Explore different ages, severities and shapes of cochlear loss, conductive and mixed losses, cochlear asymmetry, cookie-bite and noise patterns, and otosclerosis-style teaching profiles. The first ten cases identify the pattern; cases 11–40 leave the interpretation to you.
Cases 1–35 open with assessment mode off, so Tutorial, Patient settings, Visual helper and Masking helper are available. Cases 36–40 are full tasks with an empty plot and assessment restrictions. Each link opens its own simulator tab; the answer remains here until you choose to reveal it.
Difficulty reflects the initial masking workload: Easy has no rule triggers; Medium has a smaller Rule 1/2 workload; Hard has many targets, Rule 3, or a masking limitation. These are teaching grades, not clinical severity grades. Requirements can change after masking.
Answers use Tutorial’s ideal thresholds and required masking with not-masked shadows. BC is plotted at 500, 1000 and 2000 Hz. Thresholds above the frequency-specific AC/BC output limit show no response (NR) at that limit. Response variability can change your measured results; the Tutorial check allows ±5 dB. Otosclerosis-style profiles combine a conductive slope (greater at low frequencies, still present at high frequencies) with a 2 kHz BC transmission notch. They are simulated teaching patterns, not diagnoses.
Case history: The patient is uncertain if they have a better ear, likely both the same
Start with an empty audiogram. Measure AC and BC, then use Tutorial to check your results. Reveal the reference PTA only when you are ready.
Case history: The patient is uncertain if they have a better ear, likely both the same
Start with an empty audiogram. Measure AC and BC, then use Tutorial to check your results. Reveal the reference PTA only when you are ready.
Case history: The patient is uncertain if they have a better ear, likely both the same
Start with an empty audiogram. Measure AC and BC, then use Tutorial to check your results. Reveal the reference PTA only when you are ready.
Case history: The patient is uncertain if they have a better ear, likely both the same
Start with an empty audiogram. Measure AC and BC, then use Tutorial to check your results. Reveal the reference PTA only when you are ready.
Not-masked AC and initial BC supplied. Identify and measure the remaining masked thresholds.
Not-masked AC and initial BC supplied. Identify and measure the remaining masked thresholds.
Not-masked AC and initial BC supplied. Identify and measure the remaining masked thresholds.
Not-masked AC and initial BC supplied. Identify and measure the remaining masked thresholds.
Not-masked AC and initial BC supplied. Identify and measure the remaining masked thresholds.
Not-masked AC and initial BC supplied. Identify and measure the remaining masked thresholds.
Case history: The patient is uncertain if they have a better ear, likely both the same
Start with an empty audiogram. Measure AC and BC, then use Tutorial to check your results. Reveal the reference PTA only when you are ready.
Case history: The patient is uncertain if they have a better ear, likely both the same
Start with an empty audiogram. Measure AC and BC, then use Tutorial to check your results. Reveal the reference PTA only when you are ready.
Case history: The patient is uncertain if they have a better ear, likely both the same
Start with an empty audiogram. Measure AC and BC, then use Tutorial to check your results. Reveal the reference PTA only when you are ready.
Case history: The patient is uncertain if they have a better ear, likely both the same
Start with an empty audiogram. Measure AC and BC, then use Tutorial to check your results. Reveal the reference PTA only when you are ready.
Case history: The patient is uncertain if they have a better ear, likely both the same
Start with an empty audiogram. Measure AC and BC, then use Tutorial to check your results. Reveal the reference PTA only when you are ready.
Case history: The patient is uncertain if they have a better ear, likely both the same
Start with an empty audiogram. Measure AC and BC, then use Tutorial to check your results. Reveal the reference PTA only when you are ready.
Case history: The patient is uncertain if they have a better ear, likely both the same
Start with an empty audiogram. Measure AC and BC, then use Tutorial to check your results. Reveal the reference PTA only when you are ready.
Case history: The patient is uncertain if they have a better ear, likely both the same
Start with an empty audiogram. Measure AC and BC, then use Tutorial to check your results. Reveal the reference PTA only when you are ready.
Case history: The patient is uncertain if they have a better ear, likely both the same
Start with an empty audiogram. Measure AC and BC, then use Tutorial to check your results. Reveal the reference PTA only when you are ready.
Case history: The patient is uncertain if they have a better ear, likely both the same
Start with an empty audiogram. Measure AC and BC, then use Tutorial to check your results. Reveal the reference PTA only when you are ready.
Not-masked AC and initial BC supplied. Identify and measure the remaining masked thresholds.
Not-masked AC and initial BC supplied. Identify and measure the remaining masked thresholds.
Not-masked AC and initial BC supplied. Identify and measure the remaining masked thresholds.
Not-masked AC and initial BC supplied. Identify and measure the remaining masked thresholds.
Case history: The patient is uncertain if they have a better ear, likely both the same
Start with an empty audiogram. Measure AC and BC, then use Tutorial to check your results. Reveal the reference PTA only when you are ready.
Not-masked AC and initial BC supplied. Identify and measure the remaining masked thresholds.
Not-masked AC and initial BC supplied. Identify and measure the remaining masked thresholds.
Not-masked AC and initial BC supplied. Identify and measure the remaining masked thresholds.
Not-masked AC and initial BC supplied. Identify and measure the remaining masked thresholds.
Not-masked AC and initial BC supplied. Identify and measure the remaining masked thresholds.
Not-masked AC and initial BC supplied. Identify and measure the remaining masked thresholds.
Not-masked AC and initial BC supplied. Identify and measure the remaining masked thresholds.
Not-masked AC and initial BC supplied. Identify and measure the remaining masked thresholds.
Not-masked AC and initial BC supplied. Identify and measure the remaining masked thresholds.
Not-masked AC and initial BC supplied. Identify and measure the remaining masked thresholds.
Case history: The patient is uncertain if they have a better ear, likely both the same
Start with an empty audiogram. Measure AC and BC, identify any masking requirements and complete the test.
Case history: The patient reports that their right ear is their better-hearing ear.
Start with an empty audiogram. Measure AC and BC, identify any masking requirements and complete the test.
Case history: The patient reports that their left ear is their better-hearing ear.
Start with an empty audiogram. Measure AC and BC, identify any masking requirements and complete the test.
Case history: The patient reports that their left ear is their better-hearing ear.
Start with an empty audiogram. Measure AC and BC, identify any masking requirements and complete the test.
Case history: The patient reports that their right ear is their better-hearing ear.
Start with an empty audiogram. Measure AC and BC, identify any masking requirements and complete the test.
