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ENT · Ear and audiology: interaural attenuation
Sample itemIn pure tone audiometry using supra-aural earphones, what is the approximate interaural attenuation for air conduction?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. About 40 dB
Sound at high intensity reaching the test ear crosses the skull to the opposite ear after losing about 40 dB with supra-aural earphones. For bone conduction, the attenuation is about 0 dB, so either cochlea may respond. Masking is needed when the difference exceeds this attenuation.
Option by option
A. About 80 dB
80 dB overestimates the loss with ordinary earphones.
B. About 40 dB (correct)
Correct. About 40 dB is lost across the skull.
C. About 0 dB
A value near 0 dB applies to bone conduction.
D. About 100 dB
100 dB is far greater than the real value.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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