Question:

A 27-year-old male presents with recurrent ear infection. Otoscopic examination shows central perforation of tympanic membrane. Tuning fork examination reveals: Rinne negative on left and positive on right; Weber lateralization to left. What is the type and localization of hearing loss?

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Rinne negative + Weber lateralizes to same ear = conductive hearing loss in that ear.
Updated On: May 14, 2026
  • Left sensorineural hearing loss
  • Right sensorineural hearing loss
  • Left conductive hearing loss
  • Right conductive hearing loss
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The Correct Option is C

Solution and Explanation

Concept: Rinne test compares air conduction and bone conduction. In conductive hearing loss, bone conduction is better than air conduction, giving Rinne negative. Weber test lateralizes to the affected ear in conductive hearing loss.

Step 1:
Interpret Rinne test.
Rinne is negative on the left side: \[ BC > AC \] This suggests left conductive hearing loss.

Step 2:
Interpret Weber test.
Weber lateralizes to the left side. In conductive hearing loss, Weber lateralizes to the affected ear.

Step 3:
Final localization.
Both findings indicate: \[ \text{Left conductive hearing loss} \]
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