Meniere's disease: medical management: practice question

A ENT question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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ENT · Meniere's disease: medical management

Sample item

Which combination is first-line prophylaxis for a patient with frequent attacks of Meniere's disease?

ALow-salt diet and betahistineBIntratympanic grommets onlyCHigh-salt diet with antibioticsDVestibular nerve section

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Low-salt diet and betahistine

Salt restriction, diuretics and betahistine reduce attack frequency. Acute vertigo is treated with vestibular sedatives. Destructive procedures are reserved for intractable disease.

Option by option

A. Low-salt diet and betahistine (correct)
Correct. Salt restriction with betahistine is standard.
B. Intratympanic grommets only
Grommets are not the standard first-line measure.
C. High-salt diet with antibiotics
Salt loading worsens hydrops.
D. Vestibular nerve section
Nerve section is for intractable cases.

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.

Questions about this ENT question

What is the answer to this ENT question?

The best answer is A, Low-salt diet and betahistine. Salt restriction, diuretics and betahistine reduce attack frequency.

Why is "Intratympanic grommets only" not the answer?

Grommets are not the standard first-line measure.

Why is "High-salt diet with antibiotics" not the answer?

Salt loading worsens hydrops.

Why is "Vestibular nerve section" not the answer?

Nerve section is for intractable cases.

What concept does this question test?

It tests Meniere's disease: medical management in ENT. Acute vertigo is treated with vestibular sedatives. Destructive procedures are reserved for intractable disease.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Meniere's disease: medical management?

Learn tuning fork results and audiogram patterns by sketching them. Then use the flashcards and the other ENT questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.