Audiology PRAXIS practice 1 UPDATED
ACTUAL Exam Questions and CORRECT
Answers
The caloric test is designed to stimulate which of the following structures - CORRECT
ANSWER - The lateral semicircular canal
To reduce adverse noise effects, the audiologist should make what adjustment - CORRECT
ANSWER - Enable expansion. Expansion reduces the gain of low-level ambient sounds.
Individuals with normal hearing sensitivity in one ear and a severe hearing loss in the other ear
experience... - CORRECT ANSWER - More difficulty understanding speech when the
speaker moves closer to the ear with hearing loss
Patient has persistent imbalance for the past 6 months. One severe attack of true rotary vertigo 6
months ago. She has limited her activities because quick head movements increase symptoms.
VNG reveals normal saccade, optokintetic, and smooth pursuit testing. A second-degree left-
beating nystagmus is observed during gaze testing without fixation. Postactive head-shake
nystagmus reveals a left-beating nystagmus. No positioning or positional nystagmus is observed.
Bilateral bithermal caloric results indicate a 50 percent right weakness with no significant
directional preponderance. - CORRECT ANSWER - a dynamically uncompensated
peripheral pathology affecting the right ear
Videonystagmography results normally provide site-of-lesion specific information (i.e., caloric
irrigations) to determine probable side of weakness. In this example, the patient had a 50 percent
right peripheral vestibular weakness, suggesting a peripheral pathology affecting the right side.
The postactive head-shake left-beating nystagmus suggests that the lesion is dynamically
uncompensated.
Which of the following is a possible outcome of an audiologist using a physician's NPI for
billing rather than using his or her own NPI? - CORRECT ANSWER - The incorrect
validation of the physician as the predominant provider of audiology services.
,It is detrimental to the profession of audiology to have audiology services billed under the NPI of
a physician. Doing so can skew the Medicare claims data to incorrectly indicate that physicians
are the predominant providers of audiology services and, as a result, limit the role of the
profession of audiology in national and regional audiology coding and reimbursement processes.
Auditory brainstem response (ABR) testing indicates a prolonged wave I-V latency. These
findings are consistent with which of the following? - CORRECT ANSWER -
Retrocochlear pathology, such as an acoustic neuroma
A prolonged interval between waves I and V indicates a pathology in the area affected by neural
conduction in the VIIIth nerve and the brainstem.
Which of the following is the most appropriate action for an audiologist to take when counseling
a patient with a hearing impairment? - CORRECT ANSWER - Informing the patient of his
or her rehabilitative options
Informing patients about rehabilitative options offers them opportunities to learn how to manage
hearing loss and improve communication.
Which of the following is an accurate statement concerning measures of speechreading ability? -
CORRECT ANSWER - The most realistic measures of speechreading ability are
administered in a combined auditory-visual mode.
Speechreading in actual use depends on both auditory and visual input for most clients. The
measure of speechreading ability that best reflects a client's real ability is one that is administered
in a combined auditory-visual mode.
One component of the adult aural rehabilitation process is listening training. In listening training,
the patient is trained to - CORRECT ANSWER - be alert, attentive, and set to receive
communication
Being alert, attentive, and set to receive communication are the important components to
improve listening skills.
, During subjective verification of hearing-aid directionality, a patient indicates that when noise
comes from behind, the noise seems especially loud. Which of the following is most likely the
cause? - CORRECT ANSWER - The microphones are probably wired backward.
Directional microphones are designed to reduce sounds from behind the listener. If the listener
perceives that sounds are loud from behind, likely the front microphone is functioning like the
back microphone and undesirable sounds are not being cancelled from behind.
Hearing-conservation programs for children often include screening with pure tones and acoustic
immittance measures, whereas such programs for adults will likely use only pure tones for
screening. Which of the following justifies this difference? - CORRECT ANSWER -
There is a significantly higher incidence of middle-ear pathology among children than among
adults.
Acoustic-immittance measures, although they do not test hearing sensitivity, detect the possible
presence of middle-ear pathology. For appropriate hearing care, therefore, both acoustic-
immittance and pure-tone measures are necessary for children.
Which of the following is true of the occlusion effect observed during pure tone audiometry? -
CORRECT ANSWER - It can affect the measurement of bone-conduction thresholds at
low frequencies.
The occlusion effect is the sensation of increased loudness of low-frequency sounds transmitted
through bone conduction when the outer ear is blocked. In cases of conductive hearing loss, the
greater the degree of hearing loss, the louder these sounds are likely to be perceived, so
measurement of the bone-conduction threshold at low frequencies is affected.
Diagnostic audiometers generally provide one-third-octave noise bands for use in masking pure
tones. This bandwidth is used because bands of that width - CORRECT ANSWER -
Encompass the width of a critical band
ACTUAL Exam Questions and CORRECT
Answers
The caloric test is designed to stimulate which of the following structures - CORRECT
ANSWER - The lateral semicircular canal
To reduce adverse noise effects, the audiologist should make what adjustment - CORRECT
ANSWER - Enable expansion. Expansion reduces the gain of low-level ambient sounds.
Individuals with normal hearing sensitivity in one ear and a severe hearing loss in the other ear
experience... - CORRECT ANSWER - More difficulty understanding speech when the
speaker moves closer to the ear with hearing loss
Patient has persistent imbalance for the past 6 months. One severe attack of true rotary vertigo 6
months ago. She has limited her activities because quick head movements increase symptoms.
VNG reveals normal saccade, optokintetic, and smooth pursuit testing. A second-degree left-
beating nystagmus is observed during gaze testing without fixation. Postactive head-shake
nystagmus reveals a left-beating nystagmus. No positioning or positional nystagmus is observed.
Bilateral bithermal caloric results indicate a 50 percent right weakness with no significant
directional preponderance. - CORRECT ANSWER - a dynamically uncompensated
peripheral pathology affecting the right ear
Videonystagmography results normally provide site-of-lesion specific information (i.e., caloric
irrigations) to determine probable side of weakness. In this example, the patient had a 50 percent
right peripheral vestibular weakness, suggesting a peripheral pathology affecting the right side.
The postactive head-shake left-beating nystagmus suggests that the lesion is dynamically
uncompensated.
Which of the following is a possible outcome of an audiologist using a physician's NPI for
billing rather than using his or her own NPI? - CORRECT ANSWER - The incorrect
validation of the physician as the predominant provider of audiology services.
,It is detrimental to the profession of audiology to have audiology services billed under the NPI of
a physician. Doing so can skew the Medicare claims data to incorrectly indicate that physicians
are the predominant providers of audiology services and, as a result, limit the role of the
profession of audiology in national and regional audiology coding and reimbursement processes.
Auditory brainstem response (ABR) testing indicates a prolonged wave I-V latency. These
findings are consistent with which of the following? - CORRECT ANSWER -
Retrocochlear pathology, such as an acoustic neuroma
A prolonged interval between waves I and V indicates a pathology in the area affected by neural
conduction in the VIIIth nerve and the brainstem.
Which of the following is the most appropriate action for an audiologist to take when counseling
a patient with a hearing impairment? - CORRECT ANSWER - Informing the patient of his
or her rehabilitative options
Informing patients about rehabilitative options offers them opportunities to learn how to manage
hearing loss and improve communication.
Which of the following is an accurate statement concerning measures of speechreading ability? -
CORRECT ANSWER - The most realistic measures of speechreading ability are
administered in a combined auditory-visual mode.
Speechreading in actual use depends on both auditory and visual input for most clients. The
measure of speechreading ability that best reflects a client's real ability is one that is administered
in a combined auditory-visual mode.
One component of the adult aural rehabilitation process is listening training. In listening training,
the patient is trained to - CORRECT ANSWER - be alert, attentive, and set to receive
communication
Being alert, attentive, and set to receive communication are the important components to
improve listening skills.
, During subjective verification of hearing-aid directionality, a patient indicates that when noise
comes from behind, the noise seems especially loud. Which of the following is most likely the
cause? - CORRECT ANSWER - The microphones are probably wired backward.
Directional microphones are designed to reduce sounds from behind the listener. If the listener
perceives that sounds are loud from behind, likely the front microphone is functioning like the
back microphone and undesirable sounds are not being cancelled from behind.
Hearing-conservation programs for children often include screening with pure tones and acoustic
immittance measures, whereas such programs for adults will likely use only pure tones for
screening. Which of the following justifies this difference? - CORRECT ANSWER -
There is a significantly higher incidence of middle-ear pathology among children than among
adults.
Acoustic-immittance measures, although they do not test hearing sensitivity, detect the possible
presence of middle-ear pathology. For appropriate hearing care, therefore, both acoustic-
immittance and pure-tone measures are necessary for children.
Which of the following is true of the occlusion effect observed during pure tone audiometry? -
CORRECT ANSWER - It can affect the measurement of bone-conduction thresholds at
low frequencies.
The occlusion effect is the sensation of increased loudness of low-frequency sounds transmitted
through bone conduction when the outer ear is blocked. In cases of conductive hearing loss, the
greater the degree of hearing loss, the louder these sounds are likely to be perceived, so
measurement of the bone-conduction threshold at low frequencies is affected.
Diagnostic audiometers generally provide one-third-octave noise bands for use in masking pure
tones. This bandwidth is used because bands of that width - CORRECT ANSWER -
Encompass the width of a critical band
