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BPPV — MCCQE Part 1 MCQ

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EasyDizziness/VertigoBPPVMCCQE Part 1

A 67-year-old woman has sudden vertigo, nausea, and horizontal nystagmus. Dix-Hallpike positive on right with latency and fatigable rotatory nystagmus. No neurological deficits. Most appropriate treatment?

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Correct answer: E — Epley manoeuvre (canalith repositioning)

Positive Dix-Hallpike with latency and fatigable nystagmus = BPPV. Epley manoeuvre: >80% success in one session. Betahistine for Ménière's. Red flags for central vertigo: vertical nystagmus, direction-changing nystagmus, neurological deficits.

Reference: Canadian vertigo guidelines