North American Veterinary Licensing Examination (NAVLE) Practice Test

When considering the prognosis of a cat exhibiting right head tilt and horizontal nystagmus, it is important to understand the underlying conditions that may present these signs. These clinical signs can indicate peripheral vestibular disease, which generally has a favorable outlook. In cases of idiopathic vestibular disease, many cats show significant improvement within days to weeks and may not require pharmacological intervention.

The absence of medication, therefore, can still lead to a good recovery, as many cats can compensate for vestibular issues over time. Additionally, the nature of the vestibular system allows for some degree of adaptation and recovery, making the prognosis favorable without the need for corticosteroids or other treatments.

While corticosteroids can be beneficial in certain cases of vestibular disease suspected to be of inflammatory origin, many cases are self-limiting, and supportive care often suffices for recovery. Hence, the assessment of an excellent prognosis without medication aligns with the natural history of idiopathic vestibular disease in felines.