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Medicine Headache And Migraine fbafe949

(HIT)Head impulse test is used to diagnose?

A
Subarachnoid haemorrhage
B
Lhermite sign
C
Nuchal rigidity
D
Vestibular disease
High-Yield Explanation
Option A & C ruled out as SAH presents with Nuchal rigidity. Option B- Sudden neck flexion causes shooting pain in the back which is feature of TABES DORSALIS. HIT test is a bedside technique used to diagnose reduction in vestibular function in one ear vs. the other. HINTS exam (Head Impulse, Nystagmus and Test for Skew Detion) can be used to differentiate acute continuous veigo. The 3 components of the HINTS exam include: HINTS Test Reassuring Finding Head Impulse Test Abnormal (corrective saccade) Nystagmus Unidirectional, horizontal Test of Skew No skew detion

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