Question 1

A patient reports several episodes of acute vertigo, some lasting up to an hour, associated with nausea and vomiting. What is part of the initial diagnostic workup for this patient?&#10;A) Audiogram&#10;B) Auditory brainstem testing&#10;C) Electrocochleography&#10;D) Vestibular testing

Accepted Answer

An audiogram is part of the initial diagnostic workup for a patient with vertigo to assess hearing function and help differentiate between peripheral and central causes of vertigo.

Question 2

A patient is suspected of having vestibular neuritis. Which finding on physical examination is consistent with this diagnosis?&#10;A) Facial palsy and vertigo&#10;B) Fluctuating hearing loss and tinnitus&#10;C) Spontaneous horizontal nystagmus&#10;D) Vertigo with changes in head position

Accepted Answer

Spontaneous horizontal nystagmus is a hallmark finding in vestibular neuritis. This nystagmus is usually unidirectional and persists in the same direction regardless of the gaze direction. A and B are not consistent findings with vestibular neuritis, and while D can be a symptom of vestibular neuritis, it is not specific to this diagnosis.

Question 3

Which symptoms may occur with vestibular neuritis? (Select all that apply.)&#10;A) Disequilibrium&#10;B) Fever&#10;C) Hearing loss&#10;D) Nausea and vomiting&#10;E) Tinnitus

Accepted Answer

Vestibular neuritis is inflammation of the vestibular nerve, which is responsible for balance and spatial orientation. Symptoms include vertigo (a spinning sensation), disequilibrium (feeling unsteady), nausea and vomiting, and tinnitus (ringing in the ears). Hearing loss and fever are not typically associated with vestibular neuritis.

Deck 66: Inner Ear Disturbances