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Meniere disease — USMLE Step 3 MCQ

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ModerateAmbulatory Medicine / Primary CareMeniere diseaseUSMLE Step 3

A 48-year-old woman has recurrent episodes of spinning vertigo lasting 2 to 4 hours, right-sided tinnitus, aural fullness, and fluctuating low-frequency hearing loss. Neurologic examination is normal between attacks. Which of the following is the most likely diagnosis?

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Correct answer: AMeniere disease

Episodic vertigo with tinnitus, aural fullness, and fluctuating sensorineural hearing loss suggests Meniere disease.

Reference: AAO-HNS Meniere disease guideline