BPPV in 3 Minutes: The NPTE Cheat Code

from NPTE Studycast | Physical Therapy · host Jimmy McKay, PT, DPT

BPPV — NPTE Cheat SheetWhat it is: Otoconia displaced into a semicircular canal (ear crystals where they shouldn’t be).Classic signs: Brief vertigo (<60 sec), triggered by position changes, upbeating torsional nystagmus, no hearing loss.Rule-in test: Dix-Hallpike.Rule-out clues: Long-lasting vertigo, neuro deficits, hearing symptoms → think neuritis/Ménière’s.NPTE trap: Nystagmus >60 seconds = NOT typical BPPV (think cupulolithiasis).Best treatment: Epley every. single. time.Mock question included: Yes — test yourself before you move on.Listen in and pass this question forever in under 3 minutes. More NPTE wins every week — hit follow.

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This episode was published on November 22, 2025.

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