Vertigo: horizontal canal BPPV: 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: horizontal canal BPPV

Sample item

A patient has positional vertigo with horizontal geotropic nystagmus on the supine roll test. Which manoeuvre treats this variant?

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

The answer and the reasoning

A. Barbecue (Lempert) roll

Horizontal canal BPPV is diagnosed with the supine head-roll test and treated by the Lempert (barbecue) roll or Gufoni manoeuvre. The Epley manoeuvre is designed for the posterior canal.

Option by option

  • A. Barbecue (Lempert) roll (correct)

    Correct. The barbecue roll treats lateral canal BPPV.

  • B. Semont manoeuvre for the posterior canal

    The Semont manoeuvre is also used for posterior canal BPPV.

  • C. Epley manoeuvre

    The Epley manoeuvre targets the posterior canal.

  • D. Brandt-Daroff exercise only

    Brandt-Daroff exercises are a home option but not the specific manoeuvre.

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 A, Barbecue (Lempert) roll. Horizontal canal BPPV is diagnosed with the supine head-roll test and treated by the Lempert (barbecue) roll or Gufoni manoeuvre.

Why is "Semont manoeuvre for the posterior canal" not the answer?

The Semont manoeuvre is also used for posterior canal BPPV.

Why is "Epley manoeuvre" not the answer?

The Epley manoeuvre targets the posterior canal.

Why is "Brandt-Daroff exercise only" not the answer?

Brandt-Daroff exercises are a home option but not the specific manoeuvre.

What concept does this question test?

It tests Vertigo: horizontal canal BPPV in ENT. The Epley manoeuvre is designed for the posterior canal.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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: horizontal canal BPPV?

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.