<prompt> All are features of Menieres disease except:Hearing loss that fluctuatesGiddiness is provoked in certain head positionsSense of pressure or fullness in the earRoaring tinnitus  <response>: Giddiness occurring in certain head positions such as bending forward to pick up an article or reaching for an article in the overhead shelf or turning ones position in the bed is a feature of benign paroxysmal positional vertigo BPPV. The condition is due to free-floating particles otoconia in the endolymph of vestibular labyrinth. Due to change in head position, they settle on the cupula of posterior semicircular canal causing its deflection and giddiness.Menieres disease is characterised by episodic vertigo, sense of fullness in the ear, fluctuating hearing loss and low-pitched roaring tinnitus. 