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

question 214

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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?


Definitions:

Sociometry

A quantitative method for measuring social relationships, often employed to identify the social structure within groups.

Reliable

Reliable refers to the consistency and dependability of an outcome, instrument, or process, meaning it can be trusted to produce the same results under similar conditions.

Measurement Error

The difference between the observed value and the true value of a quantity being measured.

Dependent Variable

In experimental research, the variable that is measured or tested to see how it is influenced by changes in the independent variable.

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