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ENT · Otology
Sample itemWhat inner-ear disorder causes episodic vertigo with tinnitus and fluctuating hearing loss?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Ménière disease
Ménière disease produces recurrent vertigo, fluctuating sensorineural hearing loss, tinnitus, and aural fullness from endolymphatic hydrops.
Option by option
A. Benign positional vertigo
BPPV causes brief positional vertigo without fluctuating hearing loss.
B. Ménière disease (correct)
Correct: this four-part symptom cluster is characteristic.
C. Otitis externa
Otitis externa affects the ear canal.
D. Acoustic trauma
Acoustic trauma follows a noise exposure.
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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