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Promoting Healthy Hearing Over the Lifespan: Part 1: Accurate Diagnosis of Auditory Dysfunction

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1.  1.Which of the following is a disadvantage of routine reliance on a traditional test battery consisting of only air conduction pure tone audiometry, bone conduction pure tone audiometry, and word recognition testing in quiet? The test battery doesn’t always address the patient’s chief complaint The test battery is sensitive to cochlear auditory dysfunction in patients with normal audiograms The tests always contribute to the patient’s diagnosis The tests always contribute to decisions about the patient’s management

2.  Bone conduction pure tone audiometry is not necessary in the assessment of a patient with which combination of history and findings? History of otitis media, clear external ear canals, abnormal tympanometry No history of middle ear disease, normal tympanometry, normal DPOAEs for low frequency stimuli History of trauma to ear, perforated tympanic membrane on otoscopy, abnormal air conduction pure tone thresholds History of previous ear surgery, negative pressure on tympanometry, absent acoustic reflexes

3.  Which one of the following procedures would provide valuable information on cochlear status in a patient with a normal audiogram who is at risk for noise induced hearing loss? Tympanometry Speech reception threshold DPOAEs Bone conduction pure tone audiometry

4.  Which one of the following procedures would provide the most valuable clinical information for a patient with a chief complaint of difficulty hearing in noisy settings? Speech reception threshold Word recognition in quiet with PB words Bone conduction pure tone audiometry Speech perception in noise test

5.  Abnormal findings for which one of the following auditory tests is most closely correlated with cognitive impairment? SRT Pure tone audiometry (air conduction) Word recognition in quiet Speech perception in noise