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Hearing

Total questions: 16

Worksheet time: 9mins

Name
Class
Date
1.

A 45-year-old male presented to the otolaryngology clinic with complaints of gradual hearing loss in his left ear over the past several months. The patient reported difficulty understanding speech, particularly in noisy environments, and occasional episodes of tinnitus. Audiometric testing revealed sensorineural hearing loss, characterized by reduced hearing sensitivity and poor speech discrimination. Which cranial nerve is likely involved in this patient's condition?

a)

CN I

b)

CN IX

c)

CN VII

d)

CN XI

e)

CN VIII

2.

When it comes to sound, pitch is measured in ___ whereas loudness or intensity is measured in ___.

a)

Frequency and Amplitude

b)

Decibels and Hertz

c)
Kilohertz and Megahertz
d)

Amplitude and Frequency

e)
Ohms and Amperes
3.

What would be an example of conductive hearing loss?

a)
A ruptured eardrum
b)
Listening to loud music
c)
Excessive ear cleaning
d)
A buildup of earwax blocking the ear canal
e)
Genetic hearing loss
4.

In auditory diagnostics, the Weber Test checks for ___ whereas the Rinne Test checks for ___.

a)

Bone conduction, lateralization sensitivity

b)

Auditory acuity, lateralization detection

c)

Vestibular function, tinnitus

d)
lateralization of sound, air and bone conduction
e)

Tinnitus, vestibular dysfunction

5.

A 70-year-old male presented to the audiology clinic with complaints of gradually worsening hearing loss over the past decade. The patient reported difficulty understanding speech, especially in noisy environments, and often required others to speak louder or repeat themselves. Audiometric testing revealed bilateral sensorineural hearing loss, particularly affecting high-frequency sounds. What is this patient's diagnosis?

a)
Conductive hearing loss
b)
Presbycusis
c)
Tinnitus
d)
Meniere's disease
e)
Otitis media
6.

A 45-year-old female presented to the otolaryngology clinic with complaints of recurrent episodes of vertigo, fluctuating hearing loss, tinnitus, and a sensation of fullness or pressure in her right ear. The patient reported experiencing disabling vertigo attacks lasting several hours, often accompanied by nausea and vomiting. Audiometric testing revealed sensorineural hearing loss in the affected ear, and vestibular function testing would confirm what condition?

a)
Labyrinthitis
b)
Benign paroxysmal positional vertigo
c)
Otosclerosis
d)
Meniere's disease
e)
Acoustic neuroma
7.

Within the cochlea, the more proximal regions near the stapes and oval window perceive ___ whereas the more distal region in the apex perceive ___.

a)
High frequencies; Low frequencies
b)
High frequencies; Middle frequencies
c)
Middle frequencies; High frequencies
d)
Low frequencies; Middle frequencies
e)
Low frequencies; High frequencies
8.

Which principal structure within the organ of Corti move as a consequence of sound waves directly resulting in the perception of sound?

a)

stereocilia

b)
tectorial membrane
c)
vestibular hair cells
d)
auditory nerve fibers
e)
basilar membrane
9.

In the organ of Corti, when hair bundle is deflected toward the tallest stereocilium, what ion channel is responsible for depolarization at the onset?

a)
Sodium channel
b)
Potassium channel
c)
Calcium channel
d)
Chloride channel
e)

Magnesium cannel

10.

In audio perception, what defines a chord?

a)
A single note played alone.
b)

Response to several combination frequencies

c)
A combination of notes played in different octaves.
d)

Sinusoidal stimuli at a specific frequency

e)
A sequence of notes played one after the other.
11.

You're in a combat zone and hear a loud explosion. Which of the following nerves and muscles gets activated to help protect your hearing?

a)
Cochlear nerve and glossopharyngeal nerve (cranial nerve IX)
b)
Ossicles and vagus nerve (cranial nerve X)
c)
Stapedius muscle and facial nerve (cranial nerve VII)
d)
Vestibulocochlear nerve and hypoglossal nerve (cranial nerve XII)
12.

In auditory perception, for phase locking to occur at higher frequencies, what is required?

a)

Multiple neurons need to fire at a faster rate and synchronize their firing with the incoming sound waves.

b)

A single neuron needs to fire at a slower rate to desynchronize with the incoming sound waves.

c)
Phase locking at higher frequencies is solely dependent on the amplitude of sound waves.
d)
Phase locking is not possible at higher frequencies in auditory perception.
e)
Higher frequencies require a decrease in neural activity to be perceived.
13.

Which brain-stem region allows for lateralization of sound perception due to sound intensity?

a)
Pons
b)
Cerebellum
c)
Medial geniculate nucleus
d)

Lateral superior olive

e)
Superior colliculus
14.

Which brain-stem region helps to integrate both visual and auditory stimuli?

a)
superior colliculus
b)
inferior colliculus
c)
cerebellum
d)
medial geniculate nucleus
e)
pons
15.

A 6-year-old male presented to the pediatric clinic with complaints of ear pain, fever, and hearing difficulties for the past few days. The patient's parents reported a recent upper respiratory tract infection. Otoscopic examination revealed inflammation and fluid accumulation behind the tympanic membrane. What is this patient's diagnosis?

a)
Chronic Otitis Media
b)
Labyrinthitis
c)
Otitis Externa
d)
Tympanic Membrane Rupture
e)
Acute Otitis Media
16.

Spontaneous otoacoustic emissions may cause which of the following auditory problems?

a)

Deafness

b)

Tinnitus

c)

Presbycusis

d)

Ossification of the ossicles

e)

Auditory nerve damage