Vestibular disorders: endolymphatic hydrops imaging: 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 · Vestibular disorders: endolymphatic hydrops imaging

Sample item

A patient with suspected Meniere disease undergoes MRI after intratympanic gadolinium. Which finding supports the diagnosis?

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

The answer and the reasoning

C. Enlarged endolymphatic space within the vestibule and cochlea

Delayed contrast MRI can show distension of the endolymphatic space with hydrops. A mass would suggest schwannoma, and dehiscence would point to superior canal dehiscence.

Option by option

  • A. Enhancing mass in the internal auditory canal

    An enhancing mass indicates a schwannoma.

  • B. Absent cochlea

    An absent cochlea would indicate aplasia.

  • C. Enlarged endolymphatic space within the vestibule and cochlea (correct)

    Correct. Distended endolymph on delayed MRI supports hydrops.

  • D. Dehiscence of the superior canal

    Superior canal dehiscence is seen on CT.

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 C, Enlarged endolymphatic space within the vestibule and cochlea. Delayed contrast MRI can show distension of the endolymphatic space with hydrops.

Why is "Enhancing mass in the internal auditory canal" not the answer?

An enhancing mass indicates a schwannoma.

Why is "Absent cochlea" not the answer?

An absent cochlea would indicate aplasia.

Why is "Dehiscence of the superior canal" not the answer?

Superior canal dehiscence is seen on CT.

What concept does this question test?

It tests Vestibular disorders: endolymphatic hydrops imaging in ENT. A mass would suggest schwannoma, and dehiscence would point to superior canal dehiscence.

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 Vestibular disorders: endolymphatic hydrops imaging?

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.