DIZZY

A 30-year old woman who is recovering from an upper respiratory tract infection presents with recurrent attacks of vertigo associated with nausea and vomiting. There is no hearing loss or tinnitus

• Viral Labyrinthitis

• BPPV

• Acoustic neuroma

• Vestibular neuritis

• Meniere's disease

A 40 y/o man presents with recurrent episodes of vertigo associated with tinnitus and hearing loss. A feeling of aural fullness often precedes the attacks...

• Meniere's

• Viral labyrinthitis

• BPPV

• Acoustic neuroma

• Vestibular neuronitis

Recent viral infection, ongoing vertigo and nausea

• Acoustic neuroma

• BPPV

• Vertebrobasilar ischaemia

• Meniere's

• Viral labyrinthitis

Elderly patient dizzy on extending neck

• Acoustic neuroma

• BPPV

• Meniere's Disease

• Viral Labyrinthitis

• Vertebrobasilar Ischaemia

What is the treatment of choice for BPPV?

• Graded exercise therapy

• Labetalol

• IV ganciclovir

• Epley manoeuvre

• Dix-Hallpike manoeuvre

A 55 y/o woman presents with recurrent episodes of vertigo that are often triggered by a change in head position. Each episode lasts around 10-20 seconds and is associated with nausea.

• Viral labyrinthitis

• Vestibular neuritis

• BPPV

• Meniere's disease

• Acoustic neuroma

Which of the following is the best investigation for BPPV?

• Epley manoeuvre

• Dix-Hallpike

• Schirmer's test

• Random IGF-1

• Head impulse test

A 30y/r woman, recovering from an upper respiratory tract infection presents with recurrent attacks of vertigo associated with nausea and vomiting. There is no hearing loss or tinnitus.

• Vestibular neuritis

• Viral labyrinthitis

• Meniere's

• Acoustic neuroma

• BPPV

A 52 year old woman presents with 2/52 Hx of dizziness when rolling over in bed. She says the room is spinning around her. Examination of her ears and cranial nerves is normal. Given likely dx of BPPV the appropriate Mx is?

• Trial of prochlorperazine

• Request MRI brain

• Advise review by optician

• Perform Epley

• Trial of Cinnarizine

43F, presents with dizzy episodes described as room spinning. Over the past month she has had 5x episodes with associated nausea which come on gradually and last 1-2days and prevent her going to work. No symptoms between episodes. She had migraines in her 20's but nil else. During these episodes she reports feeling sensitive to loud noises. She denies tinnitus or hearing loss. Neuro, Dix-hallpike and ear canals are NAD. What is the most likely diagnosis?

• BPPV

• Vestibular migraine

• Meniere's

• Viral labyrinthitis

• Vestibular neuronitis