Hearing Tests and Evaluations

Hearing Evaluations

At ENT & Audiology Associates, we test hearing across the lifespan.  Accurate diagnosis of type, degree, and configuration of a hearing loss is essential to determining the best treatment method.  When you get a Raleigh, NC hearing test at ENT & Audiology Associates, we use a comprehensive test battery to thoroughly evaluate your auditory system.  Your specific testing protocol will be determined by Dr. Holmes and our team of audiologists to best fit your or your child’s needs.


is an evaluation to examine the status of your middle ear by measuring pressure and eardrum movement.

Audiometric Pure Tone Evaluation

measures hearing thresholds at different frequencies. Depending on the age of the patient, this is performed in a variety of different ways.

Speech Testing

measures ability to recognize conversational words at different volumes.

Otoacoustic Emissions

assess outer hair cell function in the cochlea.

Auditory Brainstem Response

evaluates how sound travels from the ear to the lower brainstem, specifically looking at the auditory nerve.


Conditioned Play Audiometry (CPA) is a hearing test designed to access the hearing for very young children between the ages of 2 and 5 years old. Behavioral conditioning through games is used to get the children to respond to sounds.

A machine known as an audiometer is used to test hearing threshold levels. CPA makes a game out of the hearing test by replacing the feedback device with toys such as blocks and pegs. CPA is used to measure hearing sensitivity to determine a child’s type and degree of hearing loss. The whole process takes place in soundproof booths or sound treated rooms.

Conditioned Play Audiometry

When working with children, everything should be about fun and games. There are several games that Conditioned Play Audiometry relies on to test children’s hearing. These include:

  • Blocks or balls: The screener teaches the child to place a block or a ball in a basket whenever he/she hears a tone.
  • Pegs: The screener teaches the child to place a peg in the hold whenever he/she hears a sound.
  • Rings: The screener teaches the child to place a ring over a cone after hearing a beep.
  • Tablet Games: A child plays games on an iPad or tablet and responds to sounds.


Learn more by watching our Pediatric Audiology Video