ETS Praxis Audiology Practice Test
Questions And Answers With
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Which of the following is true of the occlusion effect observed during pure tone audiometry?
A.It results in artificially poorer thresholds at all frequencies.
B.It can affect the measurement of air-conduction thresholds at low frequencies.
C.It can affect the measurement of air-conduction thresholds at high frequencies.
D.It can affect the measurement of bone-conduction thresholds at low frequencies.
E.It can affect the measurement of bone-conduction thresholds at high frequencies. - CORRECT
ANSWER-Correct Answer: D
Option (D) is correct.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
The caloric test is designed to stimulate which of the following structures?
A.The utricle
B.The saccule
C.The superior semicircular canal
D.The posterior semicircular canal
E.The lateral semicircular canal - CORRECT ANSWER-Correct Answer: E
Option (E) is correct. The caloric test introduces a temperature differential that is designed to cause
the fluid in the semicircular canal closest to the stimulus to move. The lateral semicircular canal is
closest to the tympanic membrane, where the stimulus is introduced.
An audiologist fit a young woman with binaural digital behind-the-ear 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?
,A.Increasing the threshold kneepoint
B.Decreasing the threshold kneepoint
C.Enabling wide dynamic range compression
D.Decreasing the gain in all frequency bands
E.Enabling expansion - CORRECT ANSWER-Correct Answer: E
Option (E) is correct. 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 which of the following?
A.An improvement in speech understanding when the noise is closer to the ear with hearing loss
B.Improved ability to localize when the noise source is closer to the ear with normal hearing
C.Better speech understanding and localization as the reverberation time increases
D.More difficulty understanding speech when the speaker moves closer to the ear with hearing loss
E.Improved localization when the noise is at 0° azimuth and the source is closer to the ear with
hearing loss - CORRECT ANSWER-Correct Answer: A
Option (A) is correct. It is well-known that for individuals with unilateral hearing loss, speech
intelligibility improves when the more favorably placed ear (i.e., the better ear) is further from the
noise source. When this occurs then the SNR improves in the better ear.
A patient is seen for a vestibular evaluation with the primary complaint of persistent imbalance for
the past six months. She states that she had one severe attack of true rotary vertigo six months ago,
and since then fears another will occur. She has limited her activities, as quick head movements
increase her symptoms. She reportedly takes meclizine daily.
Videonystagmography results indicate normal saccade, optokinetic, 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.
Based on the above information, the patient most likely has
A.Ménière's disease
B.a central vestibular pathology
C.a statically uncompensated per - CORRECT ANSWER-Correct Answer: E
,Option (E) is correct. 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?
A.The reimbursement for services rendered will be enhanced.
B.The incorrect validation of the physician as the predominant provider of audiology services.
C.The expansion of the scope of practice for audiologists.
D.The audiologist will not be liable for malpractice
E.The audiologist will no longer be eligible to maintain his or her own NPI. - CORRECT ANSWER-
Correct Answer: B
Option (B) is correct. 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?
A.Retrocochlear pathology, such as an acoustic neuroma
B.Conductive hearing loss due to middle ear effusion
C.Cochlear hearing loss due to ototoxicity
D.Middle-ear dysfunction due to otosclerosis
E.Auditory perceptual problems as a result of a stroke - CORRECT ANSWER-Correct Answer: A
Option (A) is correct. 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?
A.Encouraging the patient to buy a hearing aid
B.Recommending that the patient buy an assistive device
C.Informing the patient of his or her rehabilitative options
D.Persuading the patient to accept limitations in communications
, E.Advising the patient to minimize public activity - CORRECT ANSWER-Correct Answer: C
Option (C) is correct. 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?
A.Speechreading test results are likely to have a high correlation with measures of visual
intelligence.
B.Intertalker differences are eliminated as a test variable when speechreading test results are scored
on the basis of viseme recognition.
C.The most realistic measures of speechreading ability are administered in a visual mode only.
D.The most realistic measures of speechreading ability are administered in a combined auditory-
visual mode.
E.The most appropriate material to use in measuring speechreading ability is nonsense syllables. -
CORRECT ANSWER-Correct Answer: D
Option (D) is correct. 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
A.use clear speech and assertiveness training
B.hear the frequencies within the human vocal range better
C.be alert, attentive, and set to receive communication
D.visually perceive phonemic differences
E.hear better in the presence of noise - CORRECT ANSWER-Correct Answer: C
Option (C) is correct. Being alert, attentive, and set to receive communication are the important
components to improve listening skills.
Answer the question below by clicking on the correct response.
Question:
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?
Questions And Answers With
Verified Solutions | Newest Exam |
Verified Answers | Just Released
Which of the following is true of the occlusion effect observed during pure tone audiometry?
A.It results in artificially poorer thresholds at all frequencies.
B.It can affect the measurement of air-conduction thresholds at low frequencies.
C.It can affect the measurement of air-conduction thresholds at high frequencies.
D.It can affect the measurement of bone-conduction thresholds at low frequencies.
E.It can affect the measurement of bone-conduction thresholds at high frequencies. - CORRECT
ANSWER-Correct Answer: D
Option (D) is correct.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
The caloric test is designed to stimulate which of the following structures?
A.The utricle
B.The saccule
C.The superior semicircular canal
D.The posterior semicircular canal
E.The lateral semicircular canal - CORRECT ANSWER-Correct Answer: E
Option (E) is correct. The caloric test introduces a temperature differential that is designed to cause
the fluid in the semicircular canal closest to the stimulus to move. The lateral semicircular canal is
closest to the tympanic membrane, where the stimulus is introduced.
An audiologist fit a young woman with binaural digital behind-the-ear 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?
,A.Increasing the threshold kneepoint
B.Decreasing the threshold kneepoint
C.Enabling wide dynamic range compression
D.Decreasing the gain in all frequency bands
E.Enabling expansion - CORRECT ANSWER-Correct Answer: E
Option (E) is correct. 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 which of the following?
A.An improvement in speech understanding when the noise is closer to the ear with hearing loss
B.Improved ability to localize when the noise source is closer to the ear with normal hearing
C.Better speech understanding and localization as the reverberation time increases
D.More difficulty understanding speech when the speaker moves closer to the ear with hearing loss
E.Improved localization when the noise is at 0° azimuth and the source is closer to the ear with
hearing loss - CORRECT ANSWER-Correct Answer: A
Option (A) is correct. It is well-known that for individuals with unilateral hearing loss, speech
intelligibility improves when the more favorably placed ear (i.e., the better ear) is further from the
noise source. When this occurs then the SNR improves in the better ear.
A patient is seen for a vestibular evaluation with the primary complaint of persistent imbalance for
the past six months. She states that she had one severe attack of true rotary vertigo six months ago,
and since then fears another will occur. She has limited her activities, as quick head movements
increase her symptoms. She reportedly takes meclizine daily.
Videonystagmography results indicate normal saccade, optokinetic, 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.
Based on the above information, the patient most likely has
A.Ménière's disease
B.a central vestibular pathology
C.a statically uncompensated per - CORRECT ANSWER-Correct Answer: E
,Option (E) is correct. 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?
A.The reimbursement for services rendered will be enhanced.
B.The incorrect validation of the physician as the predominant provider of audiology services.
C.The expansion of the scope of practice for audiologists.
D.The audiologist will not be liable for malpractice
E.The audiologist will no longer be eligible to maintain his or her own NPI. - CORRECT ANSWER-
Correct Answer: B
Option (B) is correct. 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?
A.Retrocochlear pathology, such as an acoustic neuroma
B.Conductive hearing loss due to middle ear effusion
C.Cochlear hearing loss due to ototoxicity
D.Middle-ear dysfunction due to otosclerosis
E.Auditory perceptual problems as a result of a stroke - CORRECT ANSWER-Correct Answer: A
Option (A) is correct. 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?
A.Encouraging the patient to buy a hearing aid
B.Recommending that the patient buy an assistive device
C.Informing the patient of his or her rehabilitative options
D.Persuading the patient to accept limitations in communications
, E.Advising the patient to minimize public activity - CORRECT ANSWER-Correct Answer: C
Option (C) is correct. 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?
A.Speechreading test results are likely to have a high correlation with measures of visual
intelligence.
B.Intertalker differences are eliminated as a test variable when speechreading test results are scored
on the basis of viseme recognition.
C.The most realistic measures of speechreading ability are administered in a visual mode only.
D.The most realistic measures of speechreading ability are administered in a combined auditory-
visual mode.
E.The most appropriate material to use in measuring speechreading ability is nonsense syllables. -
CORRECT ANSWER-Correct Answer: D
Option (D) is correct. 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
A.use clear speech and assertiveness training
B.hear the frequencies within the human vocal range better
C.be alert, attentive, and set to receive communication
D.visually perceive phonemic differences
E.hear better in the presence of noise - CORRECT ANSWER-Correct Answer: C
Option (C) is correct. Being alert, attentive, and set to receive communication are the important
components to improve listening skills.
Answer the question below by clicking on the correct response.
Question:
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?
