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MediumENTPresbycusisukmlamrcgp aktpanemrcp part 1

A 60-year-old woman presents with a 6-month history of progressive bilateral hearing loss, worse in noisy environments, and tinnitus. Otoscopy is normal. Rinne's test shows air conduction better than bone conduction bilaterally. Weber's test does not lateralise. What is the most likely diagnosis?

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