Phys Vivas · neurological
Vestibular Disorders — Viva Defence
DCE viva defence for Vestibular Disorders.
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Target exams
Vestibular Disorders Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Vestibular Disorders. My priorities are to identify red flags, confirm the mechanism with purposeful investigations, start a sequenced management plan, and integrate multimorbidity and follow-up." [1] [2]
Examiner questions
Q1: "What makes this urgent?" [1]
"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up." [1] [2]
Q2: "What is your first investigation package?" [2]
"I order tests that change management now, not a scattergun panel." [1] [2]
Q3: "Walk me through treatment." [1]
"Stabilise, treat the mechanism, prevent complications, and plan monitoring." [1] [2] [3]
Q4: "What is the classic trap?" [2]
"Treating a label without confirming the discriminating mechanism, or delaying escalation." [1] [2]
Short case
Counsel the patient on the plan, risks and warning symptoms in plain language. [1] [2]
References
- [1]Maas BDPJ, van Leeuwen RB, Spies PE, Schermer TR, et al. The importance of screening for benign paroxysmal positional vertigo in older patients presenting to falls clinics BMC Geriatr, 2026.PMID 42449246
- [2]Büntzel J, Kisters K, Büntzel J, Micke O The role of magnesium in otology - A narrative review Magnes Res, 2026.PMID 42439044
- [3]Surano S, Lindell E, Mathé J, Davidsson H, et al. Internet-based vestibular rehabilitation versus written instructions after acute vertigo: A randomised controlled trial PLoS One, 2026.PMID 42284306
- [4]Magri A, Moise A, Ajit-Roger E, Orishchak O, et al. ChatGPT and patient education in benign paroxysmal positional vertigo, in French and in English Eur Ann Otorhinolaryngol Head Neck Dis, 2026.PMID 41945085
- [5]Fushiki H, Ogihara H, Kamo T, Shiozaki T, et al. Vestibular rehabilitation strategies of the Japan Society for Equilibrium Research Auris Nasus Larynx, 2026.PMID 41850198
- [6]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
- [7]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922
- [8]Hajiaqaei M, Mohammadi A Transcranial random noise stimulation (tRNS) over the left dorsolateral prefrontal cortex ameliorates emotion dysregulation and executive function: a single-blind, randomized, sham-controlled clinical trial BMC Psychol, 2026.PMID 42469906