You are conducting an auditory screening on your patients. Which of the following findings would require further exploration? Select all that apply
a. During the voice-whisper test, the patient is unable to repeat the words correctly or states that he was unable to hear anything.
b. During the Rinne test, the patient reports hearing the sound longer through bone conduction; that is, bone conduction is equal to or greater than air conduction.
c. During the Weber test, the patient should perceive the sound equally in both ears or "in the middle."
d. During the Rinne test, bone conduction is prolonged in the context of a normal tympanic membrane, patent eustachian tube, and middle ear disease.
e. During the Weber test, the sound lateralizes to the affected ear.
f. During the Rinne test, air conduction is heard twice as long as bone conduction when the patient hears the sound through the external auditory canal (air) after it is no longer heard at the mastoid process (bone).
A, B, D, E
Abnormal results of auditory screening would include the patient's being unable to repeat the words correctly or stating that he was unable to hear anything during the voice-whisper test; during the Rinne test, the patient reports hearing the sound longer through bone conduction; that is, bone conduction is equal to or greater than air conduction; bone conduction is prolonged in the context of a normal tympanic membrane, patent eustachian tube, and middle ear disease; and during the Weber test, when sound lateralizes to the affected or unaffected ear.
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