Practice Questions: All


1. Surface ectoderm give rise to:

  • A. pinnae
  • B. ossicles
  • C. Eustachian tube
  • D. lining of the middle ear cavity
  • E. middle ear muscles
  • 2. Maldevelopment of the first and second branchial arches may result in:

  • A. vertigo
  • B. conductive hearing loss
  • C. tinnitus
  • D. labrynthitis
  • E. sensorineural hearing loss
  • 3. The tympanic membrane is derived from:

  • A. surface ectoderm
  • B. endoderm
  • C. mesoderm
  • D. mesoderm and endoderm
  • E. all three germ layers
  • 4. The external ear:

  • A. amplifies all frequencies in a sound equally
  • C. is a vestigial structure in human beings with no important functions
  • 5. The major function of the middle ear is to:

  • A. transmit sound waves to the round window
  • B. protect the inner ear from over stimulation
  • C. create a middle ear resonance for low frequency sounds
  • D. overcome the impedance mismatch between air and cochlear fluid
  • E. to perform bone conduction
  • 6. Normal Eustachian tube function serves to:

  • A. attenuate potentially damaging high-intensity sounds
  • B. drain fluid from the middle ear
  • C. keep the tympanic membrane taut
  • D. keep an equal atmospheric pressure on either side of the tympanic membrane
  • E. create a low-frequency resonance
  • 7. Conductive hearing loss:

  • A. can usually be treated by sound amplification
  • B. is created by compression of the auditory nerve
  • C. can usually be ignored in children
  • D. may result from the administration of aminoglycoside antibiotics
  • E. can not be detected by standard audiometric testing
  • 8. Amplification of sound through hearing aids:

  • A. is useful only on elderly people
  • B. can be used successfully regardless of age
  • C. are most useful in overcoming a sensorineural hearing loss
  • D. are most useful in persons exhibiting poor speech discrimination
  • E. are recommended for person suffering central auditory lesions
  • 9. In early otosclerosis in which there is increased stiffness of the oscicular chain at the stapediovestibular junction one would expect to find:

  • A. increase static pressure in the middle ear cavity
  • B. decreased sensivity to low frequencies
  • C. decreased sensitivity to high frequencies
  • D. no significant difference in the threshold of hearing
  • E. A hearing loss of about 26 dB at all frequencies
  • 10. A 73 year old man notes right-sided nasal obstruction and a right-sided hearing loss. Physical examination reveals a malignant mass in the nasopharynx that occludes the Eustachian tube orifice. The hearing loss associated with this abnormality is due to:

  • A. altered mechanical resonance due to decreased mass of the ossicular chain
  • B. an air-fluid interface at the tympanic membrane
  • C. altered areal ratio of the tympanic membrane and oval window
  • D. altered mechanical resonance due to increased stiffness of the ossicular chain
  • 11. A 12 year old boy has a large perforation of his right tympanic membrane due to repeated severe episodes of otitis media. The hearing loss associated with this abnormality is due to:

  • A. altered lever-arm ratio of the malleus and incus.
  • B. altered mechanical resonance due to increased mass
  • C. altered areal ratio of the tympanic membrane and oval window
  • D. altered mechanical resonance due to increased stiffness
  • 12. The membranous labyrinth:

  • A. is an air-filled space in the inner ear
  • B. is a space in the inner ear containing perilymph
  • C. is a space in the inner ear containing endolymph
  • D. is a space in the inner ear confined to the cochlea
  • E. is a space in the inner ear confined to the utricle, saccule, and semicircular canals.
  • 13. The traveling wave that is set up on the basilar membrane in response to sound has the following behavior:

  • A. the traveling wave always begins at the base and moves towards the apex of the cochlea
  • B. the higher the stimulus frequency the closer to the cochlear apex is the place of maximal amplitude of vibration
  • C. low frequency sounds cause the traveling wave to reach its maximal amplitude near the stapes
  • D. the velocity of the traveling wave is about that of the velocity of sound in fluid
  • E. the traveling wave arises because the basilar membrane has about the same stiffness along its entire length
  • 14. The physical property of the basilar membrane that provides a Òplace mechanismÓ for frequency analysis of sounds reaching the inner ear is:

  • A. changes in mass from base to apex
  • B. changes in stiffness from base to apex
  • C. transverse tension
  • D. changes in damping from base to apex
  • E. the presence of the helicotrema
  • 15. Hair cells are:

  • A. sensory neurons that project their axons into the central nervous system
  • B. sensory neurons that synapse in the spiral ganglion
  • C. modified epithelial cells that make synaptic contact with peripheral process of spiral ganglion cells.
  • D. modified epithelial cells that are found exclusively in the organ of Corti
  • E. supporting structures in the organ of Corti and cristae of the saccule and utricle
  • 16. Hair cells are functionally polarized which means that:

  • A. displacement of the kinocilium leads to excitation of the cell
  • B. distension of the basal body results in excitation
  • C. displacement of the stereocilia in the direction of the basal body is excitatory whereas displacement in the opposite direction is inhibitory
  • D. displacement of the stereocilia away from the kinocilium is excitatory whereas dis placement in the opposite direction is inhibitory
  • E. alternating to and fro movement of the stereocilia in any direction is excitatory to the cell
  • 17. Perilymph:

  • A. is a fluid confined to the membranous labyrinth
  • B. is found in the scalae vestibuli and tympani
  • C. is similar in chemical composition to intracellular fluid
  • D. is produced by the stria vascularis
  • E. leaves the inner ear via the ductus reuniens
  • 18. The spiral ganglion of the inner ear contains

  • A. structural elements of the cochlea that provide support for the organ of Corti.
  • B. sensory receptor cells of the inner ear
  • C. modified epithelial cells that line the walls of the membranous labyrinth
  • D. secretory cells that produce endolymph
  • E. sensory neurons whose axons contribute to the auditory nerve bundle
  • 19. The Òvolley theoryÓ of hearing is based on the fact that:

  • A. auditory nerve fibers are tuned to a narrow band of frequencies
  • B. in response to low frequency sounds, action potentials transmitted by auditory nerve fibers are time locked to the stimulus waveform.
  • C. the basilar membrane is a resonant structure
  • D. the tympanic membrane vibrates in response to very low amplitude signals
  • E. the lowest threshold for hearing in humans is in the range of frequencies found in speech.
  • 20. A sensorineural hearing loss:

  • A. is not helped by hearing aids
  • B. is the result of blockade of sound waves in the middle ear
  • C. may be the result of loud sound
  • D. need not be treated in young children
  • E. usually resolves by itself and hence no intervention is usually called for
  • 21. The adequate stimulus for exciting the receptor cells of the cristae is:

  • A. motion of the cupula
  • B. movement of the stapes
  • C. movement of the tectorial membrane
  • D. fluid motion in the scala media
  • E. displacement of the otoconial membrane
  • 22. The adequate stimulus for activating the saccule and utricle and, in turn, their receptors is:

  • A. low-frequency sounds
  • B. angular acceleration of the head
  • C. constant velocity of motion of the head
  • D. tilt of the head
  • E. changes in body posture
  • 23. The differential sensitivity of inner ear receptors to sound vibration and linear and angular acceleration is due to:

  • A. different neurotransmitters used by receptor cells in different receptor organs
  • B. different innervation patterns among receptor organs
  • C. differences in the physical properties of endolymph in the different receptor organs
  • D. different functional properties of receptors cell in each of the receptor organs
  • E. differences in the mechanical properties of auxilliary structures and their coupling to sensory cell
  • 24. The role of the vestibular labyrinth in the control of upright posture and adjustment of body position is achieved primarily through activation of:

  • A. direct connections of vestibular receptors with motor neurons of the spinal cord
  • B. polysynaptic pathways linking vestibular receptor with nuclei in the cerebellum and brainstem that project to spinal cord
  • C. polysynaptic pathways linking vestibular receptors with motor areas of the cerebral cortex
  • D. polysynaptic pathways linking vestibular receptors with the thalamus
  • E. polysynaptic pathways that connect vestibular receptors with oculomotor nuclei
  • 25. Nystagmus is a manifestation of the powerful influence the vestibular organs have on:

  • A. motor neurons of cranial nerves III, IV and VI
  • B. retinal ganglion cells
  • C. motor neurons of the cervical spinal cord
  • D. facial motor neurons
  • E. the autonomic nervous system
  • 26. Audiometric testing by air conduction and bone conduction using pure tones would normally provide information on the integrity of:

  • A. the external ear canal only
  • B. the middle ear only
  • C. the inner ear only
  • D. both the middle and inner ears
  • E. the central auditory pathways
  • 27. On an audiogram, a difference between the threshold curves for airborne sound and bone-conducted sound indicates:

  • A. impairment of middle ear transmission
  • B. sensorineural hearing loss
  • C. the presence of an acoustic neuroma
  • D. damage to central auditory pathways
  • E. normal Eustachian tube function
  • 28. Poor speech-discrimination test scores are indicative of:

  • A. Eustachian tube dysfunction
  • B. Ossicular malfunction
  • C. Conductive hearing loss
  • D. Cochlear dysfunction
  • 29. Normal children will or should be saying their first meaningful words by approximately:

  • A. 6 months of age
  • B. 12 months of age
  • C. 18 months of age
  • D. 24 months of age
  • E. 36 months of age
  • 30. A child born with a severe hearing loss usually:

  • A. cannot use a hearing aid
  • B. cannot learn to read or write
  • C. has difficulty developing useable speech
  • D. has lower than average intellegence
  • E. cannot be educated with normal-hearing children

  • RESET will clear all answers, think about it before you push buttom

    Press to check answer, and clear all answers by push buttom.