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Tuning Fork Tests
Tuning fork tests
Tuning Forks in Use 
• 128Hz, 256Hz, 512Hz, 1024Hz, 2048Hz, 
4096Hz 
• Lower frequency 
• Bone vibration 
• Higher frequency 
• Shorter decay time 
• Not preferred
Tuning fork tests
Clinically Useful Tests 
• Rinne Test 
• Weber Test 
• Absolute Bone 
Conduction (ABC) 
Test 
• Schwabach’s Test 
• Bing Test 
• Gelle Test
Rinne Test 
• AC compared with BC 
• Positive 
• Normal 
• Sensorineural deafness 
• Negative 
• Conductuve deafness 
• False Negative 
• Severe unilateral sensorineural deafness
Tuning fork tests
Weber Test 
• Normal 
• Heard equally in both ears 
• Conductive Deafness 
• Lateralised to worse ear 
• Sensorineural Deafness 
• Lateralised to better ear
Tuning fork tests
Absolute Bone Conduction Test 
• Patient’s BC compared with examiner’s BC 
• Normal 
• Same duration 
• Conductive Deafness 
• Same duration 
• Sensorineural Deafness 
• Shorter duration
Schwabach’s Test 
• Patient’s BC compared with examiner’s BC 
• Normal 
• Same as examiner’s 
• Conductive Deafness 
• Lengthened 
• Sensorineural Deafness 
• Shortened
Bing Test 
• Bone conduction 
• Effect of occlusion of ear canal on hearing 
• Positive 
• Normal 
• Sensorineural deafness 
• Negative 
• Conductive deafness
Gelle’s Test 
 Bone conduction 
 Effect of increased air pressure in ear canal 
on hearing 
 Positive 
 Normal 
 Sensorineural deafness 
 Negative 
 Ossicular chain fixed or disconnected
Thank you

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Tuning fork tests

  • 3. Tuning Forks in Use • 128Hz, 256Hz, 512Hz, 1024Hz, 2048Hz, 4096Hz • Lower frequency • Bone vibration • Higher frequency • Shorter decay time • Not preferred
  • 5. Clinically Useful Tests • Rinne Test • Weber Test • Absolute Bone Conduction (ABC) Test • Schwabach’s Test • Bing Test • Gelle Test
  • 6. Rinne Test • AC compared with BC • Positive • Normal • Sensorineural deafness • Negative • Conductuve deafness • False Negative • Severe unilateral sensorineural deafness
  • 8. Weber Test • Normal • Heard equally in both ears • Conductive Deafness • Lateralised to worse ear • Sensorineural Deafness • Lateralised to better ear
  • 10. Absolute Bone Conduction Test • Patient’s BC compared with examiner’s BC • Normal • Same duration • Conductive Deafness • Same duration • Sensorineural Deafness • Shorter duration
  • 11. Schwabach’s Test • Patient’s BC compared with examiner’s BC • Normal • Same as examiner’s • Conductive Deafness • Lengthened • Sensorineural Deafness • Shortened
  • 12. Bing Test • Bone conduction • Effect of occlusion of ear canal on hearing • Positive • Normal • Sensorineural deafness • Negative • Conductive deafness
  • 13. Gelle’s Test  Bone conduction  Effect of increased air pressure in ear canal on hearing  Positive  Normal  Sensorineural deafness  Negative  Ossicular chain fixed or disconnected