Title: 4.1: HIS 120 Midterm Exam(1)
Course: 15SP-HIS-120-W02-A & P OF AUDITORY AND SPEECH

Your midterm is worth a total of 100 points.  You have 2 hours to take the exam and only have 1 attempt. You are NOT allowed the use of textbooks or notes.  Good luck!

Q: Chronic otitis media has a very rapid onset.
- True
- False
A: False

Q: A sensorineural hearing loss will result in:
- normal bone conduction thresholds and abnormal air conduction thresholds
- normal air conduction and normal bone conduction thresholds
- normal air conduction thresholds and abnormal bone conduction thresholds
- abnormal air conduction and bone conduction thresholds
A: abnormal air conduction and bone conduction thresholds

Q: Excessive cerumen will result in a sensorineural hearing loss.
- True
- False
A: False

Q: A significant narrowing of the earcanal is called:
- otomycosis
- exostoses
- otosclerosis
- stenosis
A: stenosis

Q: Disorders of the outer and/or middle ear ususally result in a _____________________ hearing loss.
A: conductive

Q: A normal, Type A, tympanogram is expected with a sensorineural hearing loss in the absence of other ear complaints.
- True
- False
A: True

Q: Presbycusis begins in the:
- low frequencies
- high frequencies
- mid frequencies
- middle ear
A: high frequencies

Q: Complaints of roaring tinnitus, hearing loss, ear pressure, and vertigo are commonly associated with:
- eustachian tube dysfunction
- presbycusis
- Meniere's disease
- ototoxicity
A: Meniere's disease

Q: Sensorineural hearing loss cannot be treated medically or surgically.
- True
- False
A: True

Q: Mixed hearing loss has both sensorineural and conductive hearing loss components.
- True
- False
A: True

Q: Noise-induced hearing loss is characterized by a:
- Schwartze's sign
- noise notch
- Carhart's notch
- Hennebert's sign
A: noise notch

Q: A completely closed earcanal is called:
- stenosis
- anotia
- microtia
- atresia
A: atresia

Q: A barotrauma is due to:
- a rapid pressure change
- overexposure to cold water
- q-tip use
- ototoxic medications
A: a rapid pressure change

Q: Otosclerosis may be characterized by:
- Schwartze's sign
- Carhart's notch
- bony growth in the ear canal
- a and b
A: a and b

Q: Which of the following is NOT a treatment option for conductive hearing loss:
- hearing aids
- surgery
- medication
- cochlear implants
A: cochlear implants

Q: Another term for otitis externa is swimmer's ear.
- True
- False
A: True

Q: Most tinnitus is subjective.
- True
- False
A: True

Q: Tinnitus is only present in patients who have hearing loss.
- True
- False
A: False

Q: Palatal myoclonus may result in objective tinnitus.
- True
- False
A: True

Q: When a patient perceives everyday sounds to be uncomfortably loud they are likely experiencing:
- tinnitus
- hyperacusis
- misophonia
- diplacusis
A: hyperacusis

Q: Phonophobia is the fear of sound.
- True
- False
A: True

Q: Which of the following is a treatment option for bothersome tinnitus?
- masking
- Neuromonics
- tinnitus retraining therapy
- all of the above
A: all of the above

Q: Which of the following is the best recommendation for coping with tinnitus at night when trying to sleep?
- use earplugs
- use a sound machine or external noise source for masking
- wear an in-the-ear masking device or Neuromonics device
- stay up and watch television until you fall asleep
A: use a sound machine or external noise source for masking

Q: In addition to the vestibular system, what other sensory input(s) does the brain use to help us maintain balance?
- vision
- smell
- proprioception
- a and c
A: a and c

Q: Dizziness that is described as a true spinning sensation has is called _______________.
A: vertigo

Q: A patient with vestibular neuritis will not experience hearing loss as a symptom.
- True
- False
A: True

Q: Dizziness that is triggered by quick movement of the head and body is usually an indicator of:
- benign paroxysmal positional vertigo
- Meniere's disease
- perilymph fistula
- vestibular labyrinthitis
A: benign paroxysmal positional vertigo

Q: Dizziness that is caused by an overaccumulation of endolymph in the cochlea is usually an indicator of:
- benign paroxysmal positional vertigo
- Meniere's disease
- perilymph fistula
- vestibular labyrinthitis
A: Meniere's disease

Q: The Epley maneuver is a treatment option for:
- tinnitus
- BPPV
- Meniere's disease
- superior semicircular canal dehiscence
A: BPPV

Q: Vestibular rehabilitation is ususally performed by a physical therapist.
- True
- False
A: True

Q: Migraine-associated dizziness is not accompanied by sensitivity to light and sound.
- True
- False
A: False

Q: The cochlea houses the semicircular canals.
- True
- False
A: False

Q: The inner ear houses both the organs of hearing and balance.
- True
- False
A: True

Q: The vestibular system is composed of:
- semicircular canals
- utricle
- saccule
- all of the above
A: all of the above

Q: The vestibular system has ____ semicircular canals, which are responsible for detecting changes in the rotation of the head.
A: three / 3

Q: Embedded in the fibrous portion of the tympanic membrane is the:
- Stapes
- Incus
- Malleus
- Umbo
A: Malleus

Q:  | "Swimmer's Ear" is an infection of the internal auditory canal.
- True
- False
A: False

Q: Acute otitis media is a ___________ onset.
- Slow
- Fast
- None of the above
- All of the above
A: Fast

Q: Drugs that affect hearing typically affect the ________________ frequency hearing.
- low
- high
- Both A and B
- Neither A or B
A: high

Q: Ear wax, also known as cerumen is produced by what glands in the external auditory canal.
- Adrenal
- Sebaceous
- Pituitary
- none of the above
A: Sebaceous

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">For best observation of an adult eardrum during otoscopy, you would:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Pull the pinna down and forward</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Pull the pinna up and back</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Pull the pinna forward</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Pull the pinna down</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Pull the pinna up and back</span></span>

Q: The eustachian tube in infants is:
- more horizontal than adults
- more vertical than adults
- stuck closed
- stuck open
A: more horizontal than adults

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Perilymph fluid is found inside the:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Cochlear Duct</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Semi-circular canals</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Ossicles</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Organ of Corti</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Semi-circular canals</span></span>

Q: Spontaneous otoacoustic emissions are generated in the
- Inner hair cells of the cochlea
- Outer hair cells of the cochlea
- Tympanic Membrane
- Organ of Corti
A: Outer hair cells of the cochlea

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The Organ of Corti rests upon the tectorial membrane.</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">True</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">False</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">False</span></span>

Q: The Reissners membrane separates the Scala Media from the
- Scala Vestibuli
- Tympanic Membrane
- Basilar Membrane
- Cochlea
A: Scala Vestibuli

Q: The Stirrup is also known as the ___________ ear bone?
- Malleus
- Incus
- Temporal
- Stapes
A: Stapes

Q: The adult ear canal is approximately 1 inch long.
- True
- False
A: True

Q: The middle ear bone that is attached to the eardrum is the:
- Malleus
- Incus
- Stapes
- Temporal
A: Malleus

Q: The cochlea houses the:
- Middle ear bones
- Organ of Corti
- auditory nerve
- semicircular canals
A: Organ of Corti

Q: The dividing line between the external ear and middle ear is the
- Malleus
- The Eustachian Tube
- The Oval Window
- The eardrum
A: The eardrum

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The external auditory meatus is more commonly referred to as the:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The pinna</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The oval window</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The ear canal</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The eardrum</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The ear canal</span></span>

Q: The light reflex on the tympanic membrane is directed inferiorly and anteriorly.
- True
- False
A: True

Q: The middle ear bones transduce one form of energy into another.  The energy change is from:
- Mechanical energy into acoustic energy.
- Acoustic energy, into mechanical energy, into hydraulic energy.
- Acoustic energy, into electrical energy, into hydraulic energy
- Mechanical energy, into hydraulic energy, into electrical energy
A: Acoustic energy, into mechanical energy, into hydraulic energy.

Q: The round window is found in the:
- Scala Vestibuli
- Scala Media
- Scala Tympani
- Scala Cochlea
A: Scala Tympani

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The oval window is found in the:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Scala Vestibuli</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Scala Media</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Scala Tympani</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Scala Cochlea</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Scala Vestibuli</span></span>

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The perilymph within the cochlea is found between the oval window and the:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Round window.</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Basilar membrane.</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Tectorial membrane.</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Outer hair cells.</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Round window.</span></span>

Q: The primary function of the pinna is to
- Collect acoustic energy
- Enhance the body-baffle effect
- Transmit and amplify low frequencies
- Create the occlusion effect
A: Collect acoustic energy

Q: Another term for the cochlear duct is the:
- Scala Vestibuli
- Scala Media
- Scala Tympani
- Scala Cochlea
A: Scala Media

Q: The middle ear should not contain:
- air
- muscle
- fluid
- bone
A: fluid

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The scala media contains the:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Cochlea</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Semi-circular canals</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Ossicles</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Organ of Corti</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Organ of Corti</span></span>

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The scala tympani would be found in the:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Cochlea</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Semi-circular canals</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Ossicles</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Organ of Corti</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Cochlea</span></span>

Q: Prenatal hearing loss would not be due to:
- anoxia
- heredity
- viral infection
- presbycusis
A: presbycusis

Q: The tectorial membrane rests atop the:
- Scala Vestibuli
- Organ of Corti
- Tympanic membrane
- Scala Tympani
A: Organ of Corti

Q: The basilar membrane separates the scala media and the:
- Scala Vestibuli
- Tectorial Membrane
- Scala Tympani
- Scala Cochlea
A: Scala Tympani

Q: The two fluids found inside the inner ear are:
- Perilymph
- Endolymph
- Limbic
- Serous
- B and C
- A and B
A: A and B

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">There is no direct blood contact with inner ear fluids.</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">True</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">False</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">True</span></span>

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">When observing a healthy eardrum during otoscopy, you often observe:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Red striations</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">A cone of light</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">A cone of calcium</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">A cone of blood</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">A cone of light</span></span>

Q: When performing an otoscopic examination what anatomical feature are you able to observe?
- The eardrum
- The malleus
- The earwax
- The stapes
- A and B
- All but D
- None of the above
- All of the above
A: All but D

Q: When you perform otoscopy you are
- Observing facial expressions
- Observing the ear canal
- Observing the oval window
- Observing the hearing loss
A: Observing the ear canal

Q: The traveling wave theory pertains to which membrane?
- Tympanic
- Vestibular
- Tectorial
- Basilar
A: Basilar

Q: The tympanic membrane is attached to the earcanal by the annulus.
- True
- False
A: True

Q: The umbo is the least mobile part of the eardrum.
- True
- False
A: False

Q: The tensor tympani muscle and the ______________ muscle are housed in the middle ear.
- stapedius
- sternocleidomastoid
- umbo
- annulus
A: stapedius

Q: Our earcanal has a bony portion and a cartilaginous portion.
- True
- False
A: True

Q: The auditory nerve is cranial nerve VIII.
- True
- False
A: True