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ENT · Vertigo
Sample itemWhich feature is typical of benign paroxysmal positional vertigo?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Brief vertigo triggered by head position changes
BPPV causes short attacks of vertigo provoked by positional change because displaced otoconia stimulate a semicircular canal.
Option by option
A. Syncope after prolonged standing
Orthostatic syncope has a circulatory mechanism.
B. Hearing loss with a perforated tympanic membrane
Perforation does not define BPPV.
C. Continuous vertigo with new focal weakness
Focal weakness raises concern for central pathology.
D. Brief vertigo triggered by head position changes (correct)
Correct: brief position-triggered episodes are characteristic.
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.