HY USMLE Q #606 – Ear, nose, and throat

A 28-year-old man comes to the physician for a routine health examination. He has a 5-year history of progressively worsening renal function. He remarks a 1-year history of decreased ability to hear in his left ear. Rinne test shows air conduction greater than bone conduction. Weber test shows lateralization to the right ear. Which of the following is the most likely explanation for these findings?

Antibodies
Cholesteatoma
Neurofibromatosis type II
Serous otitis media
X-linked disorder