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PA Recertifying Exam PANRE Practice Exam

Category - PANRE Practice Test

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An 8-year-old boy is brought by the mother to the office because she suspects that her child has a problem with hearing. On examination, the child says that ringing and roaring type of constant tinnitus fill both of his ears. The boy also reported hearing loud sounds when chewing. Pinkish discoloration of the tympanic membrane is also noted. Rinne test is negative. The child is most likely diagnosed with:
  1. Otosclerosis
  2. Mastoiditis
  3. Presbycusis
  4. Labyrinthitis
Explanation
Answer - A - Otosclerosis is commonly seen in children between the ages of 7 and 8. This ear disorder is manifested by bilateral hearing loss, a ringing or roaring type of constant tinnitus. Loud sounds are heard when chewing. The Rinne test is negative. Mastoiditis is manifested by cellulitis on the skin over the mastoid process. Presbycusis is hearing loss occurring commonly in the elderly without any abnormalities. Labyrinthitis involves permanent hearing impairment in the affected side.
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