Free Sample Speech-Language Pathology (SLP) Praxis® Questions
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A Free SLP Praxis® Practice Question
Presbycusis refers to age-related hearing loss. What is the most common type and configuration of hearing loss seen in presbycusis?
- A. Symmetrical, sensorineural, sloping hearing loss
- B. Symmetrical, sensorineural, rising hearing loss
- C. Asymmetrical, conductive, sloping hearing loss
- D. Asymmetrical, sensorineural, rising hearing loss
The Answer and Explanation
Did you get it right? The correct answer is: A
Age-related hearing loss is typically: symmetrical, as the cochleas age at the same rate; sensorineural, as it primarily affects the cochlea; and sloping, because the characteristic audiogram slopes downwards in the higher frequencies. This means that higher frequencies have greater hearing loss than lower frequencies. The audiogram of a person with age-related hearing loss might look like this:
Incorrect Answer Explanations
Answer B: Age-related hearing loss is typically symmetrical (because the cochleas age at the same rate) and sensorineural (because it primarily affects the cochlea), but age-related hearing loss is not rising. A rising pattern would mean that the audiogram rises upwards in the higher frequencies, indicating that the higher frequencies have less hearing loss than the lower frequencies. The opposite pattern is true: age-related hearing loss affects the higher frequencies more and is sloping. A rising hearing loss is associated with conductive rather than sensorineural loss.
Answer C: Age-related hearing loss is not asymmetrical; it tends to affect both cochleas equally and is therefore symmetrical. It is not conductive; it primarily affects the cochlea and is therefore a sensorineural loss. Age-related hearing loss is sloping, because the characteristic audiogram slopes downwards in the higher frequencies. This means that higher frequencies have greater hearing loss than lower frequencies. An asymmetrical conductive loss might be seen in a child with otitis media.
Answer D: Age-related hearing loss is not asymmetrical; it tends to affect both cochleas equally and is therefore symmetrical. Age-related hearing loss is sensorineural, because it primarily affects the cochlea. Age-related hearing loss is not rising. This pattern would mean that the audiogram rises upwards in the higher frequencies, indicating that the higher frequencies have less hearing loss than the lower frequencies. The opposite pattern is true: age-related hearing loss affects the higher frequencies more and is sloping. An asymmetrical rising loss might be seen in a child with otitis media, but this would be a conductive not a sensorineural loss.
Bottom Line
The type and configuration of hearing loss that characterizes age-related hearing loss (presbycusis) is symmetrical, sensorineural, and sloping.
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