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ENT Diagnostic & Operative ENT feb8573f

The following test is useful for diagnosis of

A
Unsafe CSOM
B
Meniere's disease
C
Gradenigo syndrome
D
Cholesteatoma
High-Yield Explanation
Ans. (b) Meniere's disease.* The image shows performance of the caloric stimulation test.* Irrigation of the external meatus with water 7deg above and later 7deg below body temperature sets up convection currents of the endolymph in the semi-circular canals.* This causes nystagmus, and the duration of the nystagmus gives an index of the activity of the labyrinth. The nystagmus can be directly observed or recorded electrically (electronystagmography).* This test is particularly valuable in the diagnosis of Meniere's disease and acoustic neuroma. A reduced or absent nystagmus is found (canal paresis).

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