#may2020mccqe1
A 50-year-old man has a 12 month history of episodes of severe vertigo and vomiting: between episodes he is asymptomatic. He has noticed progressively increasing deafness in his right ear with mild tinnitus. Examination reveals that, except for a nerve deafness in one ear, there are no abnormalities in the third, fourth, fifth, sixth or seventh cranial nerves during an acute attack of vertigo. What is the most likely diagnosis?
(A) acoustic neuroma
(B) vertebrobasilar insufficiency
(C) Ménière disease
(D) vestibular neuronitis
(E) benign positional vertigo
A 50-year-old man has a 12 month history of episodes of severe vertigo and vomiting: between episodes he is asymptomatic. He has noticed progressively increasing deafness in his right ear with mild tinnitus. Examination reveals that, except for a nerve deafness in one ear, there are no abnormalities in the third, fourth, fifth, sixth or seventh cranial nerves during an acute attack of vertigo. What is the most likely diagnosis?
(A) acoustic neuroma
(B) vertebrobasilar insufficiency
(C) Ménière disease
(D) vestibular neuronitis
(E) benign positional vertigo
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