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

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A 48-year-old man experiences recurrent episodes of severe vertigo lasting 2 to 4 hours, accompanied by nausea, left-sided low-frequency hearing loss, tinnitus, and a sensation of fullness in the left ear. Audiometry during an acute flare confirms a fluctuating low-frequency sensorineural hearing loss. Brain MRI rules out retrocochlear pathology. What is the recommended first-line medical management according to ENT UK guidelines?
Correct Answer:
Dietary salt restriction and betahistine or prophylactic diuretic therapy

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