Título Em Otorrinolaringologia Practice Questions - Título De Especialista Em Otorrinolaringologia E Cirurgia Cérvico-Facial (ABORL-CCF AMB) Exam

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A 48-year-old male with a 4-year history of episodic true spinning vertigo lasting 2 to 4 hours, accompanied by fluctuating left-sided low-frequency hearing loss, roaring tinnitus, and ipsilateral aural fullness, presents for evaluation. Electrocochleography demonstrates an elevated Summating Potential to Action Potential ratio (SP/AP > 0.45). According to international and ABORL-CCF diagnostic criteria, which first-line medical maintenance strategy is recommended to reduce episode frequency and preserve hearing in this disorder?

Dietary sodium restriction (<2 g/day), caffeine/alcohol avoidance, and thiazide diuretic or betahistine maintenance therapy Prophylactic long-term daily intratympanic gentamicin injections High-dose lifelong oral carbamazepine or pregabalin Immediate surgical translabyrinthine vestibular nerve section

Correct Answer:

Dietary sodium restriction (<2 g/day), caffeine/alcohol avoidance, and thiazide diuretic or betahistine maintenance therapy

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