Approach to dizziness and vertigo Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 75-year-old woman presents to the audiology clinic for evaluation of hearing loss in the right ear. For the past few weeks, she has experienced episodes of muffled hearing in the right ear and sometimes ringing in the ear, lasting several minutes to up to an hour. These symptoms are associated with the sensation of the room spinning and nausea. Past medical history includes gastroesophageal reflux for which she takes omeprazole. Temperature is 37.0°C (98.6°F), pulse is 70/min, respirations are 12/min, and blood pressure is 120/78 mmHg. A Dix-Hallpike test does not induce the symptoms. External and middle ear examinations are within normal limits bilaterally. Cranial nerve examination is normal. Which of the following would be expected given the most likely underlying diagnosis?

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Sensation of fullness in the right ear

Underlying generalized anxiety disorder

Worsening symptoms with head position changes

Abnormal eye movements on HiNTs test

painful vesicular facial rash