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100+ Free Praxis Audiology Practice Questions

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Speech recognition threshold (SRT) should agree within approximately what range of the pure-tone average (PTA)?

A
B
C
D
to track
2026 Statistics

Key Facts: Praxis Audiology Exam

120

Total Questions

ETS Praxis 5343 test page

2 hrs

Exam Time

ETS Praxis Information Bulletin

162

ASHA Passing Score

ASHA certification standards (100-200 scale)

$146

Exam Fee

ETS Praxis Information Bulletin 2025-2026

168

Median Score

ETS Understanding Your Praxis Scores 2025-2026

~2,200

Annual Test Takers

ETS Praxis score data 2025-2026

The Praxis Audiology (5343) exam contains 120 selected-response questions with a 2-hour time limit. Scores range from 100-200, with 162 as the ASHA certification passing score. Content categories: Foundations of Audiology (20%), Prevention and Screening (10%), Assessment (35%), Intervention (25%), and Professional and Ethical Responsibilities (10%). The exam fee is $146. Test is available daily at Prometric centers and via at-home proctoring. Based on the ASHA-commissioned practice and curriculum analysis.

Sample Praxis Audiology Practice Questions

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

1Sound intensity is measured in which unit?
A.Hertz (Hz)
B.Decibels (dB)
C.Newtons (N)
D.Pascals (Pa)
Explanation: Sound intensity is measured in decibels (dB), a logarithmic unit that expresses the ratio of a sound's power to a reference level. The decibel scale is used clinically to describe hearing thresholds, speech levels, and noise exposure. Hertz measures frequency, not intensity.
2The cochlea is responsible for which function in the auditory system?
A.Sound localization
B.Converting mechanical sound vibrations into neural signals
C.Equalizing middle ear pressure
D.Amplifying sound before it reaches the inner ear
Explanation: The cochlea is the sensory organ of hearing in the inner ear that converts (transduces) mechanical vibrations from the middle ear into electrical neural signals. This occurs through the movement of the basilar membrane, which stimulates hair cells that release neurotransmitters to activate auditory nerve fibers.
3Which structure connects the middle ear to the nasopharynx and helps equalize pressure across the tympanic membrane?
A.Cochlear aqueduct
B.Eustachian tube
C.Round window
D.Vestibular aqueduct
Explanation: The Eustachian tube (auditory tube) connects the middle ear cavity to the nasopharynx. It opens during swallowing and yawning to equalize air pressure between the middle ear and the external environment. Dysfunction of the Eustachian tube can lead to negative middle ear pressure, fluid accumulation, and conductive hearing loss.
4A patient has normal hearing sensitivity in the low frequencies but a progressive high-frequency sensorineural hearing loss. This pattern is most consistent with:
A.Otosclerosis
B.Presbycusis
C.Otitis media with effusion
D.Meniere's disease
Explanation: Presbycusis is age-related sensorineural hearing loss that typically presents as a bilateral, symmetric, high-frequency sloping pattern. It is caused by the gradual degeneration of outer hair cells in the basal turn of the cochlea, which responds to high-frequency sounds. It is the most common cause of sensorineural hearing loss in adults.
5The tonotopic organization of the basilar membrane means that:
A.All frequencies are processed at the same location
B.High frequencies are processed at the base and low frequencies at the apex
C.The membrane vibrates uniformly regardless of frequency
D.Low frequencies are processed at the base and high frequencies at the apex
Explanation: The basilar membrane is tonotopically organized, meaning different locations along its length respond maximally to different frequencies. The base (near the oval window) is narrow and stiff, responding to high frequencies, while the apex (helicotrema) is wider and more flexible, responding to low frequencies. This 'place theory' is fundamental to frequency coding in the cochlea.
6Waardenburg syndrome is an example of a hearing loss caused by:
A.Noise exposure
B.Ototoxic medication
C.Genetic factors
D.Viral infection
Explanation: Waardenburg syndrome is an autosomal dominant genetic condition that can cause sensorineural hearing loss along with pigmentation abnormalities (heterochromia, white forelock, premature graying). It accounts for approximately 2-5% of all congenital hearing loss cases. Multiple genetic subtypes exist with varying penetrance and expression.
7Which aminoglycoside antibiotic is most commonly associated with ototoxicity?
A.Amoxicillin
B.Gentamicin
C.Azithromycin
D.Ciprofloxacin
Explanation: Gentamicin is an aminoglycoside antibiotic well known for its ototoxic properties, particularly affecting vestibular function. Aminoglycosides damage cochlear and vestibular hair cells, and gentamicin's vestibulotoxicity has even been used therapeutically for intractable Meniere's disease through intratympanic injection.
8The frequency range of normal human hearing is approximately:
A.10 Hz to 10,000 Hz
B.20 Hz to 20,000 Hz
C.100 Hz to 8,000 Hz
D.250 Hz to 4,000 Hz
Explanation: The normal human auditory range extends from approximately 20 Hz to 20,000 Hz (20 kHz). Sensitivity is greatest in the 1,000-4,000 Hz range, which is most important for speech perception. The upper limit decreases with age, and clinical audiometry typically tests 250-8,000 Hz.
9Which cranial nerve transmits auditory and vestibular information from the inner ear to the brainstem?
A.Cranial nerve V (trigeminal)
B.Cranial nerve VII (facial)
C.Cranial nerve VIII (vestibulocochlear)
D.Cranial nerve X (vagus)
Explanation: Cranial nerve VIII (vestibulocochlear nerve) has two branches: the cochlear branch transmits auditory information and the vestibular branch transmits balance information from the inner ear to the brainstem. Tumors on this nerve (vestibular schwannomas) can cause unilateral hearing loss, tinnitus, and balance problems.
10Test-retest reliability in audiometric testing refers to:
A.The ability of the test to measure what it claims to measure
B.The consistency of results when the same test is administered multiple times
C.The percentage of the population that can be tested with the equipment
D.The speed at which results can be obtained
Explanation: Test-retest reliability measures the consistency and stability of test results when the same test is administered to the same individual on separate occasions under similar conditions. High test-retest reliability (typically within 5-10 dB for pure-tone audiometry) indicates that the measurement is stable and reproducible.

About the Praxis Audiology Exam

The Praxis Audiology (5343) is the national examination required for ASHA Certificate of Clinical Competence in Audiology (CCC-A) and state licensure in most states. The exam covers five content categories: foundations of audiology, prevention and screening, assessment, intervention, and professional and ethical responsibilities, with emphasis on clinical decision-making and case-based application.

Questions

120 scored questions

Time Limit

2 hours

Passing Score

162 (ASHA certification)

Exam Fee

$146 (ETS)

Praxis Audiology Exam Content Outline

20% (~24 questions)

Foundations of Audiology

Acoustics, psychoacoustics, anatomy and physiology, pathophysiology, genetics, pharmacology/ototoxicity, and psychometrics

10% (~12 questions)

Prevention and Screening

Newborn hearing screening, hearing conservation programs, OSHA regulations, ototoxic monitoring, and community screening

35% (~42 questions)

Assessment

Pure-tone and speech audiometry, immittance, OAE, ABR, vestibular evaluation (VNG, VEMP, rotary chair), pediatric methods, and APD testing

25% (~30 questions)

Intervention

Hearing aids, cochlear implants, bone-anchored devices, assistive technology, aural rehabilitation, vestibular rehabilitation, tinnitus management, and counseling

10% (~12 questions)

Professional and Ethical Responsibilities

ASHA Code of Ethics, scope of practice, HIPAA, evidence-based practice, IEP/IDEA requirements, interprofessional collaboration, and documentation

How to Pass the Praxis Audiology Exam

What You Need to Know

  • Passing score: 162 (ASHA certification)
  • Exam length: 120 questions
  • Time limit: 2 hours
  • Exam fee: $146

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

Praxis Audiology Study Tips from Top Performers

1Prioritize Assessment (35%) and Intervention (25%) as they account for 60% of scored questions
2Practice interpreting audiometric configurations and connecting patterns to specific pathologies (otosclerosis, NIHL, Meniere's, presbycusis)
3Master the cross-check principle and understand how to integrate pure-tone, speech, immittance, OAE, and ABR results
4Know cochlear implant candidacy criteria, BAHA indications, and CROS/BiCROS applications
5Review OSHA hearing conservation requirements (85 dBA action level, STS criteria, NRR derating)
6Study vestibular test interpretation: Dix-Hallpike, caloric weakness, VEMP, and VOR gain results

Frequently Asked Questions

How many questions are on the Praxis Audiology (5343) exam?

The exam contains 120 selected-response questions. Some questions may be unscored pilot items being evaluated for future use, but these are not identified during the test.

What is the passing score for the Praxis Audiology exam?

For ASHA CCC-A certification, the passing score is 162 on the 100-200 scale. Some state licensing boards may set different passing scores. Check your state requirements directly.

How much does the Praxis Audiology exam cost?

The exam fee is $146 as listed in the 2025-2026 Praxis Information Bulletin. Additional fees may apply for late registration, phone registration ($35 surcharge), or additional score reports.

Can I take the Praxis Audiology exam at home?

Yes, Praxis Audiology (5343) is available for at-home testing for U.S. and Canadian residents. The at-home test is identical in content and format to the test center version and is monitored by a human proctor.

When should I take the Praxis Audiology exam?

ASHA recommends taking the exam during the final year of your Au.D. program. The exam tests clinical decision-making skills that develop throughout the doctoral program, so late-program candidates typically perform better.

How should I prepare for the Praxis Audiology exam in 2026?

Focus heavily on Assessment (35%) and Intervention (25%) as they make up 60% of the exam. Practice interpreting audiograms, ABR results, tympanograms, and vestibular test findings. Use the free ETS Study Companion for the official content outline and sample questions.