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

Auditory Brainstem Response (ABR) is used to identify the hearing threshold by identifying Wave V. The neural generator of Wave V is located at the level of the:

  • A Inferior colliculus of the midbrain
  • B Cochlear nerve (VIII nerve trunk)
  • C Cochlear nucleus in the medulla
  • D Medial geniculate body of the thalamus
Correct answer: A. Inferior colliculus of the midbrain

Explanation

ABR wave generators: Wave I = distal cochlear nerve (CN VIII); Wave II = cochlear nucleus (proximal CN VIII); Wave III = superior olivary complex (pons); Wave IV = lateral lemniscus (pons-midbrain junction); Wave V = inferior colliculus (midbrain). Wave V is the most robust and clinically important wave used for threshold estimation. The interpeak latencies (I-III, III-V, I-V) help localise retrocochlear pathology such as acoustic neuroma.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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