Audiology: infant screening follow-up: practice question

A ENT question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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ENT · Audiology: infant screening follow-up

Sample item

A newborn fails two otoacoustic emission screens. Which is the next investigation?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Brainstem evoked response audiometry

A baby who fails OAE screening needs objective electrophysiological confirmation with ABR (BERA), which also detects neural lesions such as auditory neuropathy. Behavioural tests like pure tone audiometry are impossible at this age. Early identification allows intervention by six months.

Option by option

  • A. Tuning fork tests

    Tuning forks are unreliable and not feasible in neonates.

  • B. Caloric testing

    Caloric testing assesses vestibular function, not hearing.

  • C. Pure tone audiometry

    Pure tone audiometry needs voluntary responses, so it is not possible in newborns.

  • D. Brainstem evoked response audiometry (correct)

    Correct. BERA is the objective confirmatory test in infants.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this ENT question

What is the answer to this ENT question?

The best answer is D, Brainstem evoked response audiometry. A baby who fails OAE screening needs objective electrophysiological confirmation with ABR (BERA), which also detects neural lesions such as auditory neuropathy.

Why is "Tuning fork tests" not the answer?

Tuning forks are unreliable and not feasible in neonates.

Why is "Caloric testing" not the answer?

Caloric testing assesses vestibular function, not hearing.

Why is "Pure tone audiometry" not the answer?

Pure tone audiometry needs voluntary responses, so it is not possible in newborns.

What concept does this question test?

It tests Audiology: infant screening follow-up in ENT. Behavioural tests like pure tone audiometry are impossible at this age. Early identification allows intervention by six months.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Audiology: infant screening follow-up?

Learn tuning fork results and audiogram patterns by sketching them. Then use the flashcards and the other ENT questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.