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1. What type of reflex pattern would you expect to find in case of patient with a normal right ear and a lesion in the auditory nerve in the left ear? Ipsilateral right: Normal Abnormal Ipsilateral left: Normal Abnormal Contralateral right: Normal Abnormal Contralateral left: Normal Abnormal 2. What type of reflex pattern would you expect to find in case of patient with a normal right ear and a lesion in the facial nerve in the left ear? Ipsilateral right: Normal Abnormal Ipsilateral left: Normal Abnormal Contralateral right: Normal Abnormal Contralateral left: Normal Abnormal 3. Joe goes to the audiologist complaining of a ‘stuffed-up’ feeling and trouble hearing in his right ear. The audiologist finds the following: Type C tympanogram, absent distortion-product otoacoustic emissions, and absent ipsilateral right ear acoustic reflexes. What diagnosis will the audiologist probably make for Joe’s right ear? a. Normal hearing b. Conductive hearing loss c. Mild sensorineural hearing loss due to a lesion in the cochlea d. Severe sensorineural hearing loss due to a lesion in the cochlea 4. Jane’s right tympanic membrane is ruptured following a severe ear infection. Her right sensorineural mechanism is normal. Which of the following statements is true? a. Jane will have a B type tympanogram b. Ipsilateral right ear acoustic reflexes will be absent c. Distortion-product otoacoustic emissions will be absent. d. All of the above 5. An audiologist is conducting the ABLB test on a patient. The following table shows the growth of loudness in two ears. Assuming that the right ear is normal, which of the following conditions in the left ear would produce these results? a. Occlusion of the ear canal due to wax b. A middle ear infection that has spread to the inner ear c. A tumor of the auditory nerve d. Damage to the cochlea because of noise Right (dB HL) 0 30 60 90 Left (dB HL) 25 55 85 115 ANSWERS ON NEXT PAGE 1. What type of reflex pattern would you expect to find in case of patient with a normal right ear and a lesion in the auditory nerve in the left ear? Ipsilateral right: Normal Abnormal Ipsilateral left: Normal Abnormal Contralateral right: Normal Abnormal Contralateral left: Normal Abnormal 2. What type of reflex pattern would you expect to find in case of patient with a normal right ear and a lesion in the facial nerve in the left ear? Ipsilateral right: Normal Abnormal Ipsilateral left: Normal Abnormal Contralateral right: Normal Abnormal Contralateral left: Normal Abnormal 3. Joe goes to the audiologist complaining of a ‘stuffed-up’ feeling and trouble hearing in his right ear. The audiologist finds the following: Type C tympanogram, absent distortion-product otoacoustic emissions, and absent ipsilateral right ear acoustic reflexes. What diagnosis will the audiologist probably make for Joe’s right ear? a. Normal hearing b. Conductive hearing loss c. Mild sensorineural hearing loss due to a lesion in the cochlea d. Severe sensorineural hearing loss due to a lesion in the cochlea 4. Jane’s right tympanic membrane is ruptured following a severe ear infection. Her right sensorineural mechanism is normal. Which of the following statements is true? a. Jane will have a B type tympanogram in her right ear b. Ipsilateral right ear acoustic reflexes will be absent c. Distortion-product otoacoustic emissions will be absent in the right ear d. All of the above 5. An audiologist is conducting the ABLB test on a patient. The following table shows the growth of loudness in two ears. Assuming that the right ear is normal, which of the following conditions in the left ear would produce these results? a. Normal hearing (Not normal because higher SPLs are needed in the left ear for equal loudness) b. Occlusion of the ear canal due to wax (Equal loudness at equal sensation levels) c. A middle ear infection that has spread to the inner ear d. Damage to the cochlea because of noise Right (dB HL) 0 30 60 90 Left (dB HL) 25 55 85 115