Neurotology Practice Questions

Question 1

A 25-year-old woman presents with episodes of dizziness, tinnitus, and hearing loss in the right ear. What is the most likely diagnosis?

Accepted Answer

Ménière's disease

Answer

Labyrinthitis

Answer

Acoustic neuroma

Answer

Benign paroxysmal positional vertigo

Question 2

Cervical Vestibular Evoked Myogenic Potential (cVEMP) detects lesion of -

Accepted Answer

Inferior Vestibular Nerve

Answer

Cochlear Nerve

Answer

Facial Nerve

Answer

Superior Vestibular Nerve

Question 3

The commonest cranial nerve involved in acoustic neuroma is:

Accepted Answer

VIII

Answer

X

Answer

IX

Answer

VI

Question 4

Progressive loss of hearing, tinnitus and ataxia are commonly seen in a case of -

Accepted Answer

Acoustic neuroma

Answer

Otitis media

Answer

Ependymoma

Answer

Cerebral glioma

Question 5

The first clinical presentation of acoustic neuroma is characterized by ____________

Accepted Answer

Cochleovestibular symptoms

Answer

Facial nerve involvement

Answer

Brainstem involvement

Answer

Cerebellar involvement

Question 6

In a patient with right vestibular neuronitis, what will be the finding on the head impulse test?

Accepted Answer

Head turned to right, corrective saccade to the left

Answer

Head turned to left, corrective saccade to the right

Answer

Head turned to right, no corrective saccade

Answer

Head turned to left, no corrective saccade

Question 7

Which of the following test is being performed on the patient?

Accepted Answer

Dix-Hallpike test

Answer

Caloric stimulation test

Answer

Doll's eye reflex

Answer

Frenzel maneuver

Question 8

Epley's maneuver is used in the treatment of:

Accepted Answer

BPPV (Benign paroxysmal positional vertigo)

Answer

Infective labyrinthitis

Answer

Cervical spondylosis

Answer

Tinnitus

Question 9

A 72-year-old man presents to his primary care physician with progressively worsening hearing loss. He states that his trouble with hearing began approximately 7-8 years ago. He is able to hear when someone is speaking to him; however, he has difficulty with understanding what is being said, especially when there is background noise. In addition to his current symptoms, he reports a steady ringing in both ears, and at times experiences dizziness. Medical history is significant for three prior episodes of acute otitis media. Family history is notable for his father being diagnosed with cholesteatoma. His temperature is 98.6°F (37°C), blood pressure is 138/88 mmHg, pulse is 74/min, and respirations are 13/min. On physical exam, when a tuning fork is placed in the middle of the patient's forehead, sound is appreciated equally on both ears. When a tuning fork is placed by the external auditory canal and subsequently on the mastoid process, air conduction is greater than bone conduction. Which of the following is most likely the cause of this patient's symptoms?

Accepted Answer

Cochlear hair cell degeneration

Answer

Stapedial abnormal bone growth

Answer

Endolymphatic hydrops

Answer

Accumulation of desquamated keratin debris

Question 10

Following are the laboratory tests for the diagnosis of vestibular dysfunction except -

Accepted Answer

Gelle's test

Answer

Galvanic test

Answer

Electronystagmography

Answer

Optokinetic test

Neurotology

Study Resources

Lessons

Questions

Flashcards

Lessons

Vestibular System Anatomy and Physiology

Vestibular Testing

Benign Paroxysmal Positional Vertigo

Ménière's Disease

Vestibular Neuritis

Labyrinthitis

Acoustic Neuroma

Other Cerebellopontine Angle Tumors

Facial Nerve Disorders

Skull Base Surgery

Cochlear Implantation

Vestibular Schwannoma Management

Practice Questions

Flashcards

About Neurotology for NEET-PG

Lessons in Neurotology

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