Otology Q5

A 40-year-old lady is referred by her GP to the local ENT clinic for dizziness. Over the past 12 months, she has experienced episodes of sudden-onset vertigo associated with nausea, each episode lasting for approximately one hour. The episodes are so disabling that she is unable to carry on at work for the remainder of the day. Additionally, the patient complains of aural fullness, tinnitus and fluctuant hearing in her left ear. Otoscopy is unremarkable bilaterally

What is the most likely diagnosis?

  • A) Ménière’s disease
  • B) Vestibular labyrinthitis
  • C) Vestibular schwannoma
  • D) Otitis media with effusion
  • E) Eustachian tube dysfunction