This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Miscellaneous, Subject name: Medicine
A 75-year-old woman with rheumatoid arthritis (RA) takes aspirin for symptom control. She usually adjusts the dose of her own medications depending on how she is feeling.For the above patient with a toxic ingestion or exposure, select the most likely clinical effect. 
Select and explain. 
A. combines with cytochromes and catalase to block hydrogen and electron transport, thus producing tissue asphyxia, B. methemoglobinemia, C. vertigo, hyperventilation, tinnitus, and deafness, D. bone marrow depression
C: vertigo, hyperventilation, tinnitus, and deafness
Answer: C: vertigo, hyperventilation, tinnitus, and deafness 
Explanation: Salicylates are associated with vertigo, hyperventilation, tinnitus, and deafness. Excretion of salicylates is renal, and in the presence of normal renal function, about 50% will be excreted in 24 hours. Severe toxicity can cause severe acid-base abnormalities. It can be difficult to diagnose when the toxicity is secondary to a therapeutic regimen.