🏥 USMLE Exam Prep

A 40-year-old woman presents with recurrent episodes of vertigo, tinnitus, and fluctuating hearing loss in her left ear, lasting several hours each time. She denies head trauma or recent infections. Neurological examination is otherwise normal. What is the most likely diagnosis?

A Benign Paroxysmal Positional Vertigo (BPPV)
B Vestibular neuronitis
C Meniere's disease
D Acoustic neuroma

✓ Correct Answer: Option C

Meniere's disease is characterized by the classic triad of episodic vertigo, tinnitus, and fluctuating sensorineural hearing loss, often accompanied by aural fullness. BPPV lacks tinnitus and hearing loss, and vestibular neuronitis presents with acute, single episode vertigo without hearing loss.

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