Audiology: speech discrimination: 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 · Audiology: speech discrimination

Sample item

In pure conductive hearing loss, which result is expected on speech audiometry when the speech is made loud enough?

ARoll-over phenomenonBMarkedly reduced discrimination scoreCAbsent speech reception thresholdDNormal speech discrimination score

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

The answer and the reasoning

D. Normal speech discrimination score

Conductive loss only reduces the intensity reaching the cochlea, so when the speech is amplified discrimination is near 100 percent. Poor discrimination and roll-over suggest cochlear or retrocochlear disease.

Option by option

A. Roll-over phenomenon
Roll-over is a retrocochlear sign.
B. Markedly reduced discrimination score
Markedly reduced discrimination suggests sensorineural pathology.
C. Absent speech reception threshold
The speech reception threshold is raised, not absent.
D. Normal speech discrimination score (correct)
Correct. Discrimination is normal once audibility is restored.

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.

Questions about this ENT question

What is the answer to this ENT question?

The best answer is D, Normal speech discrimination score. Conductive loss only reduces the intensity reaching the cochlea, so when the speech is amplified discrimination is near 100 percent.

Why is "Roll-over phenomenon" not the answer?

Roll-over is a retrocochlear sign.

Why is "Markedly reduced discrimination score" not the answer?

Markedly reduced discrimination suggests sensorineural pathology.

Why is "Absent speech reception threshold" not the answer?

The speech reception threshold is raised, not absent.

What concept does this question test?

It tests Audiology: speech discrimination in ENT. Poor discrimination and roll-over suggest cochlear or retrocochlear disease.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. 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 Audiology: speech discrimination?

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.