What is often a first step in assessing ear health during an examination?

A visual inspection of the ear canal is indeed a common and essential first step in assessing ear health during an examination. This initial step allows the healthcare provider to observe the external structures of the ear, such as the auricle and ear canal, for any signs of abnormalities like inflammation, obstructions, or infections. Additionally, visual inspection provides vital information about the condition of the tympanic membrane (eardrum) when using an otoscope, which is crucial for diagnosing various ear conditions, including otitis media or perforations.

The other options, while relevant in an ear health assessment, are typically performed after the visual inspection. Hearing tests using audiometry evaluate the functionality of the auditory system but usually follow a visual and physical examination. Assessment of balance helps to determine vestibular function, and evaluation of facial movements can indicate nerve function, but these assessments do not directly inform about the immediate health of the ear canal or eardrum. Thus, visual inspection is foundational and critical in the ear examination process.