Vertigo: vestibular neuritis: 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 · Vertigo: vestibular neuritis

Sample item

A patient develops continuous severe vertigo, nausea, and gait unsteadiness for three days after a viral illness, with no hearing loss. What is most likely?

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

The answer and the reasoning

B. Vestibular neuritis

Vestibular neuritis causes acute prolonged peripheral vertigo without cochlear symptoms, often after a viral prodrome. Central causes must be considered when neurologic signs are present.

Option by option

  • A. BPPV

    BPPV causes brief positional episodes.

  • B. Vestibular neuritis (correct)

    Correct. Prolonged vertigo without hearing loss fits vestibular neuritis.

  • C. Perilymph fistula

    Perilymph fistula often follows trauma or pressure change and may affect hearing.

  • D. Meniere disease

    Meniere disease has auditory symptoms and recurrent attacks.

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 B, Vestibular neuritis. Vestibular neuritis causes acute prolonged peripheral vertigo without cochlear symptoms, often after a viral prodrome.

Why is "BPPV" not the answer?

BPPV causes brief positional episodes.

Why is "Perilymph fistula" not the answer?

Perilymph fistula often follows trauma or pressure change and may affect hearing.

Why is "Meniere disease" not the answer?

Meniere disease has auditory symptoms and recurrent attacks.

What concept does this question test?

It tests Vertigo: vestibular neuritis in ENT. Central causes must be considered when neurologic signs are present.

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 Vertigo: vestibular neuritis?

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.