In the early stages of Ménière's disease, endolymph increases. Audiometrically, the hearing loss is most likely to affect which frequency range?

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Multiple Choice

In the early stages of Ménière's disease, endolymph increases. Audiometrically, the hearing loss is most likely to affect which frequency range?

Explanation:
In Ménière’s disease, endolymphatic hydrops initially affects the apical region of the cochlea, where low-frequency sounds are coded. This leads to a sensorineural hearing loss that begins in the low to mid frequencies and can fluctuate. Because of this early apical involvement, the hearing loss is most likely in the low to mid range, roughly 250–2000 Hz. Higher frequencies are usually affected later as the disease progresses, and a flat loss across all frequencies is not typical early on. That’s why the 250–2000 Hz range best matches the early pattern.

In Ménière’s disease, endolymphatic hydrops initially affects the apical region of the cochlea, where low-frequency sounds are coded. This leads to a sensorineural hearing loss that begins in the low to mid frequencies and can fluctuate. Because of this early apical involvement, the hearing loss is most likely in the low to mid range, roughly 250–2000 Hz. Higher frequencies are usually affected later as the disease progresses, and a flat loss across all frequencies is not typical early on. That’s why the 250–2000 Hz range best matches the early pattern.

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