ENT

20 learning units • 100 chapter sections • 200 explained questions. Assess ear, nose and throat symptoms, recognise urgent complications and plan safe treatment, referral and rehabilitation.

Original RAHBAR study material for the Year 4 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 08 / 20

Vertigo & Balance Disorders

Use timing, triggers and neurological findings to distinguish vestibular syndromes safely.

Answer all 10 questions, then submit to see your score and explanations. This is a self-study exercise; results are not saved.

Question 01. Which history best helps classify dizziness? A. The word dizzy aloneB. Only hair colourC. Timing, triggers and associated symptomsD. Only the waiting-room duration

Question 02. Brief spinning provoked by specific head positions suggests what? A. Definite stroke in every caseB. Chronic glue ear aloneC. BPPV in the appropriate clinical settingD. Acute epiglottitis

Question 03. Who should perform and interpret positional manoeuvres? A. A trained clinician considering contraindicationsB. Anyone without assessmentC. Only the patient based on a videoD. A clinician ignoring neck limitations

Question 04. Continuous acute vertigo with gait unsteadiness can reflect what? A. BPPV exclusivelyB. Earwax exclusivelyC. Peripheral disease or posterior circulation strokeD. Anxiety exclusively

Question 05. Which finding increases concern for a central emergency? A. Brief reproducible positional symptoms aloneB. Normal speech and gait aloneC. Stable longstanding motion sicknessD. New focal neurological deficit

Question 06. When is HINTS appropriate? A. In the relevant acute vestibular syndrome by trained cliniciansB. In every episode of light-headednessC. As a home screening testD. Only in asymptomatic patients

Question 07. Vertigo with fluctuating hearing, tinnitus and fullness suggests consideration of what? A. Ménière diseaseB. Isolated uncomplicated BPPV onlyC. Simple epistaxisD. Vocal fold nodules

Question 08. Which disorder can cause episodic vertigo with migraine features? A. Vestibular migraineB. Acute mastoiditis in every caseC. Nasal septal haematomaD. Otitis externa exclusively

Question 09. Why avoid indefinite vestibular-suppressant prescribing without review? A. It permanently cures every vestibular disorderB. It can hinder compensation and cause adverse effectsC. It replaces diagnosisD. It has no effect on alertness

Question 10. Which support may help persistent vestibular dysfunction? A. Diagnosis-specific vestibular rehabilitationB. Permanent bed rest for everyoneC. Repeated antibiotics without infectionD. Avoidance of all movement indefinitely

0 / 10 answered

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

NICE NG127 — Dizziness and neurological referral

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.