ENT

20 learning units • 100 chapter sections • 200 explained questions. Assess ear, nose and throat symptoms, recognise urgent complications and plan safe treatment, referral and rehabilitation.

Original RAHBAR study material for the Year 4 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 02 / 20

Hearing Physiology & Audiological Tests

Distinguish conductive and sensorineural patterns and interpret basic hearing tests in context.

Choose an answer and check it immediately. Change your choice to try again. This is a self-study exercise; results are not saved.

Question 01. Which site commonly produces conductive hearing loss? A. External or middle earB. Visual cortexC. Cerebellum aloneD. Olfactory bulb

Question 02. Which structure converts vibration into auditory neural signals? A. Nasal turbinatesB. Palatine tonsilsC. Vocal foldsD. Cochlear hair cells

Question 03. What is mixed hearing loss? A. Conductive and sensorineural components togetherB. Hearing loss with nasal itch onlyC. Any bilateral hearing lossD. Any loss in a child

Question 04. A typical positive Rinne means what? A. Air conduction exceeds bone conductionB. Bone conduction exceeds air conductionC. Hearing is definitely normalD. There is no possible sensorineural loss

Question 05. In uncomplicated unilateral conductive loss, Weber tends to lateralise where? A. Towards the better earB. Towards the affected earC. Always to the forehead without lateralisationD. Towards the eye with worse vision

Question 06. In unilateral sensorineural loss, Weber usually lateralises where? A. Towards the poorer earB. Towards the better-hearing earC. Always equally to both sidesD. To neither ear in every case

Question 07. Why can Rinne mislead in profound unilateral sensorineural loss? A. The tympanic membrane always perforatesB. Bone-conducted sound may be heard by the other earC. Air conduction becomes a visual sensationD. The test directly measures pressure

Question 08. An air-bone gap on reliable audiometry suggests what? A. Normal hearing at every frequencyB. A purely visual disorderC. Definite vestibular neuritisD. A conductive component

Question 09. How should a flat tympanogram be interpreted? A. As proof of effusion in every caseB. With canal volume, otoscopy and clinical contextC. As proof of normal hearingD. As confirmation of vestibular migraine

Question 10. Which communication approach helps a patient with hearing difficulty? A. Speak while turned awayB. Shout without checking comprehensionC. Avoid written supportD. Face the patient and check understanding

0 / 10 answeredReady for assessment →

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

NICE NG98 — Hearing loss in adults

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.