Acute Vestibulopathy Practice Questions

Question 1

A 25-year-old woman presents with episodes of dizziness, tinnitus, and hearing loss in the right ear. What is the most likely diagnosis?

Accepted Answer

Ménière's disease

Answer

Labyrinthitis

Answer

Acoustic neuroma

Answer

Benign paroxysmal positional vertigo

Question 2

Vestibular evoked myogenic potential (VEMP) is a tool for evaluating which of the following?

Accepted Answer

Inferior vestibular nerve disorders

Answer

Superior vestibular nerve disorders

Answer

Cochlear nerve lesions

Answer

Auditory nerve function

Question 3

The investigation of choice for vestibular schwannoma is

Accepted Answer

Gadolinium enhanced MRI

Answer

PET scan

Answer

SPECT

Answer

Contrast enhanced CT scan

Question 4

All are true about vestibular neuritis EXCEPT:

Accepted Answer

Vertical nystagmus

Answer

Horizontal nystagmus

Answer

Positive head thrust

Answer

Normal hearing

Question 5

In a patient with right vestibular neuronitis, what will be the finding on the head impulse test?

Accepted Answer

Head turned to right, corrective saccade to the left

Answer

Head turned to left, corrective saccade to the right

Answer

Head turned to right, no corrective saccade

Answer

Head turned to left, no corrective saccade

Question 6

Following are the laboratory tests for the diagnosis of vestibular dysfunction except -

Accepted Answer

Gelle's test

Answer

Galvanic test

Answer

Electronystagmography

Answer

Optokinetic test

Question 7

Which of the following associations is true regarding facial nerve palsy in temporal bone fractures?

Accepted Answer

Common with transverse fractures

Answer

Common with longitudinal fractures

Answer

Always associated with CSF otorrhea

Answer

Facial nerve injury is always complete

Question 8

All of the following are true about transverse fractures of the temporal bone EXCEPT:

Accepted Answer

Conductive deafness can occur

Answer

Facial nerve is commonly involved

Answer

Sensorineural deafness can occur

Answer

These fractures are less common

Question 9

A patient with a sinus infection develops chemosis, bilateral proptosis, and fever. What is the most likely diagnosis?

Accepted Answer

Cavernous sinus thrombosis

Answer

Lateral sinus thrombosis

Answer

Frontal lobe abscess

Answer

Meningitis

Question 10

What is the treatment of cholesteatoma with facial paresis in a child?

Accepted Answer

Immediate mastoidectomy

Answer

Antibiotics to dry the ear followed by mastoidectomy

Answer

Observation

Answer

Antibiotic ear drops only

Acute Vestibulopathy — MCQs

Acute Vestibulopathy — MCQs

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