Vestibular disorders: 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 disorders

Sample item

What does a positive head-impulse test usually suggest in acute vertigo?

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

The answer and the reasoning

C. Peripheral vestibular hypofunction

An abnormal corrective saccade on head impulse indicates impaired vestibulo-ocular reflex, commonly due to peripheral vestibular neuritis in acute vestibular syndrome.

Option by option

  • A. Pituitary tumour

    Pituitary tumour has different signs.

  • B. Middle-ear cholesteatoma

    Cholesteatoma does not define head impulse result.

  • C. Peripheral vestibular hypofunction (correct)

    Correct: corrective saccade shows peripheral vestibular deficit.

  • D. Normal vestibulo-ocular reflex

    Normal reflex has no corrective saccade.

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 C, Peripheral vestibular hypofunction. An abnormal corrective saccade on head impulse indicates impaired vestibulo-ocular reflex, commonly due to peripheral vestibular neuritis in acute vestibular syndrome.

Why is "Pituitary tumour" not the answer?

Pituitary tumour has different signs.

Why is "Middle-ear cholesteatoma" not the answer?

Cholesteatoma does not define head impulse result.

Why is "Normal vestibulo-ocular reflex" not the answer?

Normal reflex has no corrective saccade.

What concept does this question test?

It tests Vestibular disorders in ENT. The correct option holds because: Correct: corrective saccade shows peripheral vestibular deficit.

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 Vestibular disorders?

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.