Which clinical condition is characterized by perception of ringing or buzzing sounds in the ears?

A Presbycusis

B Meniere's disease

C Tinnitus

D Otitis media

Solution

Correct Answer: Option C

The clinical condition characterized by the perception of ringing or buzzing sounds in the ears is Tinnitus.

- Tinnitus refers to the sensation of hearing noises such as ringing, buzzing, hissing, or roaring in one or both ears when no external sound is present. It is a subjective auditory perception and often a symptom rather than a disease itself.

- In contrast, Presbycusis is age-related hearing loss characterized by a gradual decline in the ability to hear high-frequency sounds, but it does not typically involve the perception of ringing or buzzing.

- Meniere's disease is a disorder of the inner ear characterized by episodes of vertigo, hearing loss, a feeling of fullness in the ear, and sometimes tinnitus, but tinnitus is only one aspect of the condition.

- Otitis media is an infection or inflammation of the middle ear, which mainly presents with ear pain, hearing loss, and sometimes discharge; tinnitus is not a primary feature of this condition.

Thus, the primary and defining symptom of tinnitus is the perception of ringing or buzzing sounds without external stimuli.

Reference: Kumar, P., Clark, M. *Clinical Medicine*, 10th Edition, Chapter 9: Ear Disorders / Page 312

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