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hello everybody this is the third part of our neurology review questions so question 13 a 59 year old woman presents to the clinic complaining of dizziness she describes this as a spinning sensation which is only alleviated by keeping her head still it is intermittent and is accompanied by nausea usually but she denies tinnitus and hearing loss as well as visual changes or any kind of weakness she has a past medical history of hypertension which is controlled on hydrochlorothiazide her vital signs are within normal limits which of the following is the most likely diagnosis in this patient a mini Eris disease B cerebellar infarction C vestibular neuritis d benign positional proximal vertigo or e adverse effects of hydrochlorothiazide all right the answer to this question is d benign positional Pro XML Vertigo BPPV so this is a patient with dizziness and with any patient with dizziness the first thing we need to do is ask them is it a spinning kind of dizziness or is it a lightheaded kin
