Menieres disease

Question 1

which population is most affected by menieres disease

younger population
middle aged
older population

Answer 1

middle aged

Question 2

true/false

menieres has a similar prevalence in both men and women

Answer 2

true

Question 3

how is menieres characterised

1. excessive pressure in the fluid containing membrane of the inner ear
2. progressive dilation in the fluid containing membrane in the inner ear
3. excessive pressure and progressive dilation in the fluid containing membrane in the inner ear

Answer 3

3. excessive pressure and progressive dilation in the fluid containing membrane in the inner ear

Question 4

list 3 features of menieres disease

Answer 4

vertigo
tinnitus
hearing loss
nystagmus

Question 5

what type of hearing loss is seen in menieres disease

Answer 5

sensorineural hearing loss

Question 6

which feature is most prominent

Answer 6

vertigo

Question 7

do menieres symptoms usually present

unilateral or bilateral

Answer 7

unilateral

Question 8

when might symptoms of menieres disease present bilateral

Answer 8

after a number of years

Question 9

what is the romberg test for

Answer 9

used to investigate motor coordination and balance when closing the eyes

Question 10

when functioning of the body is required to ensure health proprioception

Answer 10

dorsal columnns of the spinal cord

Question 11

what are the guidelines for people with menieres and driving (DVLA)

Answer 11

cease driving until satisfactory control of symptoms is achieved

Question 12

which medication can be used for acute attacks of nausea and vertigo in menieres disease

promezthazine
prochlorperazine
betahistine
chlorphenamine

Answer 12

prochlorperazine

Question 13

apart from medication what other management option can be given to patients with menieres disease

Answer 13

vestibular rehabilitation exercises

Question 14

what is the cause of menieres disease

Answer 14

excess endolymph

Question 15

which type of hearing loss does menieres disease present with

sudden or gradual

Answer 15

gradual hearing loss

Question 16

how can the diagnosis of menieres disease be diagnosed

Answer 16

refer to ENT

Question 17

what must a patient be referred for is you suspect hearing loss in menieres disease

Answer 17

refer for audiology assessment

Question 18

after how long will acute attacks of vertigo self resolve

1. 6 hrs
2. 12hr
3. 24 hrs
4. 48 hrs

Answer 18

3. 24 hrs

Question 19

what medication can be used to prevent recurrent attacks of menieres

promezthazine
prochlorperazine
betahistine
chlorphenamine

Answer 19

betahistine

Question 20

true/false

menieres disease will not last longer than 24 hrs

Answer 20

true

usually last for 20 mins to an hour
no more than 24 hrs

Question 21

what test can be carried out during the investigation to help diagnose menieres disease

Answer 21

romberg test