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    SubjectsENTVestibular Schwannoma in NF2 — Bilateral
    ClinicalENT

    Vestibular Schwannoma in NF2 — Bilateral

    1 MCQs in ENT for NEET PG

    1 Medium
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    A 22-year-old man presents with progressive bilateral hearing loss and tinnitus over 18 months. Pure-tone audiometry shows bilateral high-frequency sensorineural hearing loss (40–60 dB at 4–8 kHz), but speech discrimination scores are markedly disproportionately poor (32% right, 28% left). Auditory brainstem response shows delayed wave V latencies and prolonged I–V interpeak intervals bilaterally. MRI with gadolinium reveals bilateral enhancing masses in the cerebellopontine angles. The pattern marked **A** in the diagram — bilateral retrocochlear sensorineural hearing loss with poor word recognition — is characteristic of which genetic condition, and what is the first-line medical intervention?

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