Holistic Learning Objectives Exam 3 Practice

The main idea here is how hearing loss is classified by where the problem occurs. Conductive hearing loss happens when sound can’t be conducted properly through the outer or middle ear, so the energy of sound is blocked before it even reaches the inner ear. That means the inner ear and the auditory nerve are typically fine, but the pathway that carries sound into the inner ear is disrupted. Examples include earwax blocking the ear canal, fluid in the middle ear, a perforated eardrum, or stiff or misshapen middle-ear bones.

Because the issue is with transmission at the outer or middle ear, bone-conduction hearing can remain relatively normal while air-conduction is reduced, reflecting this transmission problem. The other scenarios describe problems inside the inner ear or along the auditory pathway (hair cell damage or nerve involvement), which is sensorineural hearing loss, not conductive. And saying there’s no impact on hearing is simply untrue for conductive issues.