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Vertigo (PG)
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1. Which type of vertigo is often associated with viral illness?
*
Acoustic neuroma
BPPV
Ménière’s disease
Vestibular neuritis
2. Which symptom would suggest the need for urgent neurological assessment in a patient with vertigo?
*
Motion sensitivity
Unilateral weakness or ataxia
Symptom-free on standing
Recurrent mild episodes
3. What is the main aim of vestibular rehabilitation therapy?
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Prevent all motion sickness
Treat ear infections
Cure vertigo permanently
Improve balance and reduce dizziness through adaptation
4. What is the typical trigger for BPPV symptoms?
*
Changes in head position
Emotional stress
Standing for long periods
Loud noises
5. Which test assesses balance in vertigo patients?
*
Phalen's test
Tinel's test
Romberg test
Dix-Hallpike test
6. What advice should be given to patients recovering from vestibular neuritis?
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Strict bed rest until asymptomatic
Avoid all movement for one week
Encourage gentle movement to promote vestibular compensation
Lie flat for extended periods
7. Which of the following is a common peripheral cause of vertigo?
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Benign paroxysmal positional vertigo (BPPV)
Cerebellar stroke
Multiple sclerosis
Brain tumour
8. Which of the following is NOT typical of a peripheral vertigo cause?
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Tinnitus
Reproducibility with head movement
Inability to stand unaided
Hearing loss
9. What feature distinguishes acoustic neuroma from Ménière’s disease?
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Tinnitus and bilateral symptoms
Response to antihistamines
Progressive unilateral hearing loss without vertigo
Episodic vertigo only
10. Which of the following conditions is most associated with hearing preservation?
*
Acoustic neuroma
Vestibular neuritis
BPPV
Ménière’s disease
11. Which test is used to diagnose BPPV?
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Dix-Hallpike manoeuvre
Weber test
Tandem gait
Romberg test
12. What is the role of MRI in evaluating vertigo?
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To assess Epley success
To diagnose sinus infection
To confirm BPPV
To exclude central causes
13. What differentiates vestibular neuritis from BPPV?
*
Improves with Epley manoeuvre
Constant vertigo not triggered by position
Triggered by rolling in bed
Resolved within seconds
14. What is the first-line treatment for BPPV?
*
Epley manoeuvre
MRI scan
Prochlorperazine
Betahistine
15. Which of the following requires neurological referral?
*
Fatigueable symptoms
Vertical nystagmus
Reproducible with Dix-Hallpike
Rotatory nystagmus
16. What is the role of prochlorperazine in vertigo?
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Curing BPPV
Short-term symptomatic relief
Treating underlying causes
Long-term vestibular rehabilitation
17. What does the head impulse test help assess in vertigo evaluation?
*
Visual acuity
Auditory response
Gait instability
Vestibulo-ocular reflex
18. Which of the following would prompt suspicion of Ménière’s disease?
*
No hearing involvement
Recurrent vertigo with fluctuating hearing loss and tinnitus
Constant vertigo with visual aura
Vertigo only with head movements
19. What is the primary symptom experienced in vertigo?
*
A false sense of spinning or movement
Numbness in limbs
Chest tightness
Visual hallucinations
20. What symptom pattern suggests a central rather than peripheral cause of vertigo?
*
Resolved with Epley manoeuvre
Brief spinning with movement
Preceded by ear infection
Sudden onset with other neurological deficits