Question

A female with mild CHL and tinnitus. The PTA is shown. What is the interpretation?

• A. Otosclerosis
• B. Meniere's disease
• C. NIHL (Noise-Induced Hearing Loss)
• D. None

Hint:

Otosclerosis typically presents with conductive hearing loss and tinnitus, often showing a characteristic audiogram pattern. It is treated with surgery or hearing aids.

Answer 1

The Correct Option is A

In the given scenario, we have a female patient with mild conductive hearing loss (CHL) and tinnitus. To interpret this correctly, we focus on understanding each condition and matching it to the possible causes provided.

Otosclerosis: This condition is characterized by abnormal bone growth in the middle ear, particularly affecting the stapes bone, leading to conductive hearing loss. Common symptoms include gradual hearing loss, tinnitus (ringing in the ears), and sometimes dizziness. The hearing loss in otosclerosis is often mild to moderate and can be conductive, resulting from the mechanical fixation of the stapes.

Meniere's Disease: Typically associated with vertigo, sensorineural hearing loss, tinnitus, and a feeling of fullness in the ear. The hearing loss here is generally fluctuating and sensorineural rather than conductive.

Noise-Induced Hearing Loss (NIHL): Usually results in sensorineural hearing loss due to damage to the hair cells in the cochlea. Commonly high frequencies are affected, and tinnitus can occur. However, it is not characterized by conductive hearing loss.

The question provides the following symptoms: mild CHL and tinnitus. Given the options and the symptoms, the most suitable interpretation is Otosclerosis because it aligns with the hallmark sign of conductive hearing loss and tinnitus, making it the correct answer.