Title: 8.1: Final Exam
Course: 15SP-HIS-120-W02-A & P OF AUDITORY AND SPEECH

Your final exam is worth 100 points and 40% of your grade.  The exam consists of multiple choice, true/false, and matching.  Your exam is available from October 4-10.  This is a proctored exam and you are not allowed to use notes or textbooks.  You have 2 hours to complete your final.  Good luck!

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

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

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">A component of the osseous portion of the labyrinth is:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Hair cells</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: A normal, Type A, tympanogram is expected with a sensorineural hearing loss in the absence of other ear complaints.
- True
- False
A: True

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

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">A sound wave first moves the:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Tympanic membrane.</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Vestibular membrane.</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>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Tympanic membrane.</span></span>

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">A travelling wave first creates hair cell stimulation through the:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Tympanic membrane.</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Vestibular membrane.</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>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Basilar membrane.</span></span>

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

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Almost all of the peripheral auditory mechanism is located in the ________</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Middle ear.</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Temporal bone.</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">Outer ear.</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Temporal bone.</span></span>

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

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

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

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

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Ear canal resonances are influenced by the ___________</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Middle ear.</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Temporal bone.</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">Outer ear.</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Outer ear.</span></span>

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">Endolymph fluid surrounds 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: Excessive cerumen will result in a sensorineural hearing loss.
- True
- False
A: False

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: 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: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Inner hair cells innervate ninety percent of sound information to the:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Fifth cranial nerve</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Seventh cranial nerve</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Eighth cranial nerve</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Tenth cranial nerve</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Eighth cranial nerve</span></span>

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

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

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

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

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

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

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 first point along the central auditory system that the auditory nerve sends afferent information is the __________
- Auditory cortex.
- Superior olivary complex.
- Cochlear nucleus.
- Thalamus.
A: Cochlear nucleus.

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The average fundamental pitch for a female is lower than the fundamental pitch for a male.</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 basilar membrane separates the scala media and the:
- Scala Vestibuli
- Tectorial Membrane
- Scala Tympani
- Scala Cochlea
A: Scala Tympani

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

Q: The bone attached to the oval window is the:
- Malleus
- Incus
- Temporal
- Stapes
A: Stapes

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The brain is considered a component of the:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Vascular system.</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Respiratory system.</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The endocrine system.</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The nervous system.</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The nervous system.</span></span>

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

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: 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">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: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The first wave of the travelling wave is received closest to the oval window.</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: The inner ear houses both the organs of hearing and balance.
- True
- False
A: True

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The labyrinth structure is identified by the osseous portion and the _______</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Fluid portion.</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Hair cell portion.</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Membranous portion.</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">Membranous portion.</span></span>

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The mastoid is located in the:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Middle ear.</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Temporal bone.</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">Outer ear.</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Temporal bone.</span></span>

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The movement of the ___________ influences the amplification of the cochlea.</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">Outer hair cells.</span></span>

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 round window would be 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 Tympani</span></span>

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: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The shearing action of the _________ creates an opportunity for electrical impulses to be generated within the cochlea.</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Stereociliae.</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Outer hair cells.</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Stria vascularis.</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Eighth nerve.</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Outer hair cells.</span></span>

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The structure of the skull where the mastoid is located is the:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The Parietal bone</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The Temporal bone</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The Occipital bone</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The Sphenoid bone</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The Temporal bone</span></span>

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The structure of the skull which contains the internal auditory meatus is:</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The Parietal bone</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The Temporal bone</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The Occipital bone</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">The Sphenoid bone</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The Temporal bone</span></span>

Q: <span style="font-family:'Tahoma'"><span style="font-size:12pt">The tenth cranial nerve is also known as the ________ nerve.</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Auditory</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Facial</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Vagus</span></span>
- <span style="font-family:'Tahoma'"><span style="font-size:12pt">Trigeminal</span></span>
A: <span style="font-family:'Tahoma'"><span style="font-size:12pt">Vagus</span></span>

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: Air from the lungs travels up the ____________ before passing through the glottal opening.
- trachea
- esophagus
- bronchi
- alveoli
A: trachea

Q: An individual sound of speech is called a:
- phoneme
- fricative
- vowel
- plosive
A: phoneme

Q: Another term for the larynx is the "voice box."
- True
- False
A: True

Q: Breathing occurs when the vocal folds are closed.
- True
- False
A: False

Q: Consonants make up 62% of our speech.
- True
- False
A: True

Q: Phonation requires two things, a power source and:
- vibration
- linearity
- articulation
- resonance
A: vibration

Q: The fundamental frequency of a male voice is approximately 220 Hz.
- True
- False
A: False

Q: The place of articulation of a consonant in which the lips come together is:
- bilabial
- liguadental
- velar
- alveolar
A: bilabial

Q: The primary purpose of the epiglottis is to protect our airway during swallowing.
- True
- False
A: True

Q: The process of speech production that provides the power source for phonation is:
- respiration
- phonation
- resonance
- articulation
A: respiration

Q: The vocal cords are attached to the thyroid cartilage and the:
- arytenoid cartilages
- cricoid cartilage
- epiglottis
- corniculate cartilages
A: arytenoid cartilages

Q: The vocal cords are housed in the:
- larynx
- trachea
- esophagus
- oral cavity
A: larynx

Q: When the vocal cords are tensed and elongated, the pitch of phonation is decreased.
- True
- False
A: False

Q: When we swallow the vocal folds are closed.
- True
- False
A: True

Q: Which of the following in NOT an articulator:
- lips
- teeth
- epiglottis
- soft palate
A: epiglottis

Q: A patient with normal hearing, but difficulty identifying and interpreting auditory information may have:
- acoustic neuroma
- auditory processing disorder
- central deafness
- Meniere's disease
A: auditory processing disorder

Q: Acoustic neuromas occur bilaterally in 95% of cases.
- True
- False
A: False

Q: Afferent neurons carry information from the cochlea up to the brain.
- True
- False
A: True

Q: Surgical removal of an acoustic neuroma often results in complete loss of hearing in the affected ear.
- True
- False
A: True

Q: The auditory nerve is cranial nerve number:
- 8
- 5
- 7
- 10
A: 8

Q: The cental nervous system is composed of the:
- brain
- spinal cord
- cochlea
- both a and b
A: both a and b

Q: The medulla, pons, and midbrain are all part of the:
- brainstem
- brain
- spinal cord
- peripheral nervous system
A: brainstem

Q: The olivocochlear bundle, which plays a vital role in the efferent auditory system, is located within the:
- superior olivary complex
- lateral lemniscus
- inferior colliculus
- medial geniculate body
A: superior olivary complex

Q: Which lobe of the brain is the auditory cortex located in?
- temporal
- parietal
- occipital
- frontal
A: temporal

Q: Which of the following is NOT an example of a retrocochlear pathology?
- otosclerosis
- acoustic neuroma
- auditory processing disorder
- auditory neuropathy
A: otosclerosis

Q: Auditory neuropathy is referred to as a spectrum disorder because the degree of hearing loss that may be exhibited by a patient is variable.
- True
- False
A: True