BPPV — NPTE Cheat Sheet What 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. Rss Apple Podcaster →