ENT MCQ 053

on with 2 comments



An 85 year old woman who complains of difficulty in hearing conversational speech also complains about the noise her grandchildren are making. What best explains these complaints?


  1. Otosclerosis and Stapedectomy: Diagnosis, Management & ComplicationsHypersensitivity of hair cells in the inner ear

  2. Impaired sound localisation

  3. Wax obstructing the external auditory canal

  4. Otosclerosis

  5. High frequency hearing loss
Answer

Category: ENT MCQs

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2 comments:

hilsa3187 said...
12/20/2007 2:42 PM

Y IS IT NOT PARACUSIS WILLISI SEEN IN OTOSCLEROSIS??

Anonymous said...
12/20/2007 3:18 PM

@vanjarapu

Thanks for stopping by.

Paracusis willisi: If there is predominant conductive hearing loss without a sensorineural component, patients will report that hearing is improved in the presence of background noise.People with normal hearing will raise their voices above the level of background noise to remove the masking effect of noise. This level of speech may be above the threshold of the patient with the conductive hearing loss. People talk louder in noise!

In the above case the patient complains of noise. In Paracusis the patient will welcome the noise.

Hope your doubt is cleared.

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