PANCE

Question 1

Episodic vertigo, no hearing loss

Answer 1

benign positional vertigo

most common peripheral vertigo

Question 2

episodic vertgio + hearing loss

Answer 2

meniere’s disease

peripheral vertigo

Question 3

continuous vertigo, no hearing loss?

Answer 3

vestibular neuritis

peripheral vertigo

Question 4

continuous vertigo + hearing loss?

Answer 4

labyrinthitis

Question 5

• location: labryinth or vestibular nerve
• horizontal nystagmus (usually beats away from the affected side)
• fatigable
• sudden onset of tinnitus & hearing loss usually associated

Answer 5

peripheral vertigo

Question 6

• location: Brainstem or cerebellar
• etiologies: migraine, cerebral vascular diseasem multiple sclerosis, vestibular neuroma
• VERTICAL nystagmus
• nonfatigable (continuous)
• gait issue more severe
• gradual onset
• positive CNS signs

Answer 6

central vertigo

Question 7

wharton’s duct

Answer 7

submandibular gland

Question 8

Stenson’s duct

Answer 8

parotid gland