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ENT · Meniere's disease: audiometry
Sample itemIn early Meniere's disease the audiogram typically shows which pattern?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Low-frequency sensorineural loss that fluctuates
Early Meniere's disease produces a fluctuating low-frequency sensorineural loss, with recruitment. In later stages the loss becomes flat. A 4 kHz notch suggests noise damage.
Option by option
A. Low-frequency sensorineural loss that fluctuates (correct)
Correct. Low-frequency fluctuating loss is typical early.
B. Carhart notch with air-bone gap
A Carhart notch indicates otosclerosis.
C. High-frequency notch at 4 kHz
A 4 kHz notch points to noise.
D. Flat conductive loss
Meniere's is sensorineural, not conductive.
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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