lOMoARcPSD|28205643 NR 511 Quiz Week 2 Week 2 quiz 511 - Week 2 Quiz Differential Diagnosis & Primary Care Practicum Question 1 1 / 1 pts A 75-year-old female presents to your office complaining of dizziness and ringing in both ears for 1 day. She describes the dizziness as feeling like "the room is spinning". On physical exam, the Rinne test reveals that air conduction is greater than bone conduction bilaterally. The Weber test reveals lateralization to the left. She is unable to hear the examiner's whisper on the right side but can hear the whisper on the left side. What is the next step in helping this patients symptoms? Start her on high-dose Augmentin. Correct! Start the patient on a low-salt diet, prescribe meclizine for vertigo and refer her to an ENT specialist. Order a computed tomography (CT) scan to rule out acoustic neuroma. Refer the patient to the Emergency Room. Meniere's disease is characterized by vertigo, tinnitus and hearing loss. The patient self-reports vertigo and tinnitus while the results of the Weber, Rinne, and whisper test indicate sensorineural hearing loss on the right. Meniere disease is diagnosed based on history and the exclusion of other conditions as well.