In conductive hearing loss, bone conduction is better than air conduction, and the sound is therefore heard better with the tuning fork on the mastoid process this is known as a negative Rinne test. In a normal ear, air conduction is better than bone conduction, and the patient can therefore hear the sound again when the tuning fork is moved from the mastoid process (bone) to outside the ear (air) this is known as a positive Rinne test. The fork is then immediately placed just outside the ear. The Rinne test is performed by placing a vibrating tuning fork on the mastoid process until sound is no longer heard. The most likely cause of conductive hearing loss in a nursing-home resident with debris in the ear is cerumen impaction. Key Learning Point View Case Presentation Learning Resources and Clinical Tools for Pain Management and Opioids.State Requirements for Pain Management CME.Pain Management and Opioids CME & Disclosures.Physician Remediation and Continuing Professional Development.Pediatrics – CME Disclosures & Objectives.NCCPA Certification Maintenance Requirements.AAPA CME – Earn Self-Assessment Credits.ABFM Family Medicine Board Review Resources.Your Guide to ABFM Continuous Certification Requirements.The Ultimate Internal Medicine Study Guide.ABIM Internal Medicine Review Resources.Taking the Internal Medicine Board Exam.Quickstart Guide: 10 Steps to Kickstart your Board Exam Prep.How NEJM Knowledge+ Improves Exam Scores.
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