What can I ask in this scenario?

First ask the patient to describe the sensation. Then ask when it began, how long an episode lasts, whether head movements bring it on, whether there are hearing symptoms, and whether it has caused a fall or near fall.

“Can you describe what the dizziness feels like?”

A realistic patient scenario

Imagine this consultation: A patient reports brief episodes of dizziness or a spinning sensation. Your task is to explore the history in natural English without overwhelming the patient with clinical jargon.

Clinical area
Otolaryngology (Ent)
Your focus
Clear, patient-friendly history taking

The clinical detail gives the language a realistic setting. This guide teaches communication, not diagnosis or treatment.

Natural English questions, grouped by purpose

These are selected questions for this particular practice case. They are not an exhaustive clinical checklist.

The symptom story

“Can you describe what the dizziness feels like?”

“What are you doing when it starts?”

“Does moving your head, rolling over in bed, or looking up seem to bring it on?”

Purpose: Clarify what the patient means by dizziness and whether a position or head movement triggers it.

Why this wording

An open description comes first, followed by an open trigger question and concrete movement examples that do not claim a trigger is already present.

Shorter follow-up
“Is it brought on by changing the position of your head?”

“About how long does the dizziness last?”

Purpose: Find out whether the sensation lasts seconds, minutes, hours, or longer.

Why this wording

The open time question avoids assuming that episodes last less than a minute or happen in a fixed pattern.

“When did you first notice the dizziness?”

Purpose: Establish when the overall problem began.

Why this wording

Asking when it began works whether the problem has lasted days, weeks, or months.

Associated symptoms

“Have you noticed any change in your hearing, ringing in your ears, or a feeling of fullness in either ear?”

Purpose: Ask about hearing change, ringing, or ear fullness.

The patient's perspective

“Have you fallen or nearly fallen because of the dizziness?”

“What concerns you most about these episodes?”

Purpose: Check immediate fall risk and invite the patient's main concern.

Why this wording

Separating the safety question from the concern question checks risk without suggesting that fear of falling must be the patient's main worry.

Move from open to focused questions

  1. Open

    “Could you tell me more about what has been happening?”

  2. Focus

    Choose a relevant question from the groups above.

  3. Check

    “Is there anything else about this that you think I should know?”

Language note: Short, direct questions are often easier to answer. Ask one idea at a time, then follow the patient's wording when you need more detail.

Practice this patient conversation out loud

Ask the questions in your own words, hear an AI patient respond, and use live feedback for your next speaking attempt.

Bedside English app screens for AI patient speaking practice

About this guide

  • Based on a simulated Bedside English clinical scenario.
  • Phrases are selected and edited for patient-friendly clinical communication.
  • Last editorial update: .