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A 32-year-old musician reports intermittent left-sided tinnitus that worsens after playing wind instruments. Upon examination, the tinnitus appears to synchronize with their heartbeat. What is the most likely cause of this tinnitus?
A) Noise-induced cochlear damage
B) Meniere’s disease
C) Pulsatile tinnitus due to vascular anomaly
D) Eustachian tube dysfunction
Correct Answer: C) Pulsatile tinnitus due to vascular anomaly
• Explanation: Pulsatile tinnitus is a rare form of tinnitus characterized by sound that synchronizes with the heartbeat, often caused by vascular anomalies (e.g., arterial stenosis, aortic stenosis and arteriovenous malformations). The history of playing wind instruments may exacerbate vascular pressure, making the condition more apparent.
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