Corrections

Question 1

Mx of acute neuronitis?

Answer 1

Short course of oral prochlorperazine

Question 2

What exercises can be performed by the patient at home to treat BPPV?

Answer 2

Brandt-Daroff exercises

Question 3

1st line mx of patients with sudden-onset sensorineural hearing loss?

Answer 3

High dose oral steroids

Question 4

Are symptoms of presbycusis typically unilateral or bilateral?

Answer 4

Bilateral

Question 5

Are symptoms of otosclerosis typically unilateral or bilateral?

Answer 5

Bilateral

Question 6

What type of nystagmus is seen in BPPV?

Answer 6

Rotatory

Question 7

Why may there be unilateral facial numbness in a vestibular schwannoma?

Answer 7

Due to CN VII (facial nerve) involvement

Question 8

Why may there be an absent corneal reflex in a vestibular schwannoma?

Answer 8

Due to CN V involvement

Question 9

Is vestibular neuronitis worsened with head movements?

Answer 9

Yes

Question 10

The use of the head impulse test can distinguish between peripheral & central causes of vertigo.

What is the result with peripheral causes?

Answer 10

During head movement, the eyes also move but then make corrective saccades to re-establish fixation

Question 11

Referral in acute sensorineural hearing loss?

Answer 11

Urgent referral to ENT

Question 12

What condition is characterised by vertigo upon neck extension and often results in falls in elderly patients?

Answer 12

vertebrobasilar ischaemia

Question 13

What area of the brain are acoustic neuromas seen?

Answer 13

Cerebellopontine angle

Question 14

What does a positive head impulse test indicate?

Answer 14

Peripheral cause of vertigo