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

What feature suggests central rather than peripheral vertigo?

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

The answer and the reasoning

B. New focal neurological deficit

Vertigo with focal weakness, dysarthria, severe ataxia, or direction-changing nystagmus suggests central pathology and needs urgent neurological assessment.

Option by option

  • A. Unidirectional horizontal nystagmus

    Unidirectional nystagmus often occurs peripherally.

  • B. New focal neurological deficit (correct)

    Correct: focal neurology is a central red flag.

  • C. Hearing fullness with tinnitus

    Fullness and tinnitus suggest inner-ear disorder.

  • D. Brief episodes triggered by turning in bed

    Positional brief vertigo suggests 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 B, New focal neurological deficit. Vertigo with focal weakness, dysarthria, severe ataxia, or direction-changing nystagmus suggests central pathology and needs urgent neurological assessment.

Why is "Unidirectional horizontal nystagmus" not the answer?

Unidirectional nystagmus often occurs peripherally.

Why is "Hearing fullness with tinnitus" not the answer?

Fullness and tinnitus suggest inner-ear disorder.

Why is "Brief episodes triggered by turning in bed" not the answer?

Positional brief vertigo suggests BPPV.

What concept does this question test?

It tests Vestibular disorders in ENT. The correct option holds because: Correct: focal neurology is a central red flag.

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.