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Benign paroxysmal positional vertigo — ABFM Board MCQ

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HardNeurologyBenign paroxysmal positional vertigoABFM Board

A 37-year-old woman has episodic vertigo lasting 30 seconds when rolling over in bed. Dix-Hallpike maneuver triggers vertigo and torsional nystagmus. Neurologic examination is normal. Which of the following would you advise this patient?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Epley canalith repositioning maneuver

Brief positional vertigo with positive Dix-Hallpike test indicates posterior canal benign paroxysmal positional vertigo. The Epley maneuver is first-line treatment.

Reference: AAO-HNS Benign Paroxysmal Positional Vertigo Guideline