A patient came with a hearing defect. His tuning fork tests results were – Weber test – sound from a vibrating tuning fork was louder than normal; Schwabach test – bone conduction was better than normal, and Rinne test – air conduction did not outlast bone conduction. Diagnosis is

**Core Concept**
The question tests the understanding of hearing defects, specifically the interpretation of tuning fork tests. These tests are used to differentiate between conductive and sensorineural hearing losses. The **Weber**, **Schwabach**, and **Rinne** tests are crucial in diagnosing the type of hearing loss.

**Why the Correct Answer is Right**
The results indicate a conductive hearing loss. In the **Weber test**, the sound lateralizing to the affected ear suggests a conductive loss, as the bone-conducted sound is perceived louder in the ear with the conductive defect. The **Schwabach test** shows prolonged bone conduction, consistent with conductive hearing loss. The **Rinne test** result, where air conduction does not outlast bone conduction, also points towards a conductive hearing loss.

**Why Each Wrong Option is Incorrect**
**Option A:** Would be incorrect if it suggested a sensorineural loss, as the test results do not support this.
**Option B:** and **Option C:** are not provided but would be incorrect based on the test results indicating conductive, not sensorineural or other types of hearing loss.

**Why Each Wrong Option is Incorrect (Continued)**
**Option D:** Assuming it represents a different diagnosis, would be incorrect as the specific test results given align with conductive hearing loss.

**Clinical Pearl / High-Yield Fact**
A key point to remember is that in conductive hearing loss, the **Weber test** lateralizes to the affected ear, and the **Rinne test** is negative, meaning bone conduction is better than or equal to air conduction.

**Correct Answer:** D. Conductive hearing loss.

✓ Correct Answer: B. Conduction deafness in both ears