Vertigo: Diagnosis and Management

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Although accreditation for this CE/CME activity has expired, and the posttest is no longer available, you can still read the full article.

Expires December 31, 2014

Benign paroxysmal positional vertigo accounts for approximately 42% of cases of vertigo seen in primary care settings and is the single most common cause of vertigo in the United States. Our expert outlines an evidence-based approach to diagnosis, which results in an increase in desirable patient outcomes and a decrease in unnecessary tests and medications.



CE/CME No: CR-1312

Earn credit by reading this article and successfully completing the posttest. Successful completion is defined as a cumulative score of at least 70% correct.

• Explain the incidence, predisposing factors, and pathophysiology of benign paroxysmal positional vertigo (BPPV).
• Describe the typical presentation and history of symptoms in the patient with BPPV. Describe exam findings that may point to other causes of vertigo/dizziness.
• Describe how to perform the Dix-Hallpike test, the Epley maneuver, and the liberatory maneuver.
• Discuss diagnosis and management of BPPV based on current clinical practice guidelines. Describe positive Dix-Hallpike test results.
• Discuss evidence-based changes in the approach to patients with vertigo that are needed in primary care and the emergency department.

Mary Jo Howell Collie is a family nurse practitioner at Bland County Medical Clinic in Bastian, Virginia, and serves as a preceptor for nurse practitioner students.


This program has been reviewed and is approved for a maximum of 1.0 hour of American Academy of Physician Assistants (AAPA) Category I CME credit by the Physician Assistant Review Panel. [NPs: Both ANCC and the AANP Certification Program recognize AAPA as an approved provider of Category 1 credit.] Approval is valid for one year from the issue date of December 2013.

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