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ENT · Vestibular disorders
Sample itemWhich symptom combination is characteristic of Ménière disease?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Episodic vertigo, fluctuating hearing loss, tinnitus, and aural fullness
Ménière disease causes episodic attacks of vertigo with fluctuating sensorineural hearing loss, tinnitus, and ear fullness, thought to relate to endolymphatic hydrops and requiring clinical evaluation.
Option by option
A. Hoarseness with a neck mass
Hoarseness with a neck mass is a head-and-neck cancer warning pattern.
B. Brief vertigo only when turning in bed
Brief position-triggered vertigo is more consistent with BPPV.
C. Itchy ear canal after swimming
Post-swimming canal itch fits otitis externa more closely.
D. Episodic vertigo, fluctuating hearing loss, tinnitus, and aural fullness (correct)
Correct: this four-part pattern is classic for Ménière disease.
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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