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You are performing Weber and Rinne hearing tests. For the Weber test, the sound lateralized to the unaffected ear; for the Rinne test, air conduction-to-bone conduction ratio is less than 2:1. You interpret these findings as suggestive ofGroup of answer choicesotitis externa.a defect in the middle ear in the semicurcular canalsimpacted cerumen.a defect in the inner ear to the cochlear nerve

Question

You are performing Weber and Rinne hearing tests. For the Weber test, the sound lateralized to the unaffected ear; for the Rinne test, air conduction-to-bone conduction ratio is less than 2:1. You interpret these findings as suggestive ofGroup of answer choicesotitis externa.a defect in the middle ear in the semicurcular canalsimpacted cerumen.a defect in the inner ear to the cochlear nerve

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Solution

These findings suggest a defect in the middle ear. The Weber test lateralizing to the unaffected ear indicates a conductive hearing loss in the opposite (affected) ear. The Rinne test showing an air conduction-to-bone conduction ratio of less than 2:1 also indicates a conductive hearing loss, which is typically due to a problem in the middle ear.

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Jared has been an avid fan of rock music for many years and has attended numerous concerts, getting as close to the stage as possible. He has never worn earplugs or protective earwear. Now in his 50s, he has become hard-of-hearing and can no longer detect quiet sounds or low talking. How might his symptoms be explained?Multiple ChoiceHis tympanic membrane has hardened.He has developed a brain tumor that puts pressure on the vestibulocochlear nerve.He must have used the antibiotic streptomycin while at a concert which weakened the structures in his inner ear, making them less able to respond to sound waves.His hair cells are permanently damaged and desensitized to loud sounds.

Question textWhich of the following is NOT a cause of conductive hearing loss?Select one:a. Otitis mediab. Congenital malformation of the inner earc. Congenital malformation of the outer or middle eard. Perforated eardrum.

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