Vestibular disorders: practice question

A ENT question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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ENT · Vestibular disorders

Sample item

Which history most strongly suggests benign paroxysmal positional vertigo?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Brief spinning episodes triggered by rolling in bed

BPPV produces brief recurrent vertigo provoked by head-position changes because displaced otoconia stimulate a semicircular canal; symptoms usually last seconds rather than remaining continuous.

Option by option

  • A. Continuous vertigo with new deafness for months

    Months of continuous vertigo with deafness suggests a different vestibulocochlear problem.

  • B. Fainting during exercise only

    Exertional syncope is cardiovascular until proven otherwise.

  • C. Persistent unilateral nasal blockage

    Nasal obstruction does not produce classic positional vertigo.

  • D. Brief spinning episodes triggered by rolling in bed (correct)

    Correct: short positional spinning episodes are typical of BPPV.

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.

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Questions about this ENT question

What is the answer to this ENT question?

The best answer is D, Brief spinning episodes triggered by rolling in bed. BPPV produces brief recurrent vertigo provoked by head-position changes because displaced otoconia stimulate a semicircular canal; symptoms usually last seconds rather than remaining continuous.

Why is "Continuous vertigo with new deafness for months" not the answer?

Months of continuous vertigo with deafness suggests a different vestibulocochlear problem.

Why is "Fainting during exercise only" not the answer?

Exertional syncope is cardiovascular until proven otherwise.

Why is "Persistent unilateral nasal blockage" not the answer?

Nasal obstruction does not produce classic positional vertigo.

What concept does this question test?

It tests Vestibular disorders in ENT. The correct option holds because: Correct: short positional spinning episodes are typical of BPPV.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Vestibular disorders?

Learn tuning fork results and audiogram patterns by sketching them. Then use the flashcards and the other ENT questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.