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A 35-year-old presents with 3 days of unilateral hearing loss. Audiogram shows a right sensorineural hearing loss of 45 dB at 500, 1000, and 2000 Hz compared to the prior normal left ear. The AAO-HNSF 2019 clinical practice guideline for sudden sensorineural hearing loss recommends initial treatment with which intervention?

Oral (or intratympanic) corticosteroids initiated within 2 weeks of symptom onset Antiviral therapy alone Hyperbaric oxygen as monotherapy at 6 weeks Observation with no treatment

Correct Answer:

Oral (or intratympanic) corticosteroids initiated within 2 weeks of symptom onset

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