Conductive hearing loss Quiz: Ace Your Exams

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A 52-year-old woman goes to her primary care physician because of progressive right sided hearing loss over the past three months. The patient states, “I cannot hear conversations out of this ear anymore; it feels like my ear is all plugged up.” She also has had tinnitus and balance issues during this time period. During the physical exam, the physician strikes a tuning fork and places it on the patient’s forehead. The abnormal finding from this test prompts the physician to order MRI imaging of the brain, which reveals the following:  

An axial M R I brain scan shows a large, round, white mass with red arrows pointing to it and to the cerebellum, indicating a lesion or tumor.
Image reproduced from Wikimedia Commons  

Which of the following combinations of Weber and Rinne test results are most likely to be present in this patient?  

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