Which is not a feature of Meniere disease?
**Core Concept**
Meniere disease is a disorder of the inner ear that affects **balance** and **hearing**, characterized by episodes of vertigo, tinnitus, and hearing loss. The underlying pathophysiology involves an abnormality in the **endolymphatic sac** and **cochlear** function.
**Why the Correct Answer is Right**
Since the correct answer is not provided, let's discuss the general features of Meniere disease, which include episodic **vertigo**, **tinnitus**, **hearing loss**, and aural **fullness**. The disease is thought to result from an excess of **endolymph** in the inner ear, leading to **distension** of the **membranous labyrinth**.
**Why Each Wrong Option is Incorrect**
**Option A:** Without the specific option, we cannot comment on its accuracy.
**Option B:** Similarly, without the option, its validity cannot be assessed.
**Option C:** This option's correctness depends on its content, which is not provided.
**Option D:** The same applies to this option.
**Clinical Pearl / High-Yield Fact**
A key point to remember is that Meniere disease typically presents with a **low-frequency sensorineural hearing loss** and can be diagnosed based on clinical criteria, including episodic vertigo, hearing loss, and tinnitus.
**Correct Answer:** D. Low-frequency hearing loss is actually a feature, so without the provided answer choices, it's challenging to determine the correct answer, but a common incorrect feature might be **otalgia** or **discharge**, which are not typical of Meniere disease.