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Question 1
A 34-year-old female presents with progressive bilateral hearing loss, worse in the right ear, and mild tinnitus over the past 2 years. Her mother underwent ear surgery in her 30s. Otoscopy reveals normal, translucent tympanic membranes with no signs of inflammation or middle ear effusion. Pure-tone audiometry shows bilateral conductive hearing loss with an air-bone gap of 35 dB on the right, along with an apparent elevation of bone-conduction thresholds reaching 15 dB at 2000 Hz ('Carhart notch'). Acoustic reflexes are absent bilaterally. What is the most appropriate definitive surgical management of choice for her right ear?
Correct Answer:
Small-fenestra stapedotomy with placement of a teflon/titanium piston prosthesis
Question 2
A 42-year-old male with a history of recurrent childhood otitis media presents with persistent, foul-smelling left otorrhea and progressive hearing loss despite multiple courses of topical antibiotic drops. Micro-otoscopy reveals an attic retraction pocket in the pars flaccida containing squameous debris and erosion of the scutum. High-resolution temporal bone CT demonstrates a soft-tissue attenuation mass occupying Prussak's space with erosion of the lateral epitympanic wall and partial erosion of the incus long process, without labyrinthine fistula. What is the standard surgical strategy for this lesion?
Correct Answer:
Tympanomastoidectomy (canal wall up or canal wall down) with complete cholesteatoma eradication and ossicular reconstruction
Question 3
A 58-year-old woman presents with slowly progressive left-sided sensorineural hearing loss, reduced word recognition (48% at 70 dB), and unilateral high-pitched tinnitus. Gadolinium-enhanced T1 MRI of the internal auditory canal (IAC) and cerebellopontine angle (CPA) demonstrates an intensely and homogeneously enhancing 1.2 cm lesion centered in the left internal auditory canal with a 4 mm protrusion into the cerebellopontine angle (Koos Grade II vestibular schwannoma), without brainstem compression. Which of the following is the most appropriate initial management approach for this patient?
Correct Answer:
Active surveillance ('wait-and-scan') with repeat volumetric contrast-enhanced MRI at 6 to 12 months
Question 4
A 46-year-old male presents with recurrent spontaneous attacks of true rotational vertigo lasting between 2 and 4 hours, accompanied by severe nausea, vomiting, fluctuating low-frequency hearing loss in the right ear, roaring tinnitus, and a sensation of right aural fullness. Physical examination between attacks is normal. Audiometry demonstrates a 40 dB low-frequency sensorineural hearing loss in the right ear. What is the first-line medical maintenance therapy for this condition according to international consensus guidelines?
Correct Answer:
Dietary lifestyle modifications (sodium restriction, caffeine/alcohol reduction) combined with oral betahistine or a mild diuretic
Question 5
A 62-year-old woman experiences brief, severe episodes of spinning vertigo lasting 20–30 seconds triggered whenever she rolls over to the right side in bed or tilts her head backward to look up. There is no hearing loss, tinnitus, or focal neurologic deficit. A right Dix-Hallpike maneuver produces a 5-second latency followed by a 20-second burst of crescendo-decrescendo torsional, geotropic upbeat nystagmus (upper pole beating toward the right ear), associated with marked vertigo. What is the most effective definitive bedside management for this patient?
Correct Answer:
Epley canalith repositioning maneuver for right posterior canal BPPV
Question 1
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Prepare with the Facharzt FMH Hals-Nasen-Ohren Practice Questions - Facharzt FMH für Oto-Rhino-Laryngologie Spécialiste FMH en oto-rhino-laryngologie Exam practice quiz. This question bank includes 100 questions covering year-old, right, presents, hearing, and reveals. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Facharzt FMH Hals-Nasen-Ohren Practice Questions - Facharzt FMH für Oto-Rhino-Laryngologie Spécialiste FMH en oto-rhino-laryngologie Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, right, presents, hearing, and reveals. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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