Case 2
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Question 1 of 2
1. Question
A 68-year-old lady has been brought into ED with an episode of vertigo, vomiting and unsteadiness. Which seven most discriminatory questions in the history would assist you in determining the cause of this lady’s vertigo?
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Question 2 of 2
2. Question
What investigation should be performed? Link each clinical scenario with the most appropriate investigation.
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- CT
- No investigation
- U&Es
- MRI
- MRI +/- angiogram
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Sudden severe headache, vertigo and diplopia, GCS 15
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Suspected BPPV with a positive Dix-Hallpike test
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76 year old male with vestibular neuritis diagnosed one week ago. Severe vertigo, unable to stand, vomiting and dehydrated
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Long standing sensori-neural hearing loss, tinnitus, mild recent vertigo
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35 year old with one days rapid onset of vertigo, vomiting and unable to tolerate fluids. Rotational nystagmus, otherwise normal examination
CorrectIncorrect