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ENT · Otosclerosis: medical therapy
Sample itemWhich drug is used to stabilise cochlear otosclerosis with progressive sensorineural loss?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Sodium fluoride
Sodium fluoride is thought to promote maturation of the otosclerotic focus and reduce active bone resorption. It may arrest progression of sensorineural loss. Conductive loss is treated by stapedotomy or hearing aids.
Option by option
A. Sodium fluoride (correct)
Correct. Sodium fluoride is used for cochlear otosclerosis.
B. Streptomycin
Streptomycin is ototoxic.
C. Frusemide
Frusemide can be ototoxic and has no role.
D. Prednisolone alone
Steroids alone do not stabilise otosclerosis.
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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