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

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A 38-year-old man presents with sudden hearing loss in his right ear upon waking 24 hours ago. He denies prior otologic surgery or trauma. Otoscopy is entirely normal bilaterally. Pure-tone audiometry confirms an acute right sensorineural hearing loss of 55 dB across 500 Hz, 1000 Hz, and 2000 Hz with a normal left ear. Speech discrimination in the right ear is 48%. According to national and international sudden sensorineural hearing loss (SSNHL) guidelines, which intervention is the cornerstone of initial emergency management within the early therapeutic window?

Immediate oral high-dose corticosteroid therapy (e.g., Prednisone 1 mg/kg/day for 10–14 days with taper) Immediate exploratory tympanotomy for suspected perilymphatic fistula Prescription of oral acyclovir 800 mg 5 times daily alone without corticosteroids Observation for 4 weeks with repeat audiogram, as spontaneous recovery rates exceed 90%

Correct Answer:

Immediate oral high-dose corticosteroid therapy (e.g., Prednisone 1 mg/kg/day for 10–14 days with taper)

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