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Rethinking Your Diagnostic Audiology Battery: Part 2. Research Supported Test Protocols

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1.  Which one of the following tests has greatest sensitivity and specificity in assessment of outer hair cell function? Pure tone audiometry (air conduction) Pure tone audiometry (bone conduction) Word recognition in quiet Otoacoustic emissions (OAEs)

2.  Which one of the following combinations of tests is most useful in identification of auditory neuropathy spectrum disorder in young children? Air and bone conduction pure tone audiometry Speech detection and speech reception thresholds Otoacoustic emissions (OAEs) and acoustic reflexes Otoscopy and tympanometry

3.  According to published research, which of the following tests on average takes the least amount of time to perform on both ears in children < 6 years? DPOAEs Speech reception thresholds Air conduction pure tone audiometry Bone conduction pure tone audiometry

4.  Which of the following tests is most likely to yield abnormal findings in a patient with auditory processing disorder? Air conduction pure tone audiometry Bone conduction pure tone audiometry Speech reception thresholds Dichotic listening test

5.  Which of the following tests is most likely to yield normal findings in a patient with a mild degree of conductive hearing loss? Air conduction pure tone audiometry Tympanometry Word recognition in quiet Otoacoustic emissions

6.  Which of the following tests is most likely to yield diagnostic value in a patient with bothersome tinnitus yet normal hearing sensitivity? Air conduction pure tone audiometry Bone conduction pure tone audiometry Otoacoustic emissions Speech reception thresholds

7.  Which of the following tests is most likely to yield information important for management of an adult patient (e.g., at a VA audiology service) who complains of difficulty hearing in background noise? Air conduction pure tone audiometry A test of speech perception in noise Word recognition in quiet Speech reception thresholds

8.  Assuming three different test batteries provide equivalent diagnostic information, which of the following characteristics of one of the test batteries would offer a clinical advantage? All tests can be performed with an audiometer Tests require normal otoscopy findings Total test time is 15 minutes shorter than for other two test batteries All tests can be performed by a technician

9.  Two strong arguments for the selection of a specific test battery in evaluation of an infant are: Battery includes objective tests with high sensitivity to auditory dysfunction Battery consists only of behavioral tests with low specificity Battery is described in Katz Handbook of Clinical Audiology (5th edition) Battery is recommended by American Academy of Otolaryngology

10.  A strong argument for the selection of a specific test battery in evaluation of a patient for auditory processing disorders is: Battery includes tests with sensitivity to central auditory dysfunction Battery consists behavioral tests plus tympanometry Battery is described in Katz Handbook of Clinical Audiology (5th edition) Battery is recommended by American Academy of Pediatrics