What this deck covers
Audiogram Interpretation in ten clinical teaching cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.
Diagnoses and management options tested
Across the ten cases you are asked to choose between options such as: Sensorineural hearing loss, Mixed hearing loss, Conductive hearing loss, Central auditory processing disorder, Bilateral sensorineural hearing loss, Bilateral conductive hearing loss, Damage to the ossicular chain, Dysfunction of the eustachian tube, Damage to the cochlear hair cells, Obstruction of the external auditory canal, Right moderate conductive hearing loss, Right mild sensorineural hearing loss, Left moderate conductive hearing loss, Bilateral mild mixed hearing loss, Noise-induced hearing loss, Meniere’s disease, Recommend bilateral hearing aids, Acute otitis media, Sudden sensorineural hearing loss, Cerumen impaction, Progressive conductive hearing loss, Fluctuating mixed hearing loss, Congenital sensorineural hearing loss, To determine the bone conduction threshold, To assess speech discrimination, Pure conductive hearing loss.
Clinical pearls from this deck
- Otitis media with effusion — the commonest cause of acquired childhood hearing loss — traps fluid that damps the TM and ossicles, blocking sound to an intact cochlea. That gives a pure CONDUCTIVE pattern: elevated air conduction, normal bone conduction, air-bone gap >15 dB. The story (speech delay, asking for repetition, loud TV) plus dull retracted drums with fluid levels seals it.
- Microtia + aural atresia/stenosis block sound from reaching the TM/ossicles, but the cochlea and nerve (which develop separately) are usually normal — so the loss is purely CONDUCTIVE on that side, with a normal contralateral ear (confirm with audiometry). Microtia can signal Treacher Collins, Goldenhar, or CHARGE, so evaluate for syndromes. Manage with a bone-conduction aid early, reconstruction later.
The ten worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included.
More from this system: all ent decks and question sets · pediatric reference values.
