Which of the following signs and symptoms is most indicative of Ménière disease?
A) Rotary vertigo and tinnitus
B) Nausea and vomiting
C) Progressive hearing loss and frequent falls
D) Otalgia and recurrent otitis media
Ans: A
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Ménière disease is characterized by fluctuating episodes of tinnitus, feelings of ear fullness, and violent rotary vertigo (room spinning) that often renders the person unable to sit or walk. Nausea and vomiting, hearing loss, and falls may accompany the disease, but these signs and symptoms are less definitive than frequent episodes of rotary vertigo accompanied by tinnitus.
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