## **Core Concept**
The question tests knowledge of ototoxic drugs, specifically those that affect the vestibular system. Vestibulotoxicity refers to the damage caused to the vestibular apparatus of the inner ear, leading to balance and equilibrium issues. Certain medications are known to have vestibulotoxic effects.
## **Why the Correct Answer is Right**
The correct answer, **C. Gentamicin**, is an aminoglycoside antibiotic well-documented for its vestibulotoxic properties. Gentamicin can cause damage to the vestibular hair cells in the inner ear, leading to vestibular dysfunction. This effect is irreversible and can result in significant balance problems. The vestibulotoxic effect of gentamicin is often utilized intentionally in certain medical procedures, such as the treatment of Meniere's disease, to reduce vertigo.
## **Why Each Wrong Option is Incorrect**
- **Option A:** This option is blank and does not provide a drug to assess for vestibulotoxicity.
- **Option B:** This option is also blank and does not offer a drug for consideration.
- **Option D:** This option is blank as well, providing no alternative for evaluation.
## **Clinical Pearl / High-Yield Fact**
A key point to remember is that while gentamicin is vestibulotoxic, its use must be carefully considered due to the potential for permanent vestibular damage. This is particularly relevant in the treatment of Meniere's disease, where the goal is to alleviate vertigo while preserving hearing.
## **Correct Answer: C. Gentamicin**
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
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