You Spin My Head Right Round

Question 1 of 3

1. Question

What is involved in the HINTS examination?

Checking nystagmus, rebound, Rhomberg's, coordination, and speech;

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Checking nystagmus, checking for corrective saccades with a "head impulse", and test of skew (vertical adjustment);

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Checking nystagmus, Rhomberg's test, and testing cranial nerve 2;

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Question 2 of 3

2. Question

A HINTS examination was performed. The patient had horizontal but no vertical nystagmus, positive head impulse (corrective saccades), and a negative test of skew (i.e. no vertical misalignment of the eyes).

Does this indicate a central or peripheral cause of vertigo?

Peripheral

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Central

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Question 3 of 3

3. Question

If the HINTS exam indicated a central cause of vertigo, what further test should be considered?

CT head

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Virology screen

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Dix-Hallpike manoeuvre

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Optometry

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You Spin My Head Right Round

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