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March 3, 2026

Free Sample Speech-Language Pathology (SLP) Praxis® Questions

Written By: The TrueLearn Team | Share:

It’s important to choose the right resource, the right content when studying for the Praxis®. Below is a free SLP practice question and sample of TrueLearn’s question bank. See for yourself why we are a trusted resource for thousands of speech-language pathology students.

Our SLP PRAXIS® practice test questions are written and screened by high-performing speech-language pathologist authors that are updated on a regular basis to ensure our SmartBanks stay up-to-date with exam blueprint changes.

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:

Audiogram showing bilateral sloping high-frequency hearing loss. Hearing is normal to mild at 250–500 Hz and declines to moderate–severe loss by 4000–8000 Hz, with similar thresholds in both ears.

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.

For more information, see:

Blevins, N.H. (2018, April). Presbycusis. UpToDate. Retrieved from https://www.uptodate.com/contents/presbycusis

Get a Free Sample SLP Practice Test

Check out TrueLearn’s 5-day trial to get access to more free PRAXIS sample questions. And whenever you’re ready, take a look at our SmartBank subscriptions for Praxis.

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