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ENT · Vertigo: Meniere disease
Sample itemWhich symptom cluster is most typical of Meniere disease?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Episodic vertigo, fluctuating sensorineural hearing loss, tinnitus, and aural fullness
Meniere disease causes recurrent spontaneous vertigo with fluctuating auditory symptoms due to endolymphatic hydrops. Hearing loss is typically sensorineural and may progress.
Option by option
A. Brief positional vertigo without auditory symptoms
Brief positional attacks without auditory symptoms favor BPPV.
B. Sudden facial weakness with vesicles
Facial weakness with vesicles suggests Ramsay Hunt syndrome.
C. Persistent unilateral otalgia with canal swelling
Canal inflammation suggests otitis externa.
D. Episodic vertigo, fluctuating sensorineural hearing loss, tinnitus, and aural fullness (correct)
Correct. This four-part symptom complex is characteristic.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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