Review Question - QID 215014

A 21-year-old man is brought into the emergency department after being involved in a physical fight. He cannot recall specific details but remembers being punched in the face and pushed to the ground. The patient is otherwise healthy and takes no medications. His temperature is 98.5°F (36.9°C), blood pressure is 128/84 mmHg, pulse is 78/min, and respirations are 12/min. Physical exam shows multiple facial abrasions, left periorbital edema and ecchymosis, and a 2-cm laceration on his forehead. Palpation of the nose does not reveal any step offs or crepitus. A CT of the head shows a small, non-displaced skull base fracture that extends through the cribiform plate. Which of the following symptoms is this patient most likely to experience as a result of this fracture?