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20Q: Clinical Audiologic Testing—80 Years of Progress?

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1.  Which of the following factors is NOT a recommended consideration when designing a patient-specific, evidence-based clinical evaluation for an individual patient?
  1. The patient's chief complaint
  2. Significant medical history
  3. Reported risk factors
  4. Traditional concepts of a standard test battery
2.  The "Crosscheck Principle," as described by Jerger and Hayes (1976), emphasizes the importance of which of the following?
  1. Performing pure-tone and speech audiometry in separate sessions.
  2. Confirming the results of a subjective tests with one or more objective tests.
  3. Always starting the assessment with objective auditory tests.
  4. Only using behavioral tests for pediatric patients.
3.  What is a key clinical advantage of objective auditory tests (like ABR or OAEs) compared to traditional behavioral tests?
  1. They have higher sensitivity and specificity to dysfunction in different auditory regions.
  2. They are more frequently reimbursed by insurance.
  3. They require more patient cooperation and motivation.
  4. They take significantly longer to administer than behavioral tests.
4.  What three tests, routinely conducted as part of a standard audiologic test battery, does the author argue could be dropped for most adult patients presenting with no evidence of middle ear disease or dysfunction?
  1. Air conduction pure tone audiometry, word recognition in quiet, and tympanometry
  2. Bone conduction pure tone audiometry, word recognition in quiet, and acooustic reflex threshoolds
  3. Air conduction pure tone audiometry, speech reception thresholds, and word recognition in quiet
  4. Bone conduction audiometry, speech reception thresholds, and word recognition in quiet
5.  Which test would be an important addition to a patient-tailored test battery for an adult whose chief complaint is difficulty hearing in noise?
  1. Acpoustic reflex thresholds
  2. Word recognition in quiet
  3. Speech perception in noise
  4. Loudness discomfort levels