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MMLU / A 35-year-old woman comes to the physician because of two 12-hour episodes of…

Problem

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question

A 35-year-old woman comes to the physician because of two 12-hour episodes of dizziness over the past 3 months. During episodes, she experiences the acute onset of rotatory vertigo and imbalance, decreased hearing, tinnitus, a sense of fullness of the right ear, and vomiting. Examination shows a mild hearing loss of the right ear. Which of the following is the most likely diagnosis?

choices

  1. Acoustic neuroma
  2. Benign positional vertigo
  3. Brain stem transient ischemic attacks
  4. Meniere's disease

subject

professional_medicine

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