Conductive hearing loss Quiz: Ace Your Exams

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A 55-year-old woman comes to her outpatient provider for evaluation of ear drainage. The patient has had intermittent, foul-smelling drainage coming from the left ear over the past two weeks. In addition, she has noticed difficulty hearing out of the left ear. On physical exam, temperature is 37.0°C (98.6°F), blood pressure is 118/77 mmHg, and pulse is 64/min. An otoscopic evaluation of the affected ear is performed and demonstrates the following:  


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Which of the following best describes the etiology of this patient's clinical presentation?  

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