WorksheetsNorthern Vertigo Masterclass_68 03 23
Total questions: 5
Worksheet time: 5mins
1. A 40-year-old woman has recurrent brief episodes of positioning vertigo, with nausea and vomiting for a few days. She had no hearing loss. Other neurotological examinations are normal except the positive Dix-Hallpike test.
What is the most proper management?
Betahistine
Cawthorne-Cooksie exercise
Bed rest
Dimenhydrinate
Canalith repositioning maneuver
2. A 50-year-old woman has been suffering from recurrent brief episodes of positional vertigo. Otoneurological examination including the Dix-Hallpike test showed a negative result.
What should be the next step?
Canalith repositioning maneuver
Betahistine
Dimenhydrinate
Supine roll test
Head thrust test
3. A 30-year-old woman has suffered from vertigo while waking up in the morning in the past few days. She sees the room spinning all day, feeling nausea and vomiting. Otoscopy is normal. Weber test showed no lateralization. Rinne test is positive, in both ears. Other neurological examinations are normal.
What should be the most probable diagnosis?
Labyrinthitis
Meniere’s disease
Vestibular neuritis
Labyrinthine fistula
Sudden sensorineural hearing loss
4. A 40-year-old woman working in a weaving factory had hearing loss, tinnitus, and vertigo while waking up this morning. Otoscopy is normal. Weber test showed right lateralization. Rinne test is positive, in both ears. Other neurological examinations are normal.
What should be the most probable diagnosis?
Meniere’s disease
Endolymphatic hydrops
Noise-induced hearing loss
Benign paroxysmal positional vertigo
Idiopathic sudden sensorineural hearing loss
5. A 55-year-old woman had recurrent vertigo for 1 year, 20 minutes/ attack, 2-3 attacks/month with idiopathic fluctuation of hearing loss, tinnitus, and aural fullness.
What treatment(s) should be offered?
Vestibular rehabilitation
Dietary and lifestyle modification
betahistine
Vestibular suppressant
Patient education
