Peripheral Vertigo

What is the most common cause of peripheral vertigo?

• • Benign paroxysmal positional vertigo (BPPV)

• • Meniere's disease

• • Vestibular neuritis

• Presbycusis

Which of the following findings would suggest a central cause of vertigo rather than a peripheral cause when?

• • Nystagmus that is fatigable

• • Unilateral hearing loss

• • Head impulse test positive

• Nausea and vomiting

What is the consequence of cerebellar resection in a patient?

• Slightly ataxia

• Cannot even stand

• Persistent vertigo

• Death

Which part of the organ corresponds to the triggers of BPPV?

• A

• B

• C

• D

What type of nystagmus is typically associated with peripheral vertigo?

• Vertical nystagmus

• Direction-changing nystagmus

• Fatigable nystagmus

• Persistent nystagmus

Which condition is commonly associated with BPPV?

• Ear infections

• Head trauma

• Prolong lying on lateral side

• All of these

From the video on screen, patient had vertigo on lying at the right side. What is your next proper management as internist?

• CT with contrast

• Audiogram and tympanometry

• Work up underlying disease and electrolyte

• Antivertigenous medication and consult ENT

What is the name of the test?

• Convergence test

• Test of skew

• Subjective Visual Vertical Test

• Subjective Visual Horizontal Test

Which of the following statement about posterior circulation storke is not true?

• It often presents with isolated vertigo which can mimic other conditions

• It can lead to signicficant neurological impairment or death

• initial symptoms may progress slowly, making diagnosis crucial

• MRI is the most reliable diagnostic tool

What is the clinical significance of a positive head impulse test?

• Suggests the presence of true vertigo.

• suspicion of central vertigo.

• Indicates peripheral vertigo.

• None of these