Free Practice Questions for NHPC BASLP

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Key Facts: NHPC BASLP Exam

100

Four-option MCQs on the exam

50/100

Pass marks

None

Negative marking

NPR 3,000

Regular-window exam fee

NHPC's BASLP licensing exam is a computer-based test of 100 four-option MCQs with a pass mark of 50/100 and no negative marking. The 19th sitting (Asoj 2083) used 90-minute sessions. Audiology and speech-language pathology carry 30% each, allied subjects 20%, and ENT and professional duties 10% each.

Sample NHPC BASLP Practice Questions

Try these sample questions to review concepts for the NHPC BASLP exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1What minimum interaural attenuation is conventionally assumed for air-conduction testing with supra-aural earphones such as the TDH-39?

A.0 dB

B.10 dB

C.40 dB

D.70 dB

Explanation: A conservative interaural attenuation of 40 dB is assumed for supra-aural earphones, so masking is considered when the test-ear air-conduction threshold exceeds the non-test-ear bone-conduction threshold by 40 dB or more. Insert earphones give more attenuation (commonly taken as about 55-60 dB).

2When must the non-test ear be masked during bone-conduction testing?

A.When the air-bone gap in the test ear exceeds about 10 dB

B.Only when the test-ear air-conduction threshold exceeds 90 dB HL

C.Only when the air-bone gap in the test ear exceeds 40 dB

D.Never, because of the occlusion effect

Explanation: Interaural attenuation for bone conduction is essentially 0 dB, so an unmasked bone-conduction response could come from either cochlea. If the unmasked bone threshold is more than about 10 dB better than the test-ear air-conduction threshold, masking is needed to confirm which ear responded.

3A tympanogram has normal peak pressure and normal ear canal volume but an unusually high peak admittance. Which Jerger type is this?

A.Type As

B.Type B

C.Type C

D.Type Ad

Explanation: Type Ad shows a very deep, tall peak at normal pressure, consistent with a hypermobile (flaccid) eardrum or ossicular discontinuity. Combined with a conductive loss, it suggests ossicular disarticulation.

4Wave V of the auditory brainstem response is mainly generated at which level of the auditory pathway?

A.Distal part of the auditory nerve

B.Lateral lemniscus and inferior colliculus

C.Proximal auditory nerve and cochlear nucleus

D.Superior olivary complex

Explanation: Wave V reflects activity of the lateral lemniscus as it ends in the inferior colliculus. Because it is the most robust wave, it is used to estimate thresholds and to measure interpeak latencies.

5Which cochlear structures produce otoacoustic emissions?

A.Inner hair cells releasing glutamate

B.Spiral ganglion neurons in the modiolus

C.Outer hair cells via electromotility

D.Marginal cells of the stria vascularis

Explanation: Outer hair cells change length with their membrane potential (driven by prestin), amplifying basilar membrane motion; some of this energy travels back out and is recorded as OAEs. Absent OAEs therefore point to outer hair cell or middle ear problems.

6In a reliable adult, how closely should the speech recognition threshold (SRT) agree with the three-frequency pure-tone average?

A.Within about 6-10 dB

B.The SRT should be 30 dB poorer

C.They should be identical to the word recognition score

D.There is no expected relationship

Explanation: The SRT and the pure-tone average at 500, 1,000 and 2,000 Hz normally agree closely, within roughly 6-10 dB. A larger discrepancy, especially an SRT much better than the PTA, raises suspicion of non-organic hearing loss or test error.

7Which audiometric sign is classically associated with otosclerosis?

A.A sensorineural notch at 4,000 Hz

B.A rising low-frequency sensorineural loss

C.A bilateral cookie-bite mid-frequency loss

D.A bone-conduction dip near 2 kHz (Carhart)

Explanation: Stapes fixation alters the mechanical contribution of the middle ear to bone conduction, producing an apparent bone-conduction loss that is largest near 2,000 Hz. It often improves after successful stapes surgery, showing it is not a true cochlear loss.

8A factory worker with years of unprotected noise exposure has a bilateral sensorineural dip at 4,000 Hz with recovery at 8,000 Hz. What is the likely diagnosis?

A.Presbycusis

B.Noise-induced hearing loss

C.Vestibular schwannoma

D.Aminoglycoside ototoxicity

Explanation: Hazardous noise damages the cochlea most around 3,000-6,000 Hz, producing a notch that partly recovers at 8,000 Hz. Hearing conservation measures can prevent further loss.

9Which combination of findings defines auditory neuropathy spectrum disorder (ANSD)?

A.Absent OAEs with a normal ABR waveform

B.A flat tympanogram with an air-bone gap

C.Present OAEs but an absent or abnormal ABR

D.Conductive loss with normal acoustic reflexes

Explanation: In ANSD outer hair cell function is preserved (OAEs or a cochlear microphonic are present), but neural transmission is disordered, so the ABR is absent or grossly abnormal. Speech understanding is often poorer than the audiogram suggests.

10A patient has a left vestibular schwannoma. Which acoustic reflex pattern is expected?

A.Reflexes absent or raised when the left ear is stimulated

B.Reflexes absent whenever the probe sits in the left ear

C.Reflexes absent in all four test conditions

D.Normal reflexes in all four test conditions

Explanation: The tumour affects the afferent (sensory) limb from the left ear, so reflexes are absent or elevated when the stimulus goes to the left ear, both ipsilaterally and contralaterally. Stimulation of the right ear gives normal reflexes.

About the NHPC BASLP Exam

The NHPC BASLP Licensing Examination is the Nepal Health Professional Council's Name Registration Certificate Examination for Bachelor in Audiology and Speech Language Pathology graduates; passing it is required for registration to practise in Nepal. This free practice bank follows the five areas and weights of the official NHPC licensing syllabus.

Exam sponsor: Nepal Health Professional Council. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

Computer-based exam of 100 four-option MCQs (full marks 100, pass marks 50) with no negative marking. Questions follow the NHPC BASLP licensing syllabus: audiology 30%, speech and language pathology 30%, duties and responsibilities 10%, ENT 10%, allied subjects (linguistics, psychology, statistics and research methods, electronics) 20%.

Time Limit

90-minute sessions in the 19th examination timetable (2083); an earlier NHPC rules notice lists 2 hours.

Passing Score

50 out of 100 marks

Exam / Certification Fees

NPR 3,000 within the regular window; NPR 6,000 (double fee) in the late window (19th examination notice, 2083).

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

30%

Audiology

Acoustics and sound measurement, behavioural and physiological test batteries, hearing aids and implantable devices, and auditory disorders.

30%

Speech & Language Pathology

Speech sound, fluency, voice, motor speech, language, cleft and swallowing disorders: assessment and management.

10%

Duties & Responsibilities

Epidemiology and prevention of communication disorders, screening, counselling, community-based rehabilitation and professional responsibilities.

10%

ENT: Anatomy & Physiology, Diseases

Anatomy and physiology of the ear, nose, throat and larynx, and common ENT diseases.

20%

Allied Subjects (Linguistics, Psychology, Statistics & Research Methods, Electronics)

Linguistics and phonetics, psychology and psychometrics, statistics and research methods, and electronics and acoustics.

Preparing for the NHPC BASLP Exam

What You Need to Know

Passing score: 50 out of 100 marks
Assessment: Computer-based exam of 100 four-option MCQs (full marks 100, pass marks 50) with no negative marking. Questions follow the NHPC BASLP licensing syllabus: audiology 30%, speech and language pathology 30%, duties and responsibilities 10%, ENT 10%, allied subjects (linguistics, psychology, statistics and research methods, electronics) 20%.
Time limit: 90-minute sessions in the 19th examination timetable (2083); an earlier NHPC rules notice lists 2 hours.
Exam / certification fees: NPR 3,000 within the regular window; NPR 6,000 (double fee) in the late window (19th examination notice, 2083). Official sources

Using Our Practice Resources

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

NHPC BASLP: Suggested Study Strategy

1Audiology and speech-language pathology carry 60% of the marks between them, but allied subjects (20%) are a frequent weak spot: revise linguistics, psychometrics, statistics and basic electronics.

2Practise audiogram interpretation and masking decisions, and know the ABR wave generators and tympanogram types.

3Contrast look-alike disorders (apraxia of speech versus dysarthria; the aphasia types by fluency, comprehension and repetition).

4Revise the duties and responsibilities area (screening, prevention, counselling and community-based rehabilitation), which carries 10 marks.

Frequently Asked Questions

What is the passing score for the NHPC BASLP licensing examination?

NHPC's computer-based exam rules set full marks at 100 and the pass mark at 50.

Is there negative marking in the NHPC BASLP exam?

No. NHPC's rules state that wrong answers carry no negative marks. Each question has four options and you mark one.

How long is the exam?

The 19th Name Registration Certificate Examination (Asoj 2083) timetable scheduled 90-minute sessions. An earlier NHPC rules notice lists 2 hours, so always check your admit card and the current timetable.

How much does the exam cost?

For the 19th examination, the fee was NPR 3,000 within the regular application window and NPR 6,000 (double fee) in the late window.