are:
• Static acoustic compliance refers to the mobility of which structure?
• Typical steps in the hearing aid fitting verification process?
• What does RECD stand for and what does it measure?
• Cochlear implants allow for the direct stimulation of which structure?
• External Otitis is commonly referred to as which term?
• Which condition results in conductive hearing loss when air conduction is impaired and bone conduction remains normal?
• What is an Assistive Listening Device (ALD), and when is it used?
• What audiologic pattern is typical of presbycusis?
• Ear canal status, such as cerumen buildup, can affect which aspect of threshold testing?
• A typical audiology report structure includes which components?
• Most Comfortable Loudness Level (MCL) is defined as:
• Which class of medications is not commonly associated with ototoxicity?
• TEOAEs can be present in patients with a hearing loss up to about 40 dB and DPOAEs can be present in patients up to a loss of about 50 dB.
• Static tympanometry vs dynamic tympanometry differ in that static compliance reflects peak mobility at ambient pressure, while dynamic tympanometry measures mobility across a pressure range to plot a tympanogram.
• During tympanometry, after applying +200 daPa and taking the first measurement, what is the next step?
• Which test is used with children 2-5 years and involves teaching a simple task in response to sound?
• The scala vestibuli is filled with which fluid?
• Cochlear implants are considered a type of hearing aid.
• If OAEs are present and there is a SNHL, where is the locus likely located?
• Which feature describes Anotia?
• Which type of hearing loss results from problems in the outer or middle ear, reducing sound transmission to the inner ear?
• Who can provide non-medical treatment of hearing loss but cannot recommend medical treatment or perform surgery?
• Cross Hearing occurs when:
• AEPs can be subdivided on the bases of amplitude, which is the time period between the introduction of a signal and response, and latency, which is used to define the strength/magnitude of the AEP.
• Which factor does NOT affect the accuracy of threshold measurements?
• Auditory Processing Disorder (APD) is characterized by
• A false positive response occurs when the patient responds when no tone has been presented.
• Which components are part of the middle ear?
• ABR threshold is usually within 10-20 dB of the patient's actual behavioral threshold.
• Why is masking used, and what are common masking noises?
• The sensorineural portion of the auditory system comprises which structures?
• How is the severity of hearing loss typically categorized using pure-tone averages?
• Speech Detection Threshold is defined as:
• Speech Recognition Score (SRS) is used to test the patient's:
• Real-ear measurement is particularly important in pediatric fittings because...
• Presbycusis refers to
• An ipsilateral reflex is described as:
• Bone conduction testing bypasses which parts of the auditory system?
• Open versus closed response formats: which statement is true?
• In an audiology report, which elements are typically included in the results section?
• PE tubes function as artificial what to maintain normal middle ear pressure?
• Otosclerosis is best described as
• What is the term for the lowest level at which a listener can barely detect speech and identify it as speech?
• Which middle ear disorder is defined as infection in the middle ear space?
• TEOAEs remain present up to approximately which hearing level?
• In masking during speech-recognition testing, what is typically placed in the non-test ear to distract it?
• What is the primary purpose of directional microphones and other noise-management features in modern hearing aids?
• What is the term for hearing loss from intense noise with brief exposure that may recover?
• In pediatric hearing testing, Conditioned Play Audiometry (CPA) is used to determine which of the following?
• If SRT is 25 dB HL and UCL is 85 dB HL, what is the Dynamic Range (DR)?
• Uncomfortable Loudness Level (UCL) is defined as:
• Air conduction testing can specify the degree and type of hearing loss.
• Which measurement is used to assess middle-ear pressure?
• The acoustic reflex involves contraction of which muscles?
• Which statement correctly describes the fluids in the three cochlear canals?
• Impedance/admittance testing in audiology is primarily used to evaluate which aspect?
• If OAEs are present and there is a sensorineural hearing loss on the audiogram, what does this most likely indicate?
• Presbycusis is the term for
• Common etiologies for conductive hearing loss in adults include:
• Which statement best describes a primary reason RECD is used in pediatric hearing aid fittings?
• Minimum Response Level (MRL) is a measure obtained from which type of audiologic assessment?
• Which condition is commonly referred to as swimmer's ear?
• What do Type A, Type B, and Type C tympanograms indicate in tympanometry?
• Which test is most directly used to assess middle-ear pressure and tympanic membrane mobility?
• In audiology, the notched-noise method is used to measure which aspect of cochlear function?
• What is the purpose of prescriptive targets like NAL-NL2 or DSL v5 in hearing aid fitting?
• What is a cochlear implant, and who is typically a candidate?
• Which of the following is a true statement about Meniere's disease?
• What is an air-bone gap, and what does it signify?
• Which pattern on audiometry indicates a mixed hearing loss?
• DPOAEs remain present up to approximately what hearing loss level?
• What do Otoacoustic Emissions (OAEs) primarily assess in the cochlea?
• Which measurement assesses middle-ear pressure as a function of tympanic membrane mobility across varying ear canal pressures?
• Stenosis refers to which feature?
• Primary pediatric audiology test methods from birth to toddler age?
• Which question should be asked during a case history intake?
• Permanent Threshold Shift is characterized by:
• The occlusion effect is best described as which phenomenon?
• Which of the following tests is used to assess outer hair cell function and can be present up to about 50 dB of hearing loss?
• In noise-induced hearing loss, which statement is true regarding gender incidence?
• Visual Reinforcement Audiometry (VRA) is used with children 7-18 months.
• Which disorder is a typically benign tumor on the vestibulocochlear nerve (CN VIII)?
• In an Auditory Brainstem Response test, which wave is commonly used to estimate hearing thresholds?
• With appropriate habilitation, children implanted after 2.5 years of age will have significantly stronger outcomes in consonant-production accuracy and vocabulary compared with age-matched peers receiving implants later.
• What are the major components of a standard audiology test battery?
• Which statement about the peripheral auditory system structures is correct?
• Which condition is characterized by under-absorption of endolymph causing unilateral fluctuating hearing loss and vertigo?
• Which of the following is a commonly used prescriptive target in hearing aid fitting?
• What is Menière's disease, and what are its hallmark audiovestibular findings?
• Exostoses are best described as outward projections from bone surfaces and may require treatment based on size.
• Pure Tone Average (PTA) is calculated using thresholds at which frequencies?
• The most common reasons audiologists see children are due to a language delay or recurrent otitis media.
• Which medications are commonly implicated in ototoxicity?
• Main components of a modern behind-the-ear hearing aid?
• In sensorineural hearing loss, which statement about air conduction and bone conduction thresholds is true?
• The occlusion effect is caused by which mechanism?
• Why is patient education and counseling essential in Audiology practice?
• If interaural sensitivity differences are known, which ear should be tested first during air conduction pure tone audiometry?
• Which audiometric test determines the softest speech that a person can recognize 50% of the time?
• The middle ear is part of which portion of the ear?
• Speech Recognition Threshold is defined as:
• In an ipsilateral acoustic reflex test, is the probe in the same ear as the reflex measurement?
• What is Acoustic Reflex Threshold (ART)?
• Which part codes the speech information that is delivered to the transmitter and ultimately to the electrode array?
• Which test is used with infants 7-18 months and involves turning to a light or toy when the sound is heard?
• What is the effect of the acoustic reflex on the middle-ear system?
• ABR threshold is the lowest intensity level at which ________ can be observed.
• What is the difference between Speech Reception Threshold (SRT) and Word Recognition Score (WRS)?