SLP Hearing & Auditory Processing 2

Question 1

A child struggles to understand speech in a noisy classroom but passes a standard pure-tone audiogram. Which disorder is most likely?

Accepted Answer

Auditory processing disorder (APD)

Answer

APD involves difficulty processing auditory information despite normal peripheral hearing sensitivity on audiogram.

Question 2

Which test measures the acoustic reflex threshold by detecting middle ear muscle contraction in response to loud sound?

Accepted Answer

Acoustic reflex testing

Answer

Acoustic reflex testing uses the stapedius muscle contraction elicited by loud tones to assess middle ear and neural pathway integrity.

Question 3

An SLP is counseling a family about a child with auditory neuropathy spectrum disorder (ANSD). Which finding is characteristic of ANSD?

Accepted Answer

Present otoacoustic emissions with absent or abnormal ABR

Answer

ANSD is characterized by present OAEs (intact outer hair cells) but absent or severely abnormal ABR (disrupted neural synchrony).

Question 4

When counseling about frequency modulation (FM) systems for a child with APD, what is the PRIMARY benefit?

Accepted Answer

Improving the signal-to-noise ratio at the child's ear

Answer

FM systems transmit the teacher's voice directly to the child's receiver, dramatically improving the signal-to-noise ratio regardless of distance.

Question 5

A toddler shows no response to name-calling and does not startle to loud sounds. What is the MOST urgent referral?

Accepted Answer

Audiological evaluation with ABR

Answer

Absent startle and no response to name in a toddler require immediate audiological evaluation including ABR to rule out hearing loss.

(SLP) Speech-Language Pathologist Certified Practice Test