Vertigo and Vestibular Disorders

• Q1.A 27-year-old patient with a chief complaint of mild vertigo of 3-months duration is seen by a neurologist. Examination reveals a positional (horizontal and vertical) nystagmus that is bidirectional. The patient reports the absence of tinnitus. Which of the following is the most likely etiology of vertigo?

  • ALabyrinthitis
  • BMeniere's syndrome
  • CLesion of the flocculonodular lobe of the cerebellum
  • DLesion of the spinocerebellum
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• Q2.Hallpike maneuver is done for:

  • AVestibular function
  • BAudiometry
  • CCochlear function
  • DCorneal test
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• Q3.Cold water is not used for ear cleaning because

  • AIt will make the wax hard
  • BDamage to tympanic membrane
  • CCaloric stimulation caused by cold water
  • DIt will cause infection
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• Q4.A person presented to OPD with complaints of rotatory vertigo and nausea in the morning on change in position of the head. WHat is your diagnosis?

  • ALabyrinthitis
  • BBPPV
  • CVestibular neuronitis
  • DMeniere's disease
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• Q5.All are characteristic features of superior semicircular canal dehiscence except?

  • AThird window phenomenon
  • BSNHL
  • CTullio's phenomenon
  • DVestibular evoked myogenic potential is useful investigation.
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• Q6.Which semicircular canal is most commonly involved in BPPV?

  • AHorizontal
  • BPosterior
  • CSuperior
  • DAll of the above
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• Q7.In right external auditory canal, warm water (44 deg,c) pressure applied for 40 seconds then

  • ARight side nystagmus
  • BLeft side nystagmus
  • CCircular nystagmus
  • DNo nystagmus
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• Q8.Latest treatment in BPPV is:

  • AIntralabyrinthine streptomycin
  • BIntralabyrinthine steroids
  • CValsalva manoeuvre
  • DEpley's manoeuvre
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• Q9.Bilateral Cold water irrigation of ears response is seen in

  • AUpbeat nystagmus and downward movement of eye
  • BDown beat nystagmus and upward movement of eye
  • CRotatory nystagmus
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• Q10.Central mystagmus ?

  • ASuppressed by optic fixation
  • BMore than 1 minute duration
  • CFixed direction
  • DFatiguable
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Answer key

Q1: C. Lesion of the flocculonodular lobe of the cerebellum; Q2: A. Vestibular function; Q3: C. Caloric stimulation caused by cold water; Q4: B. BPPV; Q5: B. SNHL; Q6: B. Posterior; Q7: A. Right side nystagmus; Q8: D. Epley's manoeuvre; Q9: A. Upbeat nystagmus and downward movement of eye; Q10: B. More than 1 minute duration.

Other topics in ENT

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• External Ear Anatomy
• Middle Ear Anatomy
• Mastoid Anatomy
• Inner Ear Anatomy
• External Ear Disease
• Middle Ear Disease
• CSOM Types and Cholesteatoma
• CSOM: Management and Complications
• Otosclerosis
• Meniere's Disease
• Tumours of the Ear
• Facial Nerve Anatomy
• Facial Nerve Palsy and Related Disorders
• Eustachian Tube
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• Audiometry and Special Hearing Tests
• Deafness and Hearing Rehabilitation
• Nasal Anatomy
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• Nasal and Sinus Physiology
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• Congenital and Acquired Nasal Disorders
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• Nasal Septal Disorders and Polyposis
• Nasal and Facial Injuries
• Tumours of the Nose and PNS
• Sinusitis and Related Complications
• Pharyngeal Anatomy and Physiology
• Adenoids
• Tonsils
• Pharyngeal Abscesses
• Nasopharyngeal Angiofibroma
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• Disorders of Voice and Speech
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