Monday 24 April 2017

Noise induced vertigo | NEET Based MCQ

Noise induced vertigo is seen in: 

A. Tympanosclerosis 
B. Labyrinthine fistula 
C. CSOM 
D. Meniere’s disease

Ans. D. Noise induced vertigo is seen in Menniere’s disease.                  
Mennieres Disease is characterized by:
Deafness, vertigo and tinitus and noise induced vertigo is seen in Meuniere’s disease.
Meniere’s Disease
A disorder characterized by recurrent prostrating vertigo, sensory hearing loss, and tinnitus, associated with generalized dilation of the membranous labyrinth (endolymphatic hydrops). The attacks of vertigo appear suddenly and last from afew to 24 h, and subside gradually. The attacks are associated with nausea and vomiting. The patient may have a recurrent feeling of fullness or pressure in the affected ear, and hearing in that ear tends to fluctuate but progressively worsens over the years. The tinnitus may be constant or intermittent and mau be worse before, after or during an attack of vertigo. Although usually only one ear is affected both ears are involved in 10 to 15% of patients.
In Lermoyez’s variant of Meniere’s disease, hearing loss and tinnitus precede the first attack of vertigo by months or years, and the hearing may improve with the onset of the vertigo.