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ENT · Audiology
Sample itemIn a tuning fork test, Rinne is negative (bone conduction louder than air conduction) in the left ear. What does this indicate?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Conductive hearing loss in the left ear
Normally air conduction is louder than bone conduction (Rinne positive). A negative Rinne means the conductive pathway is blocked, usually by at least about 15–20 dB of air–bone gap. Weber would lateralise to the affected ear.
Option by option
A. Conductive hearing loss in the left ear (correct)
Correct.
B. Sensorineural hearing loss in the left ear
In sensorineural loss Rinne is still positive, because both air and bone conduction are reduced.
C. Non-organic hearing loss
A false negative can occur with a dead ear, but it is not the interpretation here.
D. Normal hearing
Normal hearing gives a positive 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.