Question 1

Q: A female patient aged 30 years with bilateral conductive deafness is wearing a hearing aid. What is the probable diagnosis?

Otosclerosis. ***Otosclerosis*** - **Otosclerosis** is a common cause of **conductive hearing loss** in young to middle-aged adults, often presenting bilaterally. - It involves abnormal bone remodeling in the **otic capsule**, primarily affecting the **stapes footplate**, which leads to fixation and impaired sound transmission. *Presbycusis* - **Presbycusis** is an **age-related sensorineural hearing loss** that typically affects older individuals, not a 30-year-old. - It is characterized by difficulty hearing high-frequency sounds, not conductive hearing loss. *Chronic suppurative otitis media* - **Chronic suppurative otitis media (CSOM)** involves a **perforated tympanic membrane** with chronic discharge and hearing loss. - While it causes conductive hearing loss, it is typically associated with a history of recurrent infections and ear discharge, which are not mentioned here. *Meniere's disease* - **Meniere's disease** is characterized by episodic **vertigo**, **tinnitus**, **fluctuating sensorineural hearing loss**, and aural fullness. - It causes sensorineural, not conductive, hearing loss and is associated with additional symptoms absent in this case. [Practice more ENT PYQs on OnCourse]

Question

A female patient aged 30 years with bilateral conductive deafness is wearing a hearing aid. What is the probable diagnosis?

Accepted Answer

Otosclerosis

Answer

Presbycusis

Answer

Chronic suppurative otitis media

Answer

Meniere’s disease

UPSC-CMS 2014 — ENT