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4404 ENT

A fifty-year-old man presents to his practitioner complaining that he often feels as if the room is spinning when he gets up from a recumbent position or turns his head. He has not lost consciousness and has had no chest pain. He has no cardiac history and a recent treadmill test showed no abnormalities. On examination, the sensation can be produced by rapidly turning the head. It can be reproduced many times, but it eventually ceases. Nystagmus is elicited. Hearing is normal. Which of the following is the most likely diagnosis?

ABenign paroxysmal positional veigo
BBrain stem tumor
CMeniere's disease
DSyncope
ENT
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4410 ENT

True about nasopharyngeal Ca is all except

AMost common site is fossa of Rosen Muller
BMost common type of nasopharyngeal carcinoma is Squamous cell carcinoma
CEpstein Barr virus has been identified in tumour epithelial cells
DMost common cranial nerve palsy in nasopharyngeal carcinoma is V cranial nerve
ENT
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