Meniere's disease: intractable vertigo: 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 · Meniere's disease: intractable vertigo

Sample item

A patient with Meniere's disease has disabling vertigo and a non-serviceable (dead) hearing in the affected ear despite medical therapy. Which procedure is the most suitable?

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

The answer and the reasoning

A. Labyrinthectomy

Where hearing is already poor, a destructive procedure such as labyrinthectomy or chemical ablation with gentamicin effectively controls vertigo. Sac decompression preserves hearing and is chosen when hearing is serviceable.

Option by option

  • A. Labyrinthectomy (correct)

    Correct. Labyrinthectomy is suitable when hearing is already lost.

  • B. Cochlear implantation

    A cochlear implant treats hearing loss, not vertigo.

  • C. Endolymphatic sac decompression

    Sac decompression is chosen to preserve useful hearing.

  • D. Insertion of grommet

    Grommets do not treat vertigo.

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, Labyrinthectomy. Where hearing is already poor, a destructive procedure such as labyrinthectomy or chemical ablation with gentamicin effectively controls vertigo.

Why is "Cochlear implantation" not the answer?

A cochlear implant treats hearing loss, not vertigo.

Why is "Endolymphatic sac decompression" not the answer?

Sac decompression is chosen to preserve useful hearing.

Why is "Insertion of grommet" not the answer?

Grommets do not treat vertigo.

What concept does this question test?

It tests Meniere's disease: intractable vertigo in ENT. Sac decompression preserves hearing and is chosen when hearing is serviceable.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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 Meniere's disease: intractable vertigo?

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.