Thursday 8 September 2016

Tone decay test and SISI test | Crack PGIMER NOV 2016

Tone decay test and SISI test are used to detect:


A. Cochlear and retrocochlear pathology respectively
B. retrocochlear and cochlear pathology respectively
C. Cochlear pathology
D. Retrocochlear pathology
E. functional HL



The Answer is. B. retrocochlear and cochlear pathology respectively
These are special test of hearing. They are used in patients with sensorineural hearing loss to further differentiable a cochlear or a retrocochlear cause.
Special test of hearing include
Cochlear tests
SISI Test
ABLB test
Retrocochlear tests
Tone decay test
Speech discrimination score
SISI (Short Increment Sensitivity Index) is designed to test the ability to recognise 1 dB increase in intensity during a series of bursts of pure tones presented 20 dB above threshold. The SISI test differentiates between cochlear and retrocochlear disorders. A patient with a cochlear disorder will be able to perceive the increments of 1 dB, a patient with a retrocochleardisorder will not.

Tone Decay Test: the sounding of a continuous tone at threshold for 1 min; if the intensity must be increased by more than 5 dB for continued perception, it is indicative of a neural hearing loss