CCC Audiology and Hearing Sciences 1 — Questions and Answers
Question 1: Which type of hearing loss results from damage to the outer or middle ear, preventing adequate sound transmission to the cochlea?
- Sensorineural hearing loss
- Conductive hearing loss (Correct answer)
- Mixed hearing loss
- Central auditory processing disorder
Correct answer: Conductive hearing loss
Conductive hearing loss occurs when a mechanical problem in the outer or middle ear reduces the transmission of sound energy to the inner ear.
Question 2: On an audiogram, the air-bone gap indicates which finding?
- Sensorineural hearing loss
- Normal hearing
- Conductive component to the hearing loss (Correct answer)
- Central auditory processing disorder
Correct answer: Conductive component to the hearing loss
An air-bone gap, where bone conduction thresholds are better than air conduction thresholds, indicates a conductive component to the hearing loss.
Question 3: Otoacoustic emissions (OAEs) measure the function of which structure?
- Auditory cortex
- Outer hair cells of the cochlea (Correct answer)
- Middle ear ossicles
- Auditory nerve (CN VIII)
Correct answer: Outer hair cells of the cochlea
OAEs are sounds generated by the outer hair cells of the cochlea and are measured to assess cochlear (outer hair cell) integrity.
Question 4: Which audiological test assesses the integrity of the auditory brainstem pathway by measuring electrical responses to sound?
- Pure tone audiometry
- Auditory brainstem response (ABR) (Correct answer)
- Otoacoustic emissions (OAE)
- Acoustic reflex threshold testing
Correct answer: Auditory brainstem response (ABR)
The ABR records electrical responses from the auditory nerve and brainstem to click or tone-burst stimuli, assessing neural pathway integrity.
Question 5: Presbycusis is defined as age-related hearing loss and typically presents as which audiometric pattern?
- Low-frequency sensorineural hearing loss
- Flat conductive hearing loss
- High-frequency sensorineural hearing loss (Correct answer)
- Unilateral conductive loss
Correct answer: High-frequency sensorineural hearing loss
Presbycusis typically causes a bilateral, symmetric, high-frequency sensorineural hearing loss due to cochlear hair cell degeneration with age.
Question 6: Tympanometry assesses the function and compliance of which structure?
- Cochlea
- Tympanic membrane and middle ear system (Correct answer)
- Auditory nerve
- Eustachian tube only
Correct answer: Tympanic membrane and middle ear system
Tympanometry measures tympanic membrane compliance and middle ear pressure to assess middle ear function and pathology.
Which type of hearing loss results from damage to the outer or middle ear, preventing adequate sound transmission to the cochlea?