Otology Q1

A 70-year-old lady attends her GP surgery complaining that she feels extremely dizzy and the room spins around for about a minute when she turns onto her left side in bed. She feels sick when this happens. She feels fine once the dizziness subsides. Tuning fork tests reveal no significant hearing loss. She has a background of atrial fibrillation but has been well previously and has no other complaints.

What would most likely be observed given the history during Dix-Hallpike manoeuvres?

  • A) No obvious observations
  • B) Rotatory geotropic nystagmus
  • C) Vertical nystagmus
  • D) Dix-Hallpike test is contraindicated in this patient
  • E) Gazed induced nystagmus