100+ Free Examen Integrado Fonoaudiología Practice Questions

Prepare for the Examen Integrado de Residencias del Equipo de Salud — Fonoaudiología (Argentina) exam with instant access — no signup required.

✓ No registration✓ No credit card✓ No hidden fees✓ Start practicing immediately

100+ Questions

100% Free

Loading practice questions...

Same family resources

Explore More Argentina Health Residencies Integrated Examination (Examen Integrado de Residencias de la Salud — MSAL / CAEI)

Continue into nearby exams from the same family. Each card keeps practice questions, study guides, flashcards, videos, and articles in one place.

Argentina Biochemistry Residencies Integrated Examination (Examen Integrado de Residencias — Bioquímica)

Practice Questions100 questions

Argentina Hospital Pharmacy Residencies Integrated Examination (Examen Integrado de Residencias — Farmacia Hospitalaria)

Practice Questions100 questions

Argentina Kinesiology Residencies Integrated Examination (Examen Integrado de Residencias — Kinesiología)

Practice Questions100 questions

Argentina Medical Residencies Integrated Examination (Examen Integrado de Residencias — Medicina)

Practice Questions100 questions

Argentina Nursing Residencies Integrated Examination (Examen Integrado de Residencias — Enfermería)

Practice Questions100 questions

Argentina Nutrition Residencies Integrated Examination (Examen Integrado de Residencias — Nutrición)

Practice Questions100 questions

2026 Statistics

Key Facts: Examen Integrado Fonoaudiología Exam

The Argentina Examen Integrado de Fonoaudiología is a 100-question digital multiple-choice exam (4 hours) administered free of charge by MSAL / CAEI under Resolución 555/2026, determining national merit ranking for hospital residency appointments across audiology, language, voice, dysphagia, and health legislation.

Sample Examen Integrado Fonoaudiología Practice Questions

Try these sample questions to test your Examen Integrado Fonoaudiología exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1In standard pure-tone audiometry (audiometría tonal liminar), which set of symbols correctly represents unmasked air conduction thresholds for the right ear, unmasked air conduction thresholds for the left ear, and unmasked bone conduction thresholds for the right ear, respectively?

A.Red circle (○), Blue cross (✕), and Red opening-bracket / caret (<)

B.Red square (□), Blue triangle (△), and Blue closing-bracket / caret (>)

C.Blue cross (✕), Red circle (○), and Blue opening-bracket / caret (<)

D.Red triangle (△), Blue square (□), and Red closing-bracket / caret (>)

Explanation: According to international audiometric standardization (ISO 8253-1 / ASHA / Argentine clinical consensus), the right ear is traditionally color-coded red and the left ear blue. Unmasked air conduction is designated by a red circle (○) for the right ear and a blue cross (✕) for the left ear, while unmasked bone conduction is marked by a red opening caret/bracket (<) on the mastoid or forehead for the right ear and a blue closing caret/bracket (>) for the left ear.

2When assessing the need for contralateral masking during pure-tone audiometry, what are the accepted minimum interaural attenuation (IA / atenuación interaural) values for standard supra-aural earphones (e.g., TDH-39), insert earphones (e.g., ER-3A/5A), and a standard bone conduction oscillator, respectively?

A.40 dB for supra-aural earphones, 60 dB for insert earphones, and 0 dB for bone conduction

B.20 dB for supra-aural earphones, 40 dB for insert earphones, and 10 dB for bone conduction

C.60 dB for supra-aural earphones, 40 dB for insert earphones, and 20 dB for bone conduction

D.50 dB for supra-aural earphones, 50 dB for insert earphones, and 0 dB for bone conduction

Explanation: Interaural attenuation is the loss of acoustic energy as sound travels across the skull from the test ear to the cochlea of the non-test ear. For clinical masking rules, IA is universally established as at least 40 dB for standard supra-aural earphones, 60 dB (or 55–70 dB depending on frequency) for insert earphones due to reduced contact area with cranial bones, and 0 dB for bone conduction oscillators because cranial bones vibrate as a single rigid unit.

3A 45-year-old patient presents with an unmasked air conduction threshold of 60 dB HL in the right test ear at 1000 Hz using supra-aural earphones. The unmasked bone conduction threshold in the left non-test ear is 10 dB HL. Applying Hood's plateau masking method, why is masking the non-test ear mandatory, and how is the minimum initial effective masking level determined?

A.Masking is required because the test ear air threshold exceeds the non-test ear bone threshold by ≥ 40 dB; initial masking is set at the non-test ear air threshold plus a safety factor

B.Masking is required only if the air-bone gap in the test ear exceeds 30 dB; initial masking is set at 10 dB above the test ear threshold

C.Masking is not required because the air conduction threshold in the non-test ear is within normal limits regardless of bone conduction

D.Masking is required only for bone conduction testing; air conduction never requires masking when using supra-aural transducers

Explanation: Masking for air conduction is required whenever the air conduction threshold of the test ear exceeds the bone conduction threshold of the non-test ear by the interaural attenuation value (ACTE − BCNTE ≥ 40 dB for supra-aural earphones). Here, 60 dB − 10 dB = 50 dB (≥ 40 dB), meaning cross-hearing is occurring. In Hood's plateau method, the initial effective masking level introduced into the non-test ear equals its air conduction threshold plus a 10–15 dB safety margin to account for auditory processing shifts.

4During acoustic immittance testing (impedanciometría / timpanometría) in a 4-year-old child, the tympanogram reveals a flat tracing with no discernible compliance peak (Jerger Type B) and an ear canal volume (ECV / volumen del conducto auditivo externo) of 0.7 cm³. What is the most likely clinical diagnosis?

A.Otitis media with effusion (otitis media serosa / con derrame)

B.Tympanic membrane perforation (perforación timpánica)

C.Patent tympanostomy tube (tubo de ventilación permeable)

D.Ossicular chain discontinuity (disyunción de cadena osicular)

Explanation: A Jerger Type B tympanogram indicates a non-mobile, stiffened middle ear system. When accompanied by a normal ear canal volume (typically 0.4–1.0 cm³ in young children and 0.6–1.5 cm³ in adults), it is pathognomonic for middle ear effusion (otitis media con derrame / seromucosa). If the volume were abnormally enlarged (> 2.0 cm³), it would indicate a tympanic membrane perforation or a patent ventilation tube.

5A 32-year-old woman presents with progressive bilateral hearing loss. Immittance testing reveals a Jerger Type As tympanogram with normal middle ear peak pressure (−10 daPa) but markedly reduced static acoustic admittance (compliance < 0.25 mmho/cm³), alongside absent stapedial acoustic reflexes. Which pathological condition is most consistent with these findings?

A.Otosclerosis (otoesclerosis / fijación estapedial)

B.Eustachian tube dysfunction (disfunción tubaria)

C.Ossicular discontinuity (desarticulación de cadena)

D.Menière's disease (enfermedad de Menière)

Explanation: A Jerger Type As ('s' for stiffness / shallow) tympanogram features normal middle ear air pressure (between −100 and +50 daPa) with a significantly reduced peak compliance/admittance (< 0.3 mmho/cm³ in adults). This pattern reflects increased stiffness of the middle ear conductive apparatus, which is classic for otosclerosis (stapedial footplate fixation) or severe tympanosclerosis, accompanied by absent stapedial reflexes.

6In speech audiometry (logoaudiometría), how is the Speech Recognition Threshold (SRT / Umbral de Recepción Verbal o Umbral de Inteligibilidad) defined, and what is its expected relationship with the Pure Tone Average (PTA / Promedio Tonal Liminar at 500, 1000, and 2000 Hz)?

A.The lowest intensity level at which 50% of spondaic words are correctly repeated; it should agree with the PTA within ± 6 to 8 dB

B.The lowest intensity level at which speech is first detected 100% of the time; it should be 15 to 20 dB lower than the PTA

C.The intensity level that produces the maximum word discrimination score; it is always 40 dB above the PTA

D.The intensity level where single-syllable phonetically balanced words reach 50% comprehension; it is independent of the PTA

Explanation: The Speech Recognition Threshold (SRT / Umbral de Inteligibilidad) is defined as the minimum intensity level (in dB HL) at which a listener can correctly identify and repeat 50% of presented spondaic (two-syllable equally stressed) words. In valid test results, the SRT serves as a reliability cross-check with pure-tone audiometry and must correlate closely with the three-frequency PTA (500, 1000, 2000 Hz) within ± 6 to 8 dB.

7A patient undergoes word recognition testing (discriminación vocal) at multiple suprathreshold intensity levels. The maximum score (PBmax) is 84% at 70 dB HL, but as intensity increases to 90 dB HL, the score drops dramatically to 40% (PBmin). What is the calculated Rollover Index (RI), and what pathology does this finding strongly suggest?

A.RI = 0.52; strongly suggests a retrocochlear lesion (e.g., vestibular schwannoma / neurinoma del VIII par)

B.RI = 0.25; strongly suggests conductive hearing loss due to ossicular stiffness

C.RI = 0.10; strongly suggests normal cochlear outer hair cell recruitment

D.RI = 0.84; strongly suggests noise-induced sensory cochlear damage

Explanation: The Rollover Index is calculated using the formula: Rollover Index = (PBmax − PBmin) / PBmax. In this case, (84 − 40) / 84 = 44 / 84 ≈ 0.52. A Rollover Index exceeding 0.40 to 0.45 indicates significant speech rollover (performance breakdown at high presentation levels), which is a classic diagnostic indicator of retrocochlear pathology, such as a vestibular schwannoma (acoustic neuroma) affecting the VIIIth cranial nerve.

8What constitutes a positive acoustic reflex decay test (decaimiento o fatiga del reflejo estapedial), and what is its primary clinical implication?

A.A reduction in reflex amplitude of more than 50% within 10 seconds of continuous stimulation at 500 or 1000 Hz; indicates retrocochlear VIIIth nerve pathology

B.An increase in reflex amplitude of more than 20% over 10 seconds; indicates Eustachian tube obstruction

C.Failure to elicit an acoustic reflex at 4000 Hz; indicates normal physiological adaptation

D.A reduction in reflex amplitude of 10% over 30 seconds; indicates sensory cochlear hair cell fatigue

Explanation: Acoustic reflex decay testing evaluates the neural adaptation of the stapedius reflex arc during sustained pure-tone stimulation at 10 dB SL above the reflex threshold for 10 seconds at 500 Hz or 1000 Hz. A positive (abnormal) decay is defined as a decrease in reflex amplitude of > 50% before the 10-second interval ends. This rapid neural fatigue is a sensitive indicator of retrocochlear VIIIth nerve lesion (such as acoustic neuroma).

9In click-evoked Auditory Brainstem Response (ABR / BERA / PEATC - Potenciales Evocados Auditivos del Tronco Encefálico), which anatomical structure is primarily responsible for the generation of Wave I and Wave V, respectively?

A.Wave I: distal auditory nerve (VIII CN); Wave V: inferior colliculus / lateral lemniscus termination

B.Wave I: superior olivary complex; Wave V: auditory cortex in Heschl's gyrus

C.Wave I: outer hair cells of the cochlea; Wave V: medial geniculate body

D.Wave I: proximal auditory nerve at brainstem entry; Wave V: trapezoid body

Explanation: In ABR recordings, Wave I represents the compound action potential of the distal portion of the auditory (VIII) nerve near the cochlea. Waves II through V represent progressively rostral brainstem structures: Wave II (proximal VIII nerve / cochlear nucleus), Wave III (cochlear nucleus / superior olivary complex), Wave IV (lateral lemniscus), and Wave V (inferior colliculus / termination of lateral lemniscus fibers).

10An adult patient presents with unilateral tinnitus and asymmetric sensorineural hearing loss. An ABR (PEATC) evaluation at 80 dB nHL demonstrates normal absolute latency of Wave I (1.6 ms), but Wave III is delayed to 4.5 ms and Wave V is delayed to 6.8 ms, resulting in an elongated I–V interpeak latency (IPL) of 5.2 ms (normal < 4.0 ms). What is the clinical interpretation?

A.Retrocochlear conduction delay along the auditory nerve and lower brainstem on the tested side

B.Conductive hearing loss in the external or middle ear

C.Isolated sensory cochlear outer hair cell recruitment

D.Normal physiological auditory brainstem conduction

Explanation: In ABR interpretation, interpeak latencies (IPLs: I–III, III–V, and I–V) represent central transmission time across the brainstem. In purely conductive hearing losses, all waves are equally delayed, keeping IPLs completely normal. When Wave I has a normal absolute latency but subsequent waves and the I–V IPL are significantly prolonged (> 4.0–4.2 ms), it reflects retrocochlear neural slowing (e.g., vestibular schwannoma or cerebellopontine angle compression).

About the Examen Integrado Fonoaudiología Exam

The Examen Integrado de Residencias de la Salud para Fonoaudiología is the official nationwide competitive entrance examination in Argentina for speech-language therapy graduates (Licenciados/as en Fonoaudiología) seeking admission into accredited postgraduate residency programs (Residencias del Equipo de Salud). Governed by the Ministerio de Salud de la Nación and the Comité de Adhesión al Examen Integrado (CAEI) under Resolución Ministerial 555/2026, the examination provides unified, transparent access to clinical residency positions across national hospitals, the City of Buenos Aires (CABA), Buenos Aires Province, and participating provincial health jurisdictions. The examination is conducted digitally on secure tablets and consists of 100 multiple-choice questions spanning clinical audiology (audiometry, acoustic immittance, ABR/BERA, OAEs, neonatal hearing screening under Ley 25.415, amplification, and cochlear implants), child and adult language disorders (DLD/TDL, childhood apraxia of speech, Boston aphasia taxonomy, dysarthrias, TBI cognitive-communication deficits), voice physiology and pathology (GRBAS/CAPE-V acoustic analysis, vocal nodules, polyps, Reinke's edema, paralysis, SOVTE, RVT), oropharyngeal dysphagia and orofacial myology (phases of swallowing, V-VST, VFSS, FEES, IDDSI diet modifications, swallowing maneuvers, preterm sucking coordination, mouth breathing syndrome), and statutory healthcare legislation (Ley 27.568 de Ejercicio Profesional de la Fonoaudiología, Ley 26.529 de Derechos del Paciente, Ley 25.415, and primary healthcare models). Language note: the Examen Integrado is set and sat entirely in Spanish, against the official MSAL temario for Fonoaudiología. These practice questions are an English-language multiple-choice study adaptation built from that official scope — they are not an official translation, not published or endorsed by the Ministerio de Salud de la Nación, and not a simulation of the exam's Spanish-language testing environment. Official exam names, Argentine statute numbers and local clinical terms are kept in Spanish so you can match them to the real bibliography.

Assessment

A 100-question single-session digital examination covering five core professional domains: Clinical Audiology & Electrophysiology (25%), Language & Communication Disorders (25%), Voice Pathology & Therapeutics (20%), Swallowing Disorders & Orofacial Myology (20%), and Ethics, Legislation & Public Health (10%).

Time Limit

3 hours (180 minutes)

Passing Score

Merit ranking (orden de mérito) based on the combination of the 100-point written examination and certified university academic average with failing grades included (promedio con aplazos).

Exam Fee

Free ($0 ARS); administered free of charge by the Argentine State under Resolución Ministerial 555/2026. (Ministerio de Salud de la Nación (MSAL) / Comité de Adhesión al Examen Integrado (CAEI))

Examen Integrado Fonoaudiología Exam Content Outline

25%

Clinical Audiology & Hearing Disorders

Pure-tone audiometry, masking methods (plateau/Hood), speech audiometry (SRT, WRS, rollover), acoustic immittance (Jerger types, acoustic reflexes, decay), electrophysiology (ABR/BERA, OAEs), hearing loss classification (presbycusis, NIHL, otosclerosis, ANSD), newborn hearing screening (Ley 25.415), hearing aids, and cochlear implants.

25%

Language & Communication Disorders

Normal language development milestones, Developmental Language Disorder (DLD/TDL), Speech Sound Disorders (SSD/TSH vs dyslalia), Childhood Apraxia of Speech (CAS/AHI), adult neurogenic disorders (Boston aphasia taxonomy, TBI cognitive-communication disorders), and motor speech disorders (dysarthria classification, adult apraxia of speech).

20%

Voice & Vocal Pathology

Laryngeal anatomy and physiology, Hirano's cover-body theory, perceptual assessment (GRBAS, CAPE-V), acoustic voice analysis (F0, jitter, shimmer, HNR, MPT, s/z ratio), benign vocal fold lesions (nodules, polyps, Reinke's edema, cysts, granulomas, sulcus vocalis, paralysis), and evidence-based voice therapy (SOVTE, RVT, VFE, manual therapy).

20%

Swallowing Disorders & Orofacial Myology

Normal swallowing physiology across 4 phases, airway protection mechanisms, clinical bedside assessment (V-VST), instrumental evaluations (VFSS, FEES, Rosenbek PAS), dysphagia management in stroke and neurodegenerative conditions, compensatory strategies, IDDSI framework, rehabilitative maneuvers (Mendelsohn, Masako, Effortful, Shaker), neonatal sucking-swallowing coordination, and orofacial myofunctional therapy.

10%

Ethics, Legislation & Public Health

Ley Nacional 27.568 de Ejercicio Profesional de la Fonoaudiología, Ley Nacional 25.415 (Programa Nacional de Detección Temprana de la Hipoacusia), Ley Nacional 26.529 (Derechos del Paciente, Consentimiento Informado, Historia Clínica), professional confidentiality, primary healthcare strategies, and interdisciplinary hospital management.

How to Pass the Examen Integrado Fonoaudiología Exam

What You Need to Know

Passing score: Merit ranking (orden de mérito) based on the combination of the 100-point written examination and certified university academic average with failing grades included (promedio con aplazos).
Assessment: A 100-question single-session digital examination covering five core professional domains: Clinical Audiology & Electrophysiology (25%), Language & Communication Disorders (25%), Voice Pathology & Therapeutics (20%), Swallowing Disorders & Orofacial Myology (20%), and Ethics, Legislation & Public Health (10%).
Time limit: 3 hours (180 minutes)
Exam fee: Free ($0 ARS); administered free of charge by the Argentine State under Resolución Ministerial 555/2026.

Keys to Passing

Work through all 100 available questions
Review every answer and explanation
Track weak areas and revisit them
Use our AI tutor for tough concepts

Examen Integrado Fonoaudiología Study Tips from Top Performers

1Master the masking formulas for pure-tone audiometry (Hood's plateau method, minimum and maximum masking) and interaural attenuation values for supra-aural (40 dB) versus insert earphones (60 dB).

2Memorize the acoustic immittance Jerger classifications (A, As, Ad, B, C) and their direct pathophysiological correlates in the middle ear and tympanic membrane.

3Understand the diagnostic electrophysiological criteria for Auditory Neuropathy Spectrum Disorder (present OAEs / cochlear microphonic with absent or severely dyssynchronous ABR).

4Learn the differential diagnosis between Phonological Disorders (linguistic/pattern errors) and Articulation Disorders / Dyslalia (motor production errors), as well as the diagnostic triad of Childhood Apraxia of Speech.

5Review the Boston Diagnostic Aphasia Examination matrix (fluency, comprehension, repetition) to distinguish Broca, Wernicke, Conduction, Transcortical, Global, and Anomic aphasias.

6Know the biomechanical actions of all intrinsic laryngeal muscles, specifically that the posterior cricoarytenoid is the sole abductor and the cricothyroid is innervated by the external branch of the superior laryngeal nerve.

7Differentiate the physiological mechanisms of swallowing maneuvers: Mendelsohn (UES opening), Masako (pharyngeal constrictor strength), Effortful (tongue base retraction), and Shaker (suprahyoid strengthening).

8Memorize the core provisions of Ley 27.568 (degree requirements, reserved areas) and Ley 25.415 (the 1-3-6 month neonatal hearing screening benchmark).

Frequently Asked Questions

What is the Examen Integrado de Residencias de Fonoaudiología?

It is the unified, standardized public entrance examination in Argentina organized by the Ministerio de Salud de la Nación and the CAEI under Resolución 555/2026 to select speech-language pathology graduates for hospital-based postgraduate residency positions (Residencias del Equipo de Salud).

What is the format, duration, and scoring system of the exam?

The examination consists of 100 multiple-choice questions with 4 options each (1 correct), administered digitally on tablets over a 3-hour (180-minute) session. Each correct answer awards 1 point (total 100 points), which is combined with the candidate's university grade point average (promedio de la carrera con aplazos) to determine the definitive national merit ranking.

What key clinical domains are evaluated in the Fonoaudiología residency exam?

The exam evaluates five core domains: 1) Clinical Audiology and Electrophysiology (25%), 2) Child and Adult Language & Communication Disorders (25%), 3) Voice and Vocal Pathology (20%), 4) Swallowing Disorders (Dysphagia) & Orofacial Myology (20%), and 5) Sanitary Legislation, Bioethics, and Public Health (10%).

What Argentine healthcare laws are essential for this examination?

Candidates must master Ley Nacional 27.568 (Professional Practice of Speech Therapy / Fonoaudiología), Ley Nacional 25.415 (National Program for Early Detection and Care of Hearing Loss), and Ley Nacional 26.529 (Patient Rights, Informed Consent, and Medical Records).

Is there any cost to register for or take the Examen Integrado?

No. Registration and participation in the Examen Integrado de Residencias are entirely free of charge ($0 ARS), funded by the Argentine National Ministry of Health to guarantee equal, merit-based access to specialized training.

Is this practice bank in Spanish like the real exam?

No. The Examen Integrado is administered in Spanish only. This bank is an English-language multiple-choice study adaptation derived from the official MSAL temario and bibliography, intended for candidates who prefer to revise the underlying clinical knowledge in English. It is not an official translation and does not reproduce official exam items; Argentine law numbers, programme names and clinical terminology are retained in Spanish so they map onto the real exam.