A 60-Year-Old Man Comes to the Office Due to Difficulty

question 214

Multiple Choice

A 60-year-old man comes to the office due to difficulty to hear TV sound. He states that his wife has noticed recently that he doesn't hear her till she shouts at him. He has no medical conditions and takes no medication. During the neurologic examination, the physician assesses his hearing using a vibrating tuning fork.  The handle of the tuning fork is placed on his left mastoid process until the sound is no longer audible.  The tines are then quickly placed near the patient's left auditory meatus, and he reports hearing no sound.  When the handle of the vibrating fork is placed on the middle of his forehead, he hears the vibration more strongly in his left ear than his right.  This patient is most likely experiencing which of the following types of hearing loss?

• A)Conductive loss in both ears
• B)Conductive loss in left ear
• C)Conductive loss in right ear
• D)Sensorineural loss in both ears
• E)Sensorineural loss in left ear
• F)Sensorineural loss in right ear

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Definitions:

Federal Government

The national government of a federal state, which shares sovereignty with its subdivisions and has powers distinct from them.

Poverty Rate

The percentage of the population living below the national poverty line, which measures the minimum level of income considered necessary to achieve an adequate standard of living.

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Increases and decreases in the level of business activity that occur at irregular intervals and last for varying lengths of time.

War On Poverty

A set of government policies and programs initiated in the 1960s in the United States aimed at reducing poverty and improving living conditions for the impoverished.