You examine a 35-year-old patient with hearing loss in the left ear. Weber's Test lateralises to the right ear. Rinnes's test shows air conduction to

Subject
Medicine
System
Ear, Nose & Throat (ENT)

DianaZ

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You examine a 35-year-old patient with hearing loss in the left ear. Weber's Test lateralises to the right ear. Rinnes's test shows air conduction to be better than bone conduction (AC>BC) in the left ear. Which one of the following is most likely to account for the loss of hearing?

A. CP angle tumour
B. Excessive ear wax
C. Middle ear infection
D. Otoscerosis
E.Traumatic injury to the ossicular chain

Explanatory Notes:
The pattern of hearing tests is consistent with sensorineural hearing loss. All the incorrect options are examples of conductive hearing loss. A CP angle tumour - eg vestibular schwannoma, causes sensorineural hearing loss.
 
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