Neurology Quiz #40: Auditory Anatomy and Physiology

1. A 55-year-old man presents to the clinic complaining of progressive difficulty hearing high-pitched sounds over the past few years. He has a history of working in construction without proper ear protection. Audiometry reveals a significant loss in the ability to hear high-frequency sounds. Which part of the cochlea is most likely affected in this patient?

Question 1 of 5

2. A 30-year-old woman is brought to the clinic by her husband due to concerns about her hearing. She reports difficulty understanding people in crowded rooms, though she does well in quiet settings. Weber test lateralizes to the left ear, and Rinne test shows air conduction > bone conduction bilaterally, but more pronounced in the left ear. Which of the following is the most likely diagnosis? 

Question 2 of 5

3. A 65-year-old man with a history of presbycusis undergoes an examination that includes an audiogram. Which structure within the ear is most likely undergoing degenerative changes leading to his condition? 

Question 3 of 5

4. A patient presents to the clinic with vertigo and hearing loss. An ENT specialist diagnoses the patient with Meniere's disease. This disease is characterized by an abnormality in which part of the ear? 

Question 4 of 5

5. During a routine physical examination, a physician performs the Rinne test on a patient. The patient reports that bone conduction sounds louder than air conduction in the right ear. This finding is indicative of which type of hearing loss in the right ear? 

Question 5 of 5


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