Question

A 60-year-old man wakes with sudden painless loss of hearing in his right ear over a few hours. Otoscopy is normal. Weber test lateralises to the left, and Rinne is positive bilaterally. What is the most appropriate action?

Accepted Answer

Start oral corticosteroids urgently and refer to ENT

Answer

Reassure and review in 6 months

Answer

Start antibiotics for otitis media

Answer

Order MRI in 1 year

Answer

Recommend cerumen removal

Practice question

A 60-year-old man wakes with sudden painless loss of hearing in his right ear over a few hours. Otoscopy is normal. Weber test lateralises to the left, and Rinne is positive bilaterally. What is the most appropriate action?