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Ménière disease — MCCQE Part 1 MCQ

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ModerateHearing LossMénière diseaseMCCQE Part 1

A 45-year-old man has recurrent episodes of vertigo lasting hours, fluctuating unilateral hearing loss, tinnitus and aural fullness. Neurological examination is normal between attacks. Which of the following is the most likely diagnosis?

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Correct answer: B — Ménière disease

Episodic vertigo lasting hours with fluctuating sensorineural hearing symptoms is typical of Ménière disease. BPPV causes seconds-long positional attacks without hearing loss; vestibular neuritis causes a prolonged single attack. Audiometry and ENT referral are usually appropriate for confirmation and management.

Reference: Canadian otolaryngology practice; provincial vertigo pathways