Vestibular Disorders 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

A 65-year-old woman complains of recurrent episodes of sudden-onset dizziness and nausea. She notices an abrupt onset of a spinning sensation when rolling over or sitting up in bed. The symptoms last for 30 seconds and then completely resolve. She has no hearing change or other neurologic symptoms, and her physical examination is completely normal. A Dix-Hallpike maneuver reproduces her symptoms. Which of the following findings on vestibular testing favors the diagnosis of benign paroxysmal positional vertigo (BPPV) over central positional vertigo?

Accepted Answer

habituation occurs

Answer

absence of a latency period

Answer

moderate vertigo

Answer

absence of fatigability

Question 3

Identify the maneuver shown in the image.

Accepted Answer

Epley

Answer

Brandt-Daroff

Answer

Foster

Answer

Semont

Question 4

Which of the following is not true regarding Vestibular neuroma

Accepted Answer

Normal Corneal reflex

Answer

Nystagmus

Answer

High frequency sensorineural deafness

Answer

Absence of caloric response

Question 5

Best surgery to relieve intractable vertigo in a Meniere's disease patient with profound hearing loss is?

Accepted Answer

Surgical Labyrinthectomy

Answer

Vestibular neurectomy

Answer

Endolymphatic sac decompression

Answer

Cochleosacculotomy

Question 6

Epley's maneuver is used in the treatment of:

Accepted Answer

BPPV (Benign paroxysmal positional vertigo)

Answer

Infective labyrinthitis

Answer

Cervical spondylosis

Answer

Tinnitus

Question 7

All are true about vestibular neuritis EXCEPT:

Accepted Answer

Vertical nystagmus

Answer

Horizontal nystagmus

Answer

Positive head thrust

Answer

Normal hearing

Question 8

Which of the following test is being performed on the patient?

Accepted Answer

Dix-Hallpike test

Answer

Caloric stimulation test

Answer

Doll's eye reflex

Answer

Frenzel maneuver

Question 9

A patient with cholesteatoma has lateral semicircular canal fistula. The most specific sign is:

Accepted Answer

Fistula test

Answer

Head thrust test

Answer

Hennebert's sign

Answer

Dix-Hallpike test

Question 10

A 72-year-old man presents to his primary care physician with progressively worsening hearing loss. He states that his trouble with hearing began approximately 7-8 years ago. He is able to hear when someone is speaking to him; however, he has difficulty with understanding what is being said, especially when there is background noise. In addition to his current symptoms, he reports a steady ringing in both ears, and at times experiences dizziness. Medical history is significant for three prior episodes of acute otitis media. Family history is notable for his father being diagnosed with cholesteatoma. His temperature is 98.6°F (37°C), blood pressure is 138/88 mmHg, pulse is 74/min, and respirations are 13/min. On physical exam, when a tuning fork is placed in the middle of the patient's forehead, sound is appreciated equally on both ears. When a tuning fork is placed by the external auditory canal and subsequently on the mastoid process, air conduction is greater than bone conduction. Which of the following is most likely the cause of this patient's symptoms?

Accepted Answer

Cochlear hair cell degeneration

Answer

Stapedial abnormal bone growth

Answer

Endolymphatic hydrops

Answer

Accumulation of desquamated keratin debris

Vestibular Disorders

Study Resources

Lessons

Questions

Flashcards

Lessons

Anatomy and Physiology of Balance

Vestibular Testing Methods

Videonystagmography

Rotational Chair Testing

Vestibular Evoked Myogenic Potentials

Video Head Impulse Test

Benign Paroxysmal Positional Vertigo

Vestibular Neuritis

Ménière's Disease

Vestibular Migraine

Central Vertigo

Vestibular Rehabilitation

Practice Questions

Flashcards

About Vestibular Disorders for NEET-PG

Lessons in Vestibular Disorders

Master Vestibular Disorders