Chapter 4

Question 1

What is the primary purpose of speech audiometry?

a) To measure bone conduction thresholds
b) To assess the ability to recognize and discriminate speech sounds
c) To measure air conduction thresholds
d) To test the inner ear fluid wave

Answer 1

b

Question 2

Which of the following is not a requirement for accurate speech audiometric testing?

a) Sound-isolated environment
b) Recorded stimuli
c) Visual cues for the patient
d) Appropriate instructions

Answer 2

c

Question 3

The Speech Detection Threshold (SDT) is also known as:

a) Speech Recognition Threshold
b) Speech Discrimination Threshold
c) Speech Awareness Threshold (SAT)
d) Speech Understanding Level

Answer 3

c

Question 4

What is the Speech Recognition Threshold (SRT)?

a) The highest level at which speech can barely be heard
b) The lowest hearing level at which speech can barely be understood at least 50% of the time
c) The level at which speech becomes uncomfortable
d) The level at which speech can be heard without distortion

Answer 4

b

Question 5

Which type of words are typically used for SRT testing?

a) Monosyllabic words
b) Nonsense syllables
c) Spondaic words or spondees
d) Short sentences

Answer 5

c

Question 6

What starting point is commonly used for SRT testing?

a) 10 dB HL
b) 20 dB HL
c) 30 dB HL
d) 40 dB HL

Answer 6

c

Question 7

In SRT testing, if the response is incorrect at 30 dB HL, the level is raised to:

a) 40 dB HL
b) 50 dB HL
c) 60 dB HL
d) 70 dB HL

Answer 7

b

Question 8

The SRT should be higher than the:

a) Speech Detection Threshold (SDT)
b) Most Comfortable Loudness Level (MCL)
c) Uncomfortable Level (UCL)
d) Dynamic Range (DR)

Answer 8

a

Question 9

What is the purpose of testing for the Speech Recognition Score (SRS)?

a) To determine the patient’s dynamic range
b) To obtain a percentage measure that quantifies how clearly speech is heard
c) To establish the most comfortable loudness level
d) To measure bone conduction thresholds

Answer 9

b

Question 10

Which word lists are most often used for speech recognition testing?

a) Spondee words
b) Monosyllabic word lists (e.g., CID W-22; NU-6)
c) Polysyllabic words
d) Short sentences

Answer 10

b

Question 11

The quantitative determination of a patient’s ability to discriminate speech helps the audiologist in:

a) Determining the degree of hearing loss for speech
b) Diagnosing the site of the disorder in the auditory system
c) Measuring the dynamic range for speech sounds
d) Establishing the most comfortable listening level

Answer 11

b

Question 12

What is the preferred method for delivering speech stimuli in speech recognition testing?

a) Monitored live-voice
b) Recorded material
c) Whispered voice
d) Shouted voice

Answer 12

b

Question 13

Which statement is true about the Signal-to-Noise Ratio (SNR)?

a) It is the ratio of signal power to total noise power
b) It reflects the relative intensity of the signal (speech) and the competing noise
c) It only applies to pure-tone audiometry
d) It is used to determine the speech detection threshold

Answer 13

b

Question 14

A WRS score of 70% indicates:

a) Normal limits
b) Slight difficulty
c) Moderate difficulty
d) Poor recognition

Answer 14

b

Question 15

If a patient scores less than 50% on a WRS test, they may:

a) Have slight difficulty in following conversation
b) Be unable to follow running speech
c) Have normal speech recognition
d) Only have difficulty in noisy environments

Answer 15

b

Question 16

The Count-the-Dots Audiogram provides a percentage representation of:

a) Word recognition score
b) Audibility Index (AI) or Speech Intelligibility Index (SII)
c) Most Comfortable Loudness Level (MCL)
d) Uncomfortable Level (UCL)

Answer 16

b

Question 17

Most people with normal hearing have a Most Comfortable Loudness Level (MCL) of:

a) 20 to 30 dB HL above threshold
b) 30 to 40 dB HL above threshold
c) 40 to 55 dB HL above threshold
d) 55 to 70 dB HL above threshold

Answer 17

c

Question 18

The Uncomfortable Level (UCL) is also known as:

a) Most Comfortable Level
b) Threshold of Discomfort (TD)
c) Speech Detection Threshold
d) Dynamic Range

Answer 18

b

Question 19

A patient with a large Acceptable Noise Level (ANL) greater than 10 dB may have difficulty:

a) Tolerating background noise
b) Following speech at soft levels
c) Understanding speech in quiet environments
d) Hearing high-frequency sounds

Answer 19

a

Question 20

For most normal hearing patients, the UCL is about:

a) 80 to 90 dB HL
b) 90 to 100 dB HL
c) 100 to 110 dB HL
d) 110 to 120 dB HL

Answer 20

c

Question 21

What does the Dynamic Range (DR) represent?

a) The difference between the SRT and UCL
b) The range of frequencies a patient can hear
c) The softest level at which speech can be detected
d) The loudest level a patient can tolerate

Answer 21

a

Question 22

Patients with sensory/neural hearing loss usually have a DR that is:

a) Narrower than normal
b) Wider than normal
c) The same as normal
d) Not measurable

Answer 22

a

Question 23

What type of stimuli is used in the Speech Detection Threshold (SDT) test?

a) Monosyllabic words
b) Nonsense syllables
c) Cold running speech
d) Short sentences

Answer 23

c

Question 24

Which of the following is not typically measured in speech audiometry?

a) Most Comfortable Loudness Level (MCL)
b) Speech Detection Threshold (SDT)
c) Dynamic Range (DR)
d) Bone conduction threshold

Answer 24

d

Question 25

False positive responses in speech audiometry are:

a) Common
b) Theoretically impossible
c) Always seen
d) Dependent on the patient’s age

Answer 25

b

Question 26

What is the primary purpose of the Acceptable Noise Level (ANL) test?

a) To measure the softest sound a patient can hear
b) To determine the patient’s tolerance to background noise
c) To find the most comfortable listening level
d) To assess the dynamic range

Answer 26

b