FRCS ORL-HNS Section 1 Practice Questions - Intercollegiate Specialty Fellowship Examination In Otolaryngology - Head And Neck Surgery (Section 1) Exam

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A 60-year-old woman presents with brief episodes of intense rotational vertigo lasting 20 seconds, triggered by rolling over in bed and tilting her head back. She has no hearing loss or tinnitus. Dix-Hallpike testing on the right side produces geotropic torsional and upbeating nystagmus after a 5-second latency, which fatigues after 30 seconds. What is the diagnosis and appropriate treatment?

Right posterior canal BPPV; treat with Epley maneuver Right lateral canal BPPV; treat with Semont maneuver Vestibular neuritis; treat with 14 days of oral prochlorperazine Meniere's disease; treat with intratympanic dexamethasone

Correct Answer:

Right posterior canal BPPV; treat with Epley maneuver

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