Try it
ENT · Hearing assessment
Sample itemWhen unilateral sound-conduction impairment is present, how is the Weber tuning-fork test usually perceived?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Toward the side of the conductive deficit
In unilateral conductive hearing loss, bone-conducted sound is perceived louder in the affected ear, so Weber lateralizes to that side; sensorineural loss usually lateralizes away from the affected side.
Option by option
A. Toward the side of the conductive deficit (correct)
Correct: Weber lateralizes toward the side with conductive loss.
B. Toward the unaffected side in every case
Lateralization to the opposite side is typical of unilateral sensorineural loss.
C. Not heard because Weber cannot assess asymmetry
The test can provide useful asymmetry information.
D. Strictly in the midline regardless of asymmetry
Weber can lateralize and is clinically useful when interpreted with Rinne.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.