During a vaginal delivery of a 10 pound infant, an obstetric…

During a vaginal delivery of a 10 pound infant, an obstetrician performs an episiotomy (cut into the vaginal wall) to allow delivery of the very large infant.  During the episiotomy, he cuts too far and damages the perineal body and the structure immediately posterior to it.  What other perineal structure sustained an iatrogenic injury?

Your patient has significant middle ear disease from chronic…

Your patient has significant middle ear disease from chronic otitis media, resulting in a moderate (50 dB HL) flat conductive hearing loss bilaterally. You are measuring acoustic reflexes using a 95 dB HL activator tone. Which of the following pattern of results would you expect?