Vestibular disorders: Lermoyez syndrome: 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 · Vestibular disorders: Lermoyez syndrome

Sample item

A woman has repeated episodes in which tinnitus and hearing loss build up, then an attack of vertigo occurs and the hearing improves. What is this variant of Meniere disease called?

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

The answer and the reasoning

A. Lermoyez syndrome

Lermoyez syndrome is an uncommon variant of Meniere disease in which the hearing loss and tinnitus improve after the vertigo attack, the reverse of the usual pattern. Tumarkin crisis is a sudden drop attack without loss of consciousness. Cogan syndrome combines interstitial keratitis with audiovestibular failure.

Option by option

  • A. Lermoyez syndrome (correct)

    Correct. In Lermoyez syndrome hearing improves after the attack of vertigo.

  • B. Pendred syndrome

    Pendred syndrome is congenital sensorineural deafness with an enlarged vestibular aqueduct and goitre.

  • C. Tumarkin otolithic crisis

    Tumarkin crisis is a sudden fall without loss of consciousness in Meniere disease and does not involve hearing recovery.

  • D. Cogan syndrome

    Cogan syndrome is an autoimmune disorder with interstitial keratitis and audiovestibular loss.

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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Questions about this ENT question

What is the answer to this ENT question?

The best answer is A, Lermoyez syndrome. Lermoyez syndrome is an uncommon variant of Meniere disease in which the hearing loss and tinnitus improve after the vertigo attack, the reverse of the usual pattern.

Why is "Pendred syndrome" not the answer?

Pendred syndrome is congenital sensorineural deafness with an enlarged vestibular aqueduct and goitre.

Why is "Tumarkin otolithic crisis" not the answer?

Tumarkin crisis is a sudden fall without loss of consciousness in Meniere disease and does not involve hearing recovery.

Why is "Cogan syndrome" not the answer?

Cogan syndrome is an autoimmune disorder with interstitial keratitis and audiovestibular loss.

What concept does this question test?

It tests Vestibular disorders: Lermoyez syndrome in ENT. Tumarkin crisis is a sudden drop attack without loss of consciousness. Cogan syndrome combines interstitial keratitis with audiovestibular failure.

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 Vestibular disorders: Lermoyez syndrome?

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.