Age related hearing loss

Which of the following statements about presbycusis is false?

• A. Presbycusis is a bilaterally symmetrical hearing loss associated with aging.

• B. It primarily affects speech discrimination, hearing sensitivity, central auditory processing, and sound localization.

• C. The prevalence of age-related hearing impairment is consistently below 40% across all age groups.

• D. The prevalence of hearing impairment increases with age, reaching over 80% in individuals aged 80–87 years.

Which dietary components may help reduce the progression of presbycusis?

• A) Saturated fats and cholesterol

• B) Vitamin C and Vitamin E

• C) Sodium and potassium

• D) High-protein diets

How can genetic factors influence the development of presbycusis?

• A) By altering neurotransmitter synthesis

• B) By programming early aging of parts of the auditory system

• C) By reducing outer hair cell regeneration

• D) By increasing endolymph production

According to Schuknecht’s (1993) classification, which type of presbycusis is primarily associated with outer hair cell loss and reduced cochlear transduction?

Indeterminate presbycusis is diagnosed when:

• A) No clear pathological mechanism can be identified

• B) The patient has a combination of sensory and neural loss

• C) The patient has conductive hearing loss

• D) Audiometric tests show normal thresholds but abnormal speech recognition

A patient presents with audiometric findings consistent with multiple pathological changes in the cochlea, including both sensory and metabolic deficits. This would most likely be classified as:

• A) Sensory presbycusis

• B) Neural presbycusis

• C) Mixed presbycusis

• D) Cochlear conductive presbycusis

Neural presbycusis is characterized by:

• A) Rapid onset of low-frequency hearing loss

• B) Slow and progressive high-frequency hearing loss with an abrupt high-frequency change

• C) Middle ear abnormalities causing conductive hearing loss

• D) Increased cochlear blood flow improving auditory function

The term __________ describes the phenomenon where speech discrimination ability declines more than expected based on the degree of hearing loss.

Metabolic (strial) presbycusis is associated with loss of strial tissue in which regions of the cochlea?

• A) Basal turn

• B) Apical and middle turns

• C)Apical turn

• D)Basal and middle turns

Which of the following auditory symptoms is commonly associated with presbycusis?

• A) Low-pitched intermittent tinnitus

• B) High-pitched continuous tinnitus

• C) Pulsatile tinnitus

• D) High-pitched intermittent tinnitus