FRCS ORL-HNS Section 1 Practice Questions - Intercollegiate Specialty Fellowship Examination In Otolaryngology - Head And Neck Surgery (Section 1) Exam

Access More Questions

A 45-year-old woman presents with a 12-month history of progressive left-sided sensorineural hearing loss and mild unsteadiness. Pure tone audiometry demonstrates a high-frequency sensorineural hearing loss on the left with a speech discrimination score of 40%. An MRI of the internal auditory meatuses (IAM) with gadolinium contrast reveals a 1.2 cm intensely enhancing lesion within the left internal auditory canal extending into the cerebellopontine angle without brainstem compression. What is the most appropriate initial management strategy?

Immediate translabyrinthine surgical resection Conservative management with MRI surveillance (watch and wait) Stereotactic radiosurgery (Gamma Knife) High-dose systemic corticosteroid therapy

Correct Answer:

Conservative management with MRI surveillance (watch and wait)

Access more questions from this quiz

Continue to FRCS ORL-HNS Section 1 Practice Questions - Intercollegiate Specialty Fellowship Examination in Otolaryngology - Head and Neck Surgery (Section 1) Exam for more practice questions and the full quiz experience.

Access More Questions