'Internal' is the PC system clock; as Steve said it's useable only for pure MIDI projects using direct-monitored hardware synths. 'Audio' is the interface's sample clock, and is required for any audio coming out of the box, including the audio metronome.
Check your Playback and Record timing Master assignments and/or try changing driver modes. You might also try renaming AUD.INI and letting SONAR build a new one on startup.