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Tuning fork for hearing assessment

Explain bedside air- and bone-conduction comparisons using the appropriate tuning-fork frequency.

REFERENCE GALLERY1 / 1 reference
Tuning fork — reference view
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Prongs

Prongs: located on the reference instrument. Compare its shape and position with the apparatus used in your practical.

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Tuning fork — reference view

Image: Takahe · Source / original · CC BY-SA 4.0

Resized and converted to WebP; original colours retained.

Tuning fork for hearing assessment

Identify and explain

A vibrating fork generates a relatively defined frequency transmitted through air or bone.

  • Two metal prongs joined at a common base
  • Stem for holding the instrument
  • Frequency is usually marked on the fork
1

Identify the reference

Two metal prongs joined at a common base. Stem for holding the instrument. Frequency is usually marked on the fork

2

Explain the measurement

A vibrating fork generates a relatively defined frequency transmitted through air or bone.

3

Interpret in context

Bedside tuning-fork tests support assessment but do not replace formal audiometry. The reference fork’s actual frequency must be checked.

At the viva table

Try answering aloud, then open the suggested answer. Examiner questions vary.

01 / What does Rinne compare?

Air conduction and bone conduction at the same ear.

02 / What is the usual Rinne finding in a normal ear?

Air conduction is perceived longer or louder than bone conduction under the test conditions.

03 / What does Weber assess?

Lateralisation of sound from a fork placed at the midline.

04 / Which fork is commonly used for vibration sense?

A 128 Hz fork, with comparison across appropriate bony sites.

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