Anika, 54, has a chronic left tympanic membrane perforation, and has been poorly compliant with management for many years.
This is part 2 of a two-part quiz on the tympanic ear. Part one was published last week.
Each week, How to Treat publishes a clinical picture quiz.
The quiz has no CPD points attached, it's just for fun.
Take the quiz below, see how you fare against your peers and share your results via social media:
Dr Ryan is an ENT registrar at Royal North Shore Hospital, Sydney, NSW.