Distortion product otoacoustic emissions (DPOAEs) are evoked by the simultaneous presentation of two pure-tones or primaries, referred to as f1 and f2. Because the cochlea is non-linear in nature, distortion occurs at various places along the cochlea during stimulus presentation. During a DPOAE test, various pairs of the stimuli are presented to the ear and the largest corresponding distortion product is measured at the frequency expressed as 2f1-f2.