Try it
ENT · Vestibular disorders
Sample itemWhat feature favors central vertigo over peripheral vertigo?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Focal neurologic deficits
Vertigo with focal neurologic deficits raises concern for a central brainstem or cerebellar process rather than isolated peripheral vestibular disease.
Option by option
A. Ear fullness only
Ear fullness can accompany peripheral inner-ear disease.
B. Focal neurologic deficits (correct)
Correct: focal neurologic signs point toward a central lesion.
C. Brief positional symptoms only
Brief positional vertigo often reflects benign peripheral positional vertigo.
D. Tinnitus alone
Tinnitus alone does not establish a central cause.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
More ENT questions
- Vestibular disordersA patient has recurrent attacks of vertigo lasting hours, with fluctuating low-frequency…
- Vestibular disordersA 40-year-old has severe continuous vertigo with nausea for two days after a flu-like il…
- Vestibular disordersWhat is the typical trigger for benign paroxysmal positional vertigo?
- Vestibular disordersWhat is a common symptom of vestibular neuritis?