Tinnitus in a Young Woman

In Episode 27 of Med School Question of the Week for USMLE, Alisa Khomutova, MedSchoolCoach expert tutor, answers this medical school question: A 32-year-old woman comes to the physician because of a 1-year history of intermittent buzzing in both her ears. She says she sometimes has episodes of mild dizziness which resolve spontaneously. She has a PMH of type 1 diabetes mellitus and muscle sprain. She does not smoke or drink alcohol. Current medications include insulin and aspirin. She works as a pianist for a symphony orchestra. Her vital signs are within normal limits. On otoscopic examination the tympanic membrane appears normal. Bone conduction is greater than air conduction in both ears. Weber test shows no lateralization. Which of the following is the most likely diagnosis?

• Presbycusis
• Otosclerosis
• Meniere Disease
• Drug induced ototoxity
• Acoustic neuroma