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Patient Case

A 60yr old male patient sees me for bilateral hearing loss for 1 month. I decide to do Rinne and Weber test. The left and right ears both show negative Rinne test. For Weber test, the sound lateralises to the left ear. Which of the following most accurately describes the situation ?

• A. Both the left and right ears have conductive hearing loss, but the right ear has greater loss
• B. The left ear has conductive hearing loss, and the right ear has sensorineural hearing loss
• C. The left ear has combined conductive and sensorineural hearing loss, and the right ear has conductive hearing loss
• D. The left ear has conductive hearing loss, and the right ear has combined conductive and sensorineural hearing loss
• E. Both ears have sensorineural hearing loss, but the right is worse than the left

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