ENT · Hearing Assessment (Audiometry, Tuning Fork Tests, ABR)

Auditory brainstem response (ABR) testing records far-field potentials from the auditory pathway. Wave V on ABR corresponds to which anatomical generator?

  • A Cochlear nerve action potential
  • B Cochlear nucleus
  • C Superior olivary complex
  • D Inferior colliculus (lateral lemniscus/inferior colliculus junction)
Correct answer: D. Inferior colliculus (lateral lemniscus/inferior colliculus junction)

Explanation

ABR waves correspond to sequential auditory pathway generators: Wave I = auditory nerve, Wave II = cochlear nucleus, Wave III = superior olivary complex, Wave IV = lateral lemniscus, Wave V = inferior colliculus (or the junction between lateral lemniscus and inferior colliculus). Wave V is the most robust and clinically important wave used to estimate hearing thresholds in infants and screen for retrocochlear pathology.

Reference: Dhingra Diseases of Ear, Nose and Throat, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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