Question

Ms. Smith is a 60-year-old woman who visited your

office with complaints of sudden onset dizziness, and
a feeling of spinning and wooziness for the last 1 to
2 weeks. She also complains of a feeling of ear fullness,
tinnitus in her left ear, and fluctuating hearing loss. Dizziness
spells usually last for a few hours. On examination,
her vital signs are within normal limits. She has
horizontal nystagmus. Her cardiac, respiratory, and
neurologic examination is normal except she is not able
to do a tandem walk and one-leg stand. Which of the
following tests should be ordered next?
a. Magnetic resonance imaging of the head
b. Audiometery
c. Computerized tomography of the head
d. Electroencephalogram

Answer 1

The next test to be ordered should be Audiometry.

Step-by-step explanation:

The patient's symptoms, including sudden onset dizziness, spinning sensation, ear fullness, tinnitus, and fluctuating hearing loss, are indicative of Ménière's disease, a disorder that affects balance and hearing. Given the symptoms, the next test to be ordered should be Audiometry, which measures the patient's hearing ability. This test will help assess the extent of the hearing loss and provide valuable information for diagnosis and treatment.