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Turn patients head to side (so cannot see examiner's mouth)
Apply tragal rub masking to non-test ear (furthest away)
Whisper at arms length, then increase loudness of voice in increments
Patient to repeat numbers/words
Can hear whisper at arm’s length
– Normal hearing
Can hear normal voice at arm’s length
– mild / moderate loss
Can hear loud voice at arm’s length
- moderate / severe loss
Can only hear loud voice close up
- profound loss