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ENT · Hearing assessment
Sample itemWhat Rinne test result is expected in a normal ear?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Air conduction is greater than bone conduction
In normal hearing and most sensorineural losses, air conduction exceeds bone conduction because the external and middle ear efficiently transmit sound; a reversed Rinne suggests conductive loss.
Option by option
A. No sound is heard by either route
Complete absence of both routes requires a different assessment.
B. Only bone conduction is present
Normal ears use both pathways, with air conduction predominating.
C. Air conduction is greater than bone conduction (correct)
Correct: normal Rinne is positive with air conduction louder or longer than bone conduction.
D. Bone conduction is greater than air conduction
Bone conduction greater than air conduction suggests conductive impairment.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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