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Tuning Fork Tests (Rinne’s and Weber’s tests)How to do Rinne and Weber tuning fork tests for doctors, medical student finals, OSCEs and MRCP PACES Background to the tuning fork tests
Video on Rinne and Weber tests by Oxford Medical Education Introduction (WIIPPPE)
Equipment
How to do Weber’s Test
Interpretation of Weber’s test
Interpretation of Rinne’s and Weber’s tests
How to do Rinne’s Test
What is a positive and negative Rinne’s Test?
Interpretations of Rinne’s Test
False negative Rinne’s Test
Complete the examination
Click here for qustions about the auditory nerve (8th nerve)…and click here for how to examine the earPerfect revision for medical student finals, OSCES and PACES What does it imply if Weber test Lateralizes to the good ear?Conductive hearing loss is confirmed in the weaker ear if bone conduction is greater than air conduction and the Weber test lateralizes to that side. Combined hearing loss is likely if the Weber test lateralizes to the stronger ear and bone conduction is greater than air conduction in the weaker ear.
What is lateralization of sound in Weber test?Weber test: Place the base of a struck tuning fork on the bridge of the forehead, nose, or teeth. In a normal test, there is no lateralization of sound. With unilateral conductive loss, sound lateralizes toward affected ear. With unilateral sensorineural loss, sound lateralizes to the normal or better-hearing side.
What does the side heard louder indicate during Weber's test?Normally, the sound is heard in the center of the head or equally in both ears. If there is a conductive hearing loss present, the vibration will be louder on the side with the conductive hearing loss. If the patient doesn't hear the vibration at all, attempt again, but press the butt harder on the patient's head.
Why is Weber test louder in affected ear?due to the sound localization process, in a patient with a unilateral conductive hearing loss, the sound will be louder in the affected ear (airborne sounds mask bone conduction in the normal ear; conductive loss prevents masking in affected ear è sound is perceived to be louder in affected ear)
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