The speech function is a human-only feature. It provides communication and serves as the main source of new information in the social environment, both in communication and in training, regardless of gender, age groups and the level of training of medical students. When perceiving speech for students studying in a non-native language, good intelligibility is important, which ensures a correct understanding of words, and therefore the completeness of the information received. Speech audiometry in noise using polysyllabic phrases in students studying in a foreign language can reveal an insufficiently complete understanding of a foreign language, as well as diagnose latent auditory disorders that have arisen against the background of diseases of the hearing organ. In Russia, М. Boboshko et al. developed and widely uses the Russian matrix test (RuMatrix) and there are prospects for using the matrix test in speech audiometry of medical students studying in a foreign language to identify the correct perception of addressed speech. However, ideas about the theories of perception and recognition of foreign speech are changing, it is believed that episodic memory and lexical organization of the cerebral cortex are involved in the process. To understand the level of use of not only sensory but also cognitive resources, it is necessary to assess the possibility of adaptation to the speech source in a natural environment (in noise), which is possible only with speech audiometry of sensitized speech using sentences. © 2024 Remedium Group Ltd. All rights reserved.