A 25‐year‐old construction worker is complaining of a swishing noise in both ears that never goes
away and has occurred for about 6 months. He is otherwise healthy, is able to work on his job
(operating large, vibrating machinery) without problems, and is not taking any medications. A
complete examination reveals an abnormality. Which of the following abnormality is most often
associated with tinnitus?
a) Headache
b) Wax in both ears
c) Mild tremor
d) Vertigo
e) Bilateral earache