Question

an elevated summating potential/action potential (sp/ap) ratio suggests:

presbycusis
ménières disease
acoustic neuroma
conductive loss

Explanation:

Define electrocochleography metrics

Electrocochleography (ECochG) measures electrical potentials.
The summating potential (SP) reflects basilar membrane displacement.
The action potential (AP) represents auditory nerve firing.

Analyze the SP/AP ratio

An elevated SP/AP ratio indicates endolymphatic hydrops.
Endolymph accumulation distorts the cochlear partition.
This distortion increases the SP amplitude disproportionately.

Correlate with clinical pathology

Endolymphatic hydrops is the hallmark of Ménière's disease.
An SP/AP ratio above 0.4 is clinically significant.
This elevation strongly suggests Ménière's disease.
Other options do not typically elevate this ratio.

Answer:

• Presbycusis
• Ménière's disease (Correct answer)
• Acoustic neuroma
• Conductive loss