Try it
ENT · Labyrinthitis: suppurative
Sample itemA patient with chronic otitis media develops sudden severe vertigo, vomiting, spontaneous nystagmus toward the healthy ear and total loss of hearing in the affected ear. What is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Suppurative labyrinthitis
Suppurative labyrinthitis causes destruction of cochlear and vestibular function, with a dead ear, and carries risk of meningitis. Serous labyrinthitis retains some hearing and function. Treatment includes high-dose antibiotics and management of the underlying ear disease.
Option by option
A. Vestibular migraine
Vestibular migraine does not cause total deafness.
B. Suppurative labyrinthitis (correct)
Correct. Profound sensorineural loss with severe vertigo indicates suppurative labyrinthitis.
C. Serous labyrinthitis
Serous labyrinthitis does not destroy hearing.
D. Benign positional vertigo
BPPV is brief positional vertigo without hearing 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.
More ENT questions
- AudiologyIn a tuning fork test, Rinne is negative (bone conduction louder than air conduction) in…
- EarWhich type of chronic suppurative otitis media is considered 'unsafe'?
- LarynxIn singers, vocal nodules typically occur at:
- Vestibular disordersA patient has recurrent attacks of vertigo lasting hours, with fluctuating low-frequency…