Vestibular: vestibular migraine: 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: vestibular migraine

Sample item

A 35-year-old woman with a history of migraine has recurrent attacks of vertigo lasting from minutes to hours, sometimes with headache and photophobia, and normal hearing between attacks. What is the diagnosis?

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

The answer and the reasoning

B. Vestibular migraine

Vestibular migraine is the commonest cause of spontaneous recurrent vertigo, with episodes lasting minutes to 72 hours in a patient with migraine history. Hearing is normal and treatment includes migraine prophylaxis and trigger avoidance.

Option by option

  • A. Vestibular neuritis

    Vestibular neuritis is a single prolonged episode.

  • B. Vestibular migraine (correct)

    Correct. Recurrent vertigo with migraine history suggests vestibular migraine.

  • C. Meniere's disease

    Meniere's disease has fluctuating hearing loss and aural fullness.

  • D. BPPV

    BPPV has brief positional vertigo lasting under a minute.

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.

More ENT questions

Questions about this ENT question

What is the answer to this ENT question?

The best answer is B, Vestibular migraine. Vestibular migraine is the commonest cause of spontaneous recurrent vertigo, with episodes lasting minutes to 72 hours in a patient with migraine history.

Why is "Vestibular neuritis" not the answer?

Vestibular neuritis is a single prolonged episode.

Why is "Meniere's disease" not the answer?

Meniere's disease has fluctuating hearing loss and aural fullness.

Why is "BPPV" not the answer?

BPPV has brief positional vertigo lasting under a minute.

What concept does this question test?

It tests Vestibular: vestibular migraine in ENT. Hearing is normal and treatment includes migraine prophylaxis and trigger avoidance.

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 Vestibular: vestibular migraine?

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.