skip to main content

Ménière Disease — RACP Adult Medicine MCQ

Instant feedback + full explanation. One question, done properly.

ModerateNeurologyMénière DiseaseRACP Adult Medicine

A 40-year-old woman presents with recurrent episodes of vertigo lasting hours, accompanied by unilateral tinnitus, aural fullness, and fluctuating sensorineural hearing loss in the left ear. Audiometry confirms low-frequency sensorineural hearing loss on the left. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Ménière disease

Episodic vertigo (20 minutes to 12 hours) with unilateral fluctuating SNHL, tinnitus, and aural fullness fulfils the criteria for Ménière disease. It is caused by endolymphatic hydrops. Low-frequency SNHL is characteristic early on. Treatment includes low-salt diet, betahistine, and diuretics. Intratympanic gentamicin or endolymphatic sac decompression for refractory cases.

Reference: eTG Neurology – 2024 – Ménière Disease; AAO-HNS 2020 Ménière Criteria