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ENT · Otology
Sample itemWhich hearing pattern is most typical of presbycusis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Bilateral high-frequency sensorineural loss
Presbycusis is age-related bilateral sensorineural hearing loss that commonly affects high frequencies first, reducing speech discrimination in noisy environments and often progressing gradually over years.
Option by option
A. Unilateral low-frequency conductive loss
Low-frequency conductive loss suggests a different middle-ear process.
B. Sudden loss after wax removal only
Wax removal does not define presbycusis.
C. Bilateral high-frequency sensorineural loss (correct)
Correct: presbycusis usually causes bilateral high-frequency sensorineural loss.
D. Normal hearing with severe otalgia
Severe pain with normal hearing is not the usual age-related hearing-loss pattern.
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.
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