Question: A 12 year old boy is evaluated for right sided conductive hearing loss. Examination is normal with the exception of Weber test lateralizing to the right and Rinne negative on the right. Audiogram shows a 35 dB ABG with Carhart notch. What is your next step?

a) Middle ear exploration and stapedotomy

b) ABR

c) CT

d) MRI

[Answer will be posted with next week's new question]

Answer to last week's question, “The Picket Fence" (January 27, 2020)

A - PE tube, mastoidectomy, sigmoid sinus decompression.