Otology: conductive hearing loss: practice question

A ENT question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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ENT · Otology: conductive hearing loss

Sample item

Which tuning-fork result supports a right-sided conductive hearing loss?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Weber lateralizes to the right and Rinne is negative on the right

In unilateral conductive hearing loss, Weber sound lateralizes to the affected ear and Rinne shows bone conduction louder than air conduction on that side. Results should be interpreted with formal audiometry when needed.

Option by option

  • A. Weber lateralizes to the right and Rinne is negative on the right (correct)

    Correct. This is the classic conductive pattern on the affected side.

  • B. Rinne is positive on the right with no other finding

    Positive Rinne is usually normal or sensorineural loss, not conductive loss.

  • C. Weber lateralizes left with positive Rinne bilaterally

    This pattern is more compatible with left sensorineural loss or normal variation.

  • D. Weber is central with negative Rinne bilaterally only

    A central Weber is not the classic unilateral conductive 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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Questions about this ENT question

What is the answer to this ENT question?

The best answer is A, Weber lateralizes to the right and Rinne is negative on the right. In unilateral conductive hearing loss, Weber sound lateralizes to the affected ear and Rinne shows bone conduction louder than air conduction on that side.

Why is "Rinne is positive on the right with no other finding" not the answer?

Positive Rinne is usually normal or sensorineural loss, not conductive loss.

Why is "Weber lateralizes left with positive Rinne bilaterally" not the answer?

This pattern is more compatible with left sensorineural loss or normal variation.

Why is "Weber is central with negative Rinne bilaterally only" not the answer?

A central Weber is not the classic unilateral conductive pattern.

What concept does this question test?

It tests Otology: conductive hearing loss in ENT. Results should be interpreted with formal audiometry when needed.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Otology: conductive hearing loss?

Learn tuning fork results and audiogram patterns by sketching them. Then use the flashcards and the other ENT questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.