5.0 of 4 Ratings
A 28-year-old Caucasian woman presents to her primary care physician due to decreased hearing of the right ear. She reports that her hearing has progressively worsened over the course of a year. In addition to her current symptoms, she has also noticed ear ringing of the affected ear, as well as dizziness. She states that her hearing is improved in a noisy environment and that her friends have noted that she usually speaks quietly during conversations. Medical history is significant for multiple episodes of acute otitis media and seasonal allergies. Family history is significant for her father having "ear surgery" when he was approximately 30-years-old. Otoscopy findings are seen in Figure A. Which of the following is most likely to be found on physical exam?
Air conduction is greater than bone conduction of the affected ear on Rinne testing
Sound lateralizes to the unaffected ear on Weber testing
Air conduction is less than bone conduction of the unaffected ear on Rinne testing
Sound lateralizes to the affected ear on Weber testing
Physical exam will be unremarkable
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