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Endgames OnExamination quiz

Ear problems in general practice

BMJ 2010; 340 doi: https://doi.org/10.1136/bmj.b5680 (Published 07 January 2010) Cite this as: BMJ 2010;340:b5680

The answers to this question, and more questions on this topic, are available from www.onexamination.com/endgames until midnight on Wednesday.

This week’s quiz is on ear problems in general practice and is taken from the OnExamination revision questions for the MRCGP exam.

A 60 year old male is referred with episodes of severe vertigo that last up to four hours and are associated with vomiting and pain in the right ear.

On examination, he is noted to have right horizontal nystagmus during an attack, together with mild right sided sensorineural deafness.

Which of the following statements, if any, is the most likely diagnosis?

  • A Acoustic neuroma

  • B Benign positional vertigo

  • C Labyrinthitis

  • D Ménière’s disease

  • E Vertebrobasilar ischaemic attacks

Notes

Cite this as: BMJ 2010;340:b5680

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