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ENT · Vestibular disorders
Sample itemWhich feature favors vestibular neuritis over a central cause of vertigo?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Acute prolonged vertigo without focal neurological deficits
Vestibular neuritis often causes acute sustained vertigo, nausea, and gait imbalance without cochlear symptoms or focal neurologic deficits, but central causes must be excluded when red flags are present.
Option by option
A. Acute prolonged vertigo without focal neurological deficits (correct)
Correct: isolated acute vestibular syndrome without focal deficits can fit vestibular neuritis.
B. Persistent painless jaundice
Jaundice is unrelated to vestibular localization.
C. New limb weakness and dysarthria
Weakness and dysarthria raise concern for posterior circulation stroke.
D. Papilledema on fundoscopy
Papilledema suggests raised intracranial pressure rather than peripheral vestibular neuritis.
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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