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ENT · Meniere's disease: Tumarkin crisis
Sample itemA patient with Meniere's disease suddenly falls to the ground without losing consciousness during an attack. What is this called?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Tumarkin's otolithic crisis
Tumarkin's otolithic crisis is a sudden drop attack without loss of consciousness, caused by abrupt otolith organ stimulation in Meniere's disease. Lermoyez syndrome is hearing improving with the vertigo attack.
Option by option
A. Tumarkin's otolithic crisis (correct)
Correct. A drop attack without loss of consciousness is Tumarkin's crisis.
B. Tullio phenomenon
Tullio is vertigo induced by loud sound.
C. Cogan's syndrome
Cogan's syndrome includes interstitial keratitis.
D. Lermoyez syndrome
Lermoyez syndrome has hearing improvement after the attack.
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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