1 MCQs in ENT for NEET PG
A 68-year-old man with rheumatoid arthritis presents with a 2-week history of bilateral hearing loss and high-pitched tinnitus. He has been taking aspirin 5–6 g daily for pain control. Serum salicylate level is 42 mg/dL (toxic >30). Audiometry shows the pattern marked **A** in the diagram: bilateral symmetric mild-to-moderate sensorineural hearing loss with a flat audiometric contour (40–50 dB across all frequencies). Tympanometry is type A bilaterally with preserved acoustic reflexes. Otoacoustic emissions are reduced but ABR is preserved. Which of the following best explains the mechanism of hearing loss in this patient?
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