Alternative PANRE Test Question: 24 Year Old with Vertigo

A 24-year-old woman presents with complaints of intermittent vertigo. She has had seven days of symptoms within the past two months. Episodes last between 30 and 45 minutes. She indicates that she has a sensation of the room spinning and usually has a ringing sensation in her ears. The audiometry readings obtained at your visit indicate a low-frequency sensory hearing loss.

What is the most appropriate diagnosis?

A. Cholesteatoma
B. Cerumen impaction
C. Meniere’s disease
D. Migraine headache
E. Transient ischemic attack




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