Facharzt FMH Hals-Nasen-Ohren Practice Questions - Facharzt FMH Für Oto-Rhino-Laryngologie Spécialiste FMH En Oto-rhino-laryngologie Exam

Access More Questions

A 58-year-old woman presents with slowly progressive left-sided sensorineural hearing loss, reduced word recognition (48% at 70 dB), and unilateral high-pitched tinnitus. Gadolinium-enhanced T1 MRI of the internal auditory canal (IAC) and cerebellopontine angle (CPA) demonstrates an intensely and homogeneously enhancing 1.2 cm lesion centered in the left internal auditory canal with a 4 mm protrusion into the cerebellopontine angle (Koos Grade II vestibular schwannoma), without brainstem compression. Which of the following is the most appropriate initial management approach for this patient?

Emergency translabyrinthine craniotomy with radical surgical excision High-dose systemic corticosteroid therapy and immediate hyperbaric oxygen therapy Active surveillance ('wait-and-scan') with repeat volumetric contrast-enhanced MRI at 6 to 12 months Systemic cytotoxic chemotherapy with cisplatin and etoposide

Correct Answer:

Active surveillance ('wait-and-scan') with repeat volumetric contrast-enhanced MRI at 6 to 12 months

Access more questions from this quiz

Continue to Facharzt FMH Hals-Nasen-Ohren Practice Questions - Facharzt FMH für Oto-Rhino-Laryngologie Spécialiste FMH en oto-rhino-laryngologie Exam for more practice questions and the full quiz experience.

Access More Questions