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

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A 46-year-old male presents with recurrent spontaneous attacks of true rotational vertigo lasting between 2 and 4 hours, accompanied by severe nausea, vomiting, fluctuating low-frequency hearing loss in the right ear, roaring tinnitus, and a sensation of right aural fullness. Physical examination between attacks is normal. Audiometry demonstrates a 40 dB low-frequency sensorineural hearing loss in the right ear. What is the first-line medical maintenance therapy for this condition according to international consensus guidelines?

Daily prophylactic oral diazepam and prochlorperazine Immediate chemical labyrinthectomy with intratympanic gentamicin injections Lifetime oral anticoagulation with warfarin targeting an INR of 2.5–3.5 Dietary lifestyle modifications (sodium restriction, caffeine/alcohol reduction) combined with oral betahistine or a mild diuretic

Correct Answer:

Dietary lifestyle modifications (sodium restriction, caffeine/alcohol reduction) combined with oral betahistine or a mild diuretic

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