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Complete and Incomplete Canalith Jam: Atypical Variants of BPPV and the Role of the Video-HIT in the Diagnosis

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1.  Which test is essential in distinguishing peripheral from central vestibular disorders in atypical BPPV variants?
  1. Caloric Test
  2. Dix-Hallpike Maneuver
  3. Video Head Impulse Test (vHIT)
  4. Audiometry
2.  In which BPPV variant does an otolith clot completely block the canal, resulting in spontaneous nystagmus?
  1. Canalolithiasis
  2. Complete Canalith Jam
  3. Cupulolithiasis
  4. Incomplete Canalith Jam
3.  What is a characteristic of an incomplete canalith jam?
  1. Recurrent episodes of vertigo
  2. Direction-changing nystagmus
  3. Cupulopetal nystagmus
  4. Persistent direction-fixed positional nystagmus
4.  Which of the following findings supports the use of vHIT in diagnosing canalith jam?
  1. Impaired low-frequency vestibular function
  2. Selective high-frequency VOR impairment
  3. Loss of auditory function
  4. Presence of torsional nystagmus
5.  How does the Synapsys vHIT remote camera differ from other systems?
  1. It is invasive and requires a head device
  2. It provides results through manual analysis
  3. It does not require the patient to wear goggles
  4. It measures only auditory function

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