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In Brief. Virtually every patient complains of having difficulty understanding speech in noise, so why do so many practitioners test speech only in quiet? They to listen—to apply meaning to sound. As such, a speech-in-noise test is more of a listening test than a hearing test. Specifically, listening in noise. The HINT is an adaptive test that is composed of 250 sentences that are divided into 25 lists.8 The test is adaptive in that the signal-to-noise ratio is Bamford-Kowal-Bench Speech-in-Noise Test (Version 1.03)-User manual; 2005. Retrieved frometymotic.com/ pdf/ bkbsin-user-manual.pdf.The results of a simple and effective speech in noise test which utilises monosyllables in English in differentiating cochlear from retrocochlear lesions

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