Audiology Praxis Practice Test ACTUAL
UPDATED Exam Questions and CORRECT
Answers
The caloric test is designed to stimulate which of the following structures?
· Utricle
· Saccule
· SSC
· Posterior SSC
· Lateral SSC - CORRECT ANSWER - lateral SSC
An audiologist fits a young woman with binaural BTE hearing aids three weeks ago. The patient
reports that the devices have provided suitable amplification in most environments, but she
complains that low level ambient noise has been distracting. In an effort to reduce the adverse
noise effect, what adjustment might the audiologist make to the hearing aids?
· Increasing threshold kneepoint
· Decreasing threshold kneepoint
· Enabling wide dynamic range compression
· Decreasing the gain in all frequency bands
· Enabling expansion - CORRECT ANSWER - enabling expansion
Individuals with normal hearing sensitivity in one ear and a severe hearing loss in the other ear
experience which of the following?
· An improvement in speech understanding when the noise is closer to the ear with hearing loss
· Improved ability to localize when the noise source is closer to the ear with normal hearing
· Better speech understanding and localization as the reverberation time increases
· More difficulty understanding speech with the speaker moves closer to the ear with hearing loss
· Improved localization when the noise is at 0 degrees azimuth and the source is closer to the ear
with hearing loss - CORRECT ANSWER - · An improvement in speech understanding
when the noise is closer to the ear with hearing loss
,A patient is seen for vestibular evaluation with the primary complaint of persistent imbalance for
the past 6 months. She states that she has one severe attack of true rotary vertigo 6 months ago,
and since then fears another will occur. She has limited her activities, as quick head movements
increase her symptoms. She takes meclizine daily. VNG indicate normal saccade, OPK, and
smooth pursuit. A second degree left-beating nystagmus is observed during gaze testing without
fixation. Post active headshake nystagmus reveals a left-beating nystagmus. No positioning or
positional nystagmus is observed. Bilateral caloric results indicate a 50% right weakness with no
DP. This patient has:
· Menieres disease
· Central vestib pathology
· Statically uncompensated peripheral pathology affecting right ear
· Dynamically uncompensated peripheral pathology affecting left ear
· A dynamically uncompensated peripheral pathology affect - CORRECT ANSWER -
dynamically uncompensated peripheral pathology affecting right ear
Which of the following is a possible outcome of an audiologist using a physicians NPI for billing
rather than using his/her own NPI?
· The reimbursement for services rendered will be enhanced
· The incorrect validation of the physician as the predominant provider of audiology services
· The expansion of the scope of practice for audiologists
· The audiologists will not be liable for malpractice
· The audiologist will no longer be eligible to maintain his or her own NPI - CORRECT
ANSWER - · The incorrect validation of the physician as the predominant provider of
audiology services
ABR testing indicates a prolonged wave I-V latency. These findings are consistent with which of
the following?
· Retrocochlear pathology, such as acoustic neuroma
· Conductive hearing loss due to middle ear effusion
· Cochlear hearing loss, ototoxicity
· Middle ear dysfunction- otosclerosis
,· APD from stroke - CORRECT ANSWER - retrocochlear pathology, such as AN
Which of the following is the most appropriate action for an audiologist to take when counseling
a patient with a hearing impairment
· Encouraging the patient to buy a hearing aid
· Recommending that the pt buy an assistive device
· Informing the patient of their options
· Persuading the pt to accept limitations in communications
· Advising the pt to minimize public activity - CORRECT ANSWER - informing the pt of
their options
Which of the following is an accurate statement concerning measures of speech reading ability?
· Speech reading test results are likely to have a high correlation with measures of visual
intelligence
· Intertalker differences are eliminated as a test variable when speech reading test results are
scored on the basis of viseme recognition
· The most realistic measures of speech reading ability are administered in a visual mode only
· The most realistic measures of speech reading ability are administered in a combined auditory-
visual mode
· The most appropriate material to use in measuring speech reading ability is nonsense syllables -
CORRECT ANSWER - The most realistic measures of speech reading ability are
administered in a combined auditory-visual mode
One component of the adult aural rehab process is listening training. In listening training, the
patient is trained to:
· Use clear speech and assertiveness training
· Hear the frequencies within the human vocal range better
· Be alert, attentive, and set to receive communication
· Visually perceive phonemic differences
· Hear better in the presence of noise - CORRECT ANSWER - · Be alert, attentive, and set
to receive communication
, During subjective verification of hearing aid directionality, a patient indicates that when noise
comes from behind, the noise seems especially loud. Which is most likely the cause?
· Both mis are blocked
· Mics are wired backward
· Low frequency gain is too high
· Vent is too large
· Vent is too small - CORRECT ANSWER - mics are wired backward
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?
· There is a significantly higher incidence of middle ear pathology among children than among
adults
· There is significantly lower incidence of middle ear pathology among children than adults
· Screenings for children often take place in challenging acoustic environments
· Hearing conservation programs for children primarily focus on the impact that ME pathology
can have on education
· Acoustic-imittance measures for adults are less sensitive in identifying ME pathology in adults
- CORRECT ANSWER - · There is a significantly higher incidence of middle ear
pathology among children than among adults
Which of the following is true of the occlusion effect observed during pure tone audiometry?
· It results in artificially poorer thresholds at all frequencies
· It can affect the measurement of air-conduction thresholds at low hz
· Affects air at high hz
· Affects bone at low hz
· Affects bone at high hz - CORRECT ANSWER - affects bone at low Hz
Diagnostic audiometers generally provide one-third-octave noise bands for use in masking pure
tones. The bandwidth is used because bands of that width:
UPDATED Exam Questions and CORRECT
Answers
The caloric test is designed to stimulate which of the following structures?
· Utricle
· Saccule
· SSC
· Posterior SSC
· Lateral SSC - CORRECT ANSWER - lateral SSC
An audiologist fits a young woman with binaural BTE hearing aids three weeks ago. The patient
reports that the devices have provided suitable amplification in most environments, but she
complains that low level ambient noise has been distracting. In an effort to reduce the adverse
noise effect, what adjustment might the audiologist make to the hearing aids?
· Increasing threshold kneepoint
· Decreasing threshold kneepoint
· Enabling wide dynamic range compression
· Decreasing the gain in all frequency bands
· Enabling expansion - CORRECT ANSWER - enabling expansion
Individuals with normal hearing sensitivity in one ear and a severe hearing loss in the other ear
experience which of the following?
· An improvement in speech understanding when the noise is closer to the ear with hearing loss
· Improved ability to localize when the noise source is closer to the ear with normal hearing
· Better speech understanding and localization as the reverberation time increases
· More difficulty understanding speech with the speaker moves closer to the ear with hearing loss
· Improved localization when the noise is at 0 degrees azimuth and the source is closer to the ear
with hearing loss - CORRECT ANSWER - · An improvement in speech understanding
when the noise is closer to the ear with hearing loss
,A patient is seen for vestibular evaluation with the primary complaint of persistent imbalance for
the past 6 months. She states that she has one severe attack of true rotary vertigo 6 months ago,
and since then fears another will occur. She has limited her activities, as quick head movements
increase her symptoms. She takes meclizine daily. VNG indicate normal saccade, OPK, and
smooth pursuit. A second degree left-beating nystagmus is observed during gaze testing without
fixation. Post active headshake nystagmus reveals a left-beating nystagmus. No positioning or
positional nystagmus is observed. Bilateral caloric results indicate a 50% right weakness with no
DP. This patient has:
· Menieres disease
· Central vestib pathology
· Statically uncompensated peripheral pathology affecting right ear
· Dynamically uncompensated peripheral pathology affecting left ear
· A dynamically uncompensated peripheral pathology affect - CORRECT ANSWER -
dynamically uncompensated peripheral pathology affecting right ear
Which of the following is a possible outcome of an audiologist using a physicians NPI for billing
rather than using his/her own NPI?
· The reimbursement for services rendered will be enhanced
· The incorrect validation of the physician as the predominant provider of audiology services
· The expansion of the scope of practice for audiologists
· The audiologists will not be liable for malpractice
· The audiologist will no longer be eligible to maintain his or her own NPI - CORRECT
ANSWER - · The incorrect validation of the physician as the predominant provider of
audiology services
ABR testing indicates a prolonged wave I-V latency. These findings are consistent with which of
the following?
· Retrocochlear pathology, such as acoustic neuroma
· Conductive hearing loss due to middle ear effusion
· Cochlear hearing loss, ototoxicity
· Middle ear dysfunction- otosclerosis
,· APD from stroke - CORRECT ANSWER - retrocochlear pathology, such as AN
Which of the following is the most appropriate action for an audiologist to take when counseling
a patient with a hearing impairment
· Encouraging the patient to buy a hearing aid
· Recommending that the pt buy an assistive device
· Informing the patient of their options
· Persuading the pt to accept limitations in communications
· Advising the pt to minimize public activity - CORRECT ANSWER - informing the pt of
their options
Which of the following is an accurate statement concerning measures of speech reading ability?
· Speech reading test results are likely to have a high correlation with measures of visual
intelligence
· Intertalker differences are eliminated as a test variable when speech reading test results are
scored on the basis of viseme recognition
· The most realistic measures of speech reading ability are administered in a visual mode only
· The most realistic measures of speech reading ability are administered in a combined auditory-
visual mode
· The most appropriate material to use in measuring speech reading ability is nonsense syllables -
CORRECT ANSWER - The most realistic measures of speech reading ability are
administered in a combined auditory-visual mode
One component of the adult aural rehab process is listening training. In listening training, the
patient is trained to:
· Use clear speech and assertiveness training
· Hear the frequencies within the human vocal range better
· Be alert, attentive, and set to receive communication
· Visually perceive phonemic differences
· Hear better in the presence of noise - CORRECT ANSWER - · Be alert, attentive, and set
to receive communication
, During subjective verification of hearing aid directionality, a patient indicates that when noise
comes from behind, the noise seems especially loud. Which is most likely the cause?
· Both mis are blocked
· Mics are wired backward
· Low frequency gain is too high
· Vent is too large
· Vent is too small - CORRECT ANSWER - mics are wired backward
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?
· There is a significantly higher incidence of middle ear pathology among children than among
adults
· There is significantly lower incidence of middle ear pathology among children than adults
· Screenings for children often take place in challenging acoustic environments
· Hearing conservation programs for children primarily focus on the impact that ME pathology
can have on education
· Acoustic-imittance measures for adults are less sensitive in identifying ME pathology in adults
- CORRECT ANSWER - · There is a significantly higher incidence of middle ear
pathology among children than among adults
Which of the following is true of the occlusion effect observed during pure tone audiometry?
· It results in artificially poorer thresholds at all frequencies
· It can affect the measurement of air-conduction thresholds at low hz
· Affects air at high hz
· Affects bone at low hz
· Affects bone at high hz - CORRECT ANSWER - affects bone at low Hz
Diagnostic audiometers generally provide one-third-octave noise bands for use in masking pure
tones. The bandwidth is used because bands of that width:
