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    SubjectsENTUnilateral asymmetric SNHL from vestibular schwannoma
    ClinicalENT

    Unilateral asymmetric SNHL from vestibular schwannoma

    1 MCQs in ENT for NEET PG

    1 Hard
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    Sample Questions

    hard

    A 46-year-old accountant presents with one year of progressive right-sided hearing loss, high-pitched tinnitus, and difficulty understanding phone conversations. He reports occasional unsteadiness in the dark. Otoscopy is normal. Weber test lateralizes to the left; Rinne shows air conduction > bone conduction bilaterally. Audiometry reveals the pattern marked **D** in the diagram: unilateral high-frequency sensorineural hearing loss with a disproportionately poor word recognition score (30% at 60 dB). Stapedial reflex testing shows absent reflex decay on the affected side. Which of the following is the MOST appropriate next diagnostic step?

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