Pine (AKT) Flashcards
(2 cards)
Q u e s t i o n 1
George Callaghan, a 38-year-old man, presents to you with difficulty hearing. He notices he struggles to
follow a conversation and has to have the radio volume in the car turned up on high to hear, to the point
that his family complains about it being too loud. George is a soldier in the infantry and a right-handed
shooter. He has a past medical history of meralgia paraesthetica secondary to wearing a tight-fitting body
armour and takes no regular medications. On examination, otoscopy is unremarkable. His audiogram
results are as shown (see chart on next slide).
What is George’s MOST likely diagnosis?
A. Normal hearing
B. Bilateral mixed hearing loss
C. Left ear mixed hearing loss
D. Right ear mixed hearing loss
E. Bilateral sensorineural hearing loss
F. Left ear sensorineural hearing loss
G. Right ear sensorineural hearing loss
H. Bilateral conductive hearing loss
I. Left ear conductive hearing loss
J. Right ear conductive hearing loss
E. Bilateral sensorineural hearing loss
Q u e s t i o n 2
Catherine Rice, a 48-year-old personal assistant, presents with recurrent episodes of vertigo over the last
12 months. These attacks typically last for an hour and are progressively worsening. She complains of
associated left-sided tinnitus and hearing impairment. Catherine also describes a feeling of fullness in her
left ear. She denies any history of head trauma. Catherine has a past medical history of major depression
and takes agomelatine 50 mg PO nocte. Neurological and otoscopic examinations are unremarkable. An audiogram is performed (see chart below).
Which of the following BEST explains her
symptoms?
Right air conduction threshold
Left air conduction threshold
Left b o n e conduction threshold
A. Acute suppurative otitis media
B. Otitis externa
C. Tympanic membrane perforation
D. Ménière’s disease
E. Drug ototoxicity
F. Transient ischaemic attack 40
G. Vestibular schwannoma
H. Acute labyrinthitis 60
I. Vestibular neuronitis
J. Benign paroxysmal positional vertigo 80l.
125 250 500
K. Vertiginous migraine 1000 2000
L. Psychogenic vertigo
