On Rinne's test with a 512 Hz tuning fork, BC > AC is noted on the right ear. Weber's test lateralises to the right. The most likely diagnosis is:

• A Right sensorineural hearing loss
• B Left conductive hearing loss
• C Right conductive hearing loss ✓
• D Bilateral sensorineural hearing loss

Explanation

A negative Rinne (BC > AC) indicates conductive hearing loss in that ear. Weber lateralises to the worse-hearing (conductive loss) ear because bone conduction is better perceived in a blocked ear. Both findings together localise the conductive loss to the right ear. If it were sensorineural, Weber would lateralise to the better ear.

Reference: Dhingra Diseases of Ear, Nose and Throat, 7th ed.

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Written and medically reviewed by the StethoPrep medical team.