Ear and audiology: auditory steady-state response: practice question

A ENT question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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ENT · Ear and audiology: auditory steady-state response

Sample item

A baby with a flat ABR click response is suspected to have profound loss, but frequency-specific thresholds are needed to plan amplification. Which objective test can provide thresholds at 500 to 4000 Hz without active cooperation?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Auditory steady-state response testing

ASSR uses amplitude- or frequency-modulated tones and objective statistical detection of the brain response, so it gives frequency-specific estimates of thresholds, including in the severe to profound range where click ABR may show no wave. It does not need behavioural participation.

Option by option

  • A. Auditory steady-state response testing (correct)

    Correct. ASSR gives objective frequency-specific thresholds even at high levels.

  • B. Rinne tuning fork test

    Tuning forks are not reliable or feasible in infants.

  • C. Tympanometry

    Tympanometry assesses middle ear mobility only.

  • D. Acoustic reflex testing

    Acoustic reflex tests do not give pure tone thresholds.

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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Questions about this ENT question

What is the answer to this ENT question?

The best answer is A, Auditory steady-state response testing. ASSR uses amplitude- or frequency-modulated tones and objective statistical detection of the brain response, so it gives frequency-specific estimates of thresholds, including in the severe to profound range where click ABR may show no wave.

Why is "Rinne tuning fork test" not the answer?

Tuning forks are not reliable or feasible in infants.

Why is "Tympanometry" not the answer?

Tympanometry assesses middle ear mobility only.

Why is "Acoustic reflex testing" not the answer?

Acoustic reflex tests do not give pure tone thresholds.

What concept does this question test?

It tests Ear and audiology: auditory steady-state response in ENT. It does not need behavioural participation.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Ear and audiology: auditory steady-state response?

Learn tuning fork results and audiogram patterns by sketching them. Then use the flashcards and the other ENT questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.