Vertigo: 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: BPPV

Sample item

A patient has brief episodes of spinning lasting seconds when rolling in bed, without hearing loss or focal neurological deficit. What is most likely?

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

The answer and the reasoning

D. Benign paroxysmal positional vertigo

BPPV causes short recurrent vertigo triggered by head position because of displaced otoconia in a semicircular canal. Positional testing and canalith repositioning are used clinically.

Option by option

  • A. Meniere disease

    Meniere disease includes fluctuating hearing loss and tinnitus with longer attacks.

  • B. Vestibular neuritis

    Vestibular neuritis causes sustained vertigo lasting days.

  • C. Acoustic neuroma

    Acoustic neuroma causes progressive unilateral hearing symptoms.

  • D. Benign paroxysmal positional vertigo (correct)

    Correct. Seconds-long position-triggered vertigo is classic BPPV.

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 D, Benign paroxysmal positional vertigo. BPPV causes short recurrent vertigo triggered by head position because of displaced otoconia in a semicircular canal.

Why is "Meniere disease" not the answer?

Meniere disease includes fluctuating hearing loss and tinnitus with longer attacks.

Why is "Vestibular neuritis" not the answer?

Vestibular neuritis causes sustained vertigo lasting days.

Why is "Acoustic neuroma" not the answer?

Acoustic neuroma causes progressive unilateral hearing symptoms.

What concept does this question test?

It tests Vertigo: BPPV in ENT. Positional testing and canalith repositioning are used clinically.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. 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: 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.