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ALBERTA AUDIOLOGY CERTIFICATION EXAM QUESTIONS
AND CORRECT ANSWER (VERIFIED ANSWERS) PLUS
RATIONALE 2026 Q&A|INSTANT DOWNLOAD PDF
1. The primary role of an audiologist is to: A. Perform ear surgery B. Assess and manage hearing and balance disorders C. Prescribe antibiotics D. Conduct MRI scans Answer: B Rationale: Audiologists evaluate hearing, balance, and provide rehabilitation. 2. The outer ear includes: A. Cochlea B. Pinna and ear canal C. Ossicles D. Auditory nerve Answer: B Rationale: Outer ear collects and funnels sound. 3. The middle ear contains: A. Cochlea B. Ossicles C. Semicircular canals D. Nerve Answer: B Rationale: Malleus, incus, stapes transmit sound vibrations. 4. The inner ear contains:
A. Pinna B. Cochlea and vestibular system C. Eardrum D. Ear canal Answer: B Rationale: Responsible for hearing and balance.
5. The cochlea converts: A. Electrical signals to sound B. Sound vibrations to electrical signals C. Air to sound D. Blood to sound Answer: B Rationale: Hair cells transduce sound. 6. The auditory nerve transmits: A. Sound waves B. Neural signals to the brain C. Blood D. Fluid Answer: B Rationale: Sends auditory information to brain. 7. Hearing is measured in: A. Volts B. Decibels (dB) C. Watts D. Hertz only Answer: B Rationale: Intensity of sound.
12. Sensorineural hearing loss involves: A. Outer ear B. Inner ear or nerve C. Middle ear D. Eardrum Answer: B Rationale: Damage to cochlea or nerve. 13. Mixed hearing loss is: A. Only conductive B. Only sensorineural C. Combination of both D. No hearing loss Answer: C Rationale: Both pathways affected. 14. Presbycusis is: A. Infection B. Age-related hearing loss C. Trauma D. Tumor Answer: B Rationale: Gradual sensorineural loss with age. 15. Tinnitus is: A. Hearing loss B. Ringing in ears C. Ear infection D. Balance loss
Answer: B Rationale: Perception of sound without stimulus.
16. Otoscopy examines: A. Brain B. Ear canal and eardrum C. Cochlea D. Nerve Answer: B Rationale: Visual inspection. 17. Tympanometry assesses: A. Hearing threshold B. Middle ear function C. Inner ear D. Brain Answer: B Rationale: Measures eardrum mobility. 18. Acoustic reflex involves: A. Retina B. Middle ear muscles C. Cochlea only D. Nerve only Answer: B Rationale: Protects inner ear from loud sounds. 19. Pure tone audiometry measures: A. Speech understanding B. Hearing thresholds
A. Light B. Sound C. Blood D. Nerves Answer: B Rationale: Improve hearing ability.
24. Cochlear implants are used for: A. Mild hearing loss B. Severe sensorineural loss C. Conductive loss only D. Infection Answer: B Rationale: Bypass damaged cochlea. 25. Feedback in hearing aids causes: A. Silence B. Whistling sound C. Improved hearing D. No effect Answer: B Rationale: Sound leakage re-amplified. 26. Real-ear measurement evaluates: A. Brain B. Hearing aid performance C. Balance D. Vision Answer: B Rationale: Ensures proper amplification.
27. Noise-induced hearing loss affects: A. Low frequencies B. High frequencies C. All equally D. None Answer: B Rationale: Typically damages high-frequency hair cells. 28. Ear protection prevents: A. Infection B. Noise-induced hearing loss C. Balance issues D. Vision loss Answer: B Rationale: Reduces sound exposure. 29. Vestibular system controls: A. Hearing only B. Balance C. Vision D. Taste Answer: B Rationale: Maintains equilibrium. 30. Vertigo is: A. Hearing loss B. Spinning sensation C. Ear pain D. Tinnitus Answer: B Rationale: Vestibular dysfunction.
Answer: B Rationale: Early intervention is critical.
35. Newborn hearing screening uses: A. MRI B. OAE or ABR C. X-ray D. Blood test Answer: B Rationale: Objective hearing tests. 36. OAE measures: A. Brain activity B. Cochlear outer hair cell function C. Middle ear D. Vision Answer: B Rationale: Objective cochlear test. 37. ABR measures: A. Cochlea only B. Neural pathway response C. Middle ear D. Outer ear Answer: B Rationale: Brainstem response to sound. 38. Hearing loss affects: A. Vision B. Speech and language development
C. Bone growth D. Skin Answer: B Rationale: Especially critical in children.
39. Communication strategies include: A. Ignoring B. Lip reading and clear speech C. Shouting D. Silence Answer: B Rationale: Improves understanding. 40. Assistive listening devices: A. Replace hearing aids B. Improve hearing in noise C. Reduce hearing D. Cause damage Answer: B Rationale: Enhance signal-to-noise ratio. **41 – 60 (Final High-Yield Section)
- Central auditory processing disorder affects:** A. Ear structure B. Brain processing of sound C. Vision D. Balance Answer: B Rationale: Difficulty interpreting sounds.
Answer: B Rationale: Vibrates with sound.
46. Otitis media affects: A. Outer ear B. Middle ear C. Inner ear D. Brain Answer: B Rationale: Middle ear infection. 47. Otitis externa is: A. Middle ear infection B. Outer ear infection C. Inner ear infection D. Nerve issue Answer: B Rationale: “Swimmer’s ear.” 48. Earwax (cerumen) protects by: A. Causing infection B. Trapping debris C. Blocking hearing D. Damaging ear Answer: B Rationale: Protective function. 49. Sudden hearing loss is: A. Normal B. Medical emergency
C. Minor issue D. Chronic Answer: B Rationale: Requires urgent evaluation.
50. The ultimate goal of audiology is: A. Surgery B. Improve hearing and quality of life C. Medication only D. Imaging Answer: B Rationale: Functional hearing rehabilitation. 51. The stapedius muscle functions to: A. Improve vision B. Protect the inner ear from loud sounds C. Produce sound D. Control balance Answer: B Rationale: Contracts in response to loud sounds to reduce vibration transmission. 52. The Eustachian tube connects the: A. Inner ear to brain B. Middle ear to nasopharynx C. Outer ear to cochlea D. Cochlea to nerve Answer: B Rationale: Equalizes pressure in the middle ear. 53. Barotrauma affects: A. Inner ear only B. Middle ear due to pressure changes
A. Hair cells B. Membranous labyrinth C. Outer ear D. Tympanic membrane Answer: B Rationale: Fluid surrounding inner ear structures.
58. The organ of Corti contains: A. Bones B. Hair cells C. Nerves D. Blood vessels Answer: B Rationale: Sensory receptors for hearing. 59. Hair cell damage leads to: A. Improved hearing B. Hearing loss C. Balance improvement D. Pain only Answer: B Rationale: Hair cells do not regenerate. 60. Ototoxic drugs can cause: A. Vision loss B. Hearing damage C. Bone disease D. Skin issues Answer: B Rationale: Some medications damage inner ear structures.
61. Speech reception threshold (SRT) measures: A. Tone detection B. Lowest level speech is recognized C. Balance D. Pressure Answer: B Rationale: Functional hearing ability. 62. Word recognition score assesses: A. Tone detection B. Clarity of speech understanding C. Balance D. Vision Answer: B Rationale: Measures speech discrimination ability. 63. Loudness discomfort level indicates: A. Hearing loss B. Maximum comfortable sound level C. Minimum hearing level D. Balance Answer: B Rationale: Helps in hearing aid fitting. 64. Calibration of audiometers ensures: A. Comfort B. Accurate test results C. Faster testing D. Lower cost Answer: B Rationale: Maintains reliability of measurements.
Answer: B Rationale: Hearing returns after rest.
69. Permanent threshold shift means: A. Temporary issue B. Irreversible hearing loss C. Mild discomfort D. Balance issue Answer: B Rationale: Permanent damage to auditory system. 70. Hearing conservation programs aim to: A. Increase noise B. Prevent hearing loss C. Improve balance D. Cure disease Answer: B Rationale: Protect hearing in noisy environments. 71. Assistive listening systems include: A. MRI B. FM systems C. X-ray D. CT scan Answer: B Rationale: Improve signal clarity in noise. 72. Teleaudiology involves: A. Surgery B. Remote hearing services
C. Imaging D. Medication Answer: B Rationale: Expands access to care.
73. Counseling in audiology helps: A. Cure disease B. Adapt to hearing loss C. Replace devices D. Improve vision Answer: B Rationale: Supports psychosocial adjustment. 74. Hearing aid fitting includes: A. Guesswork B. Individualized programming C. Surgery D. Medication Answer: B Rationale: Tailored to patient needs. 75. Directional microphones help: A. Reduce sound B. Improve speech in noise C. Increase noise D. Damage hearing Answer: B Rationale: Focus on speech sources. 76. Feedback suppression reduces:
