Clinical Cases
8 hand-authored cases. Each pairs a clinical vignette with an audiogram and a single-best-answer diagnostic question; every answer option carries a full rationale, and each case closes with a teaching point. Filter by level, and your progress is saved on this device.
- A child who turns the television upFoundation
A 6-year-old is brought in because the parents have noticed the television is always turned up loud and the child often says “what?”. There has been a recent cold. Otoscopy shows dull, retracted eardrums bilaterally.
Not yet attempted - Struggling in restaurantsFoundation
A 72-year-old reports increasing difficulty following conversation, especially in noisy restaurants, over several years. Hearing is described as equal in the two ears. Otoscopy is normal.
Not yet attempted - A factory worker's annual screenTrainee
A 45-year-old who has worked on a factory floor for twenty years attends a routine occupational hearing screen. They report ringing in both ears after shifts. Otoscopy is normal.
Not yet attempted - Progressive loss in a young adultTrainee
A 34-year-old reports hearing that has slowly worsened over several years, worse in one ear, with no pain or discharge. They mention hearing better in noisy places. Otoscopy is normal.
Not yet attempted - Episodic vertigo and a blocked earTrainee
A 50-year-old describes recurrent attacks of spinning vertigo lasting an hour or two, with a roaring tinnitus and a sense of fullness in one ear. Between attacks, hearing on that side seems to come and go. Today's audiogram is shown.
Not yet attempted - A poor ear that is not as poor as it looksClinician
A 60-year-old has a normal right ear and a profoundly impaired left ear after previous surgery. The initial unmasked left-ear audiogram shows thresholds that mirror the right ear, offset by about 50 dB.
Not yet attempted - One-sided hearing loss and tinnitusClinician
A 55-year-old reports gradually worsening hearing in one ear over a year, with constant tinnitus on the same side. They find that ear surprisingly poor on the telephone. Otoscopy is normal.
Not yet attempted - Long-standing ear diseaseClinician
A 58-year-old with a history of chronic ear infections and previous ear surgery reports long-standing hearing loss. Otoscopy shows a healed perforation and scarring.
Not yet attempted