Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Neuromus 1 > exam 2 -vetsibular issue > Flashcards

exam 2 -vetsibular issue Flashcards

(68 cards)

Start Studying
1
Q

what is a vestibular issue

A

peri, central, or a combine vetsibular issue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

is there a certain population vestibular issue are seen in

A

no seen in all population

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what causes vestibualr issue

A

brain - cere, vest nuclei, BS
SSC
disorder of the otolith

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

peri vestibular issue sym presentations

A

o Dizziness with positional chnages
o Spinning
o Poor balance
o Vomiting
o Nausea
o Headache (seen more commonly in central issues)
o Ear issues
 There may be hearing loss
 Tinnitus
o Head movement during gait

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is oscillopsia

A

a vision problem in which still objects seem to jump, jiggle, or vibrate due to a misalignment of the eyes or systems controlling balance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

is all dizziness vestibular

A

no I can be caused
medication
DM
POTS
thryroid conditions
renal failure
TIA
migraines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

is upbeating nys central or peri

A

it can be either

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

is down beating nys central or peri

A

central - go see a neurologist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are test of the cere

A

didiadokikinesia - rapid alternaing movement
alternative feet tapping
finger nose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is included in the eye assesment

A

pupil size
pupil sym
facial nerve sym

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are signs that you should refer back to a physician

A

UMN signs
swallowing issues

change in sensation that is not explained by premorbid condition

having the worst headache of their life

LOC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

eye change that would sign to refer back to a doctor

A

change in pupil size or ptosis that is not explained by a prior medical condition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

falls and refferal to doctor

A

repeated unexplained falls

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

balance issue that should be referred to a docctor

A

sensation of being pushed off balance - may be a BS issue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

ear issue that should be referred

A

fluctuating hearing loss

unilateral hearing loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

eye issue to referred

A

VF loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

memory and referred

A

memory loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

how long until you referrer back to the doctor

A

the pt status has not improved and you have seen the pt for 2-3 months of 3-5 visits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

is is better to see vestibular pt is quick time period

A

no it is better to space out these patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

do we normally see straight or torsion nys with peri issue

A

torsional and vertical mixxed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

do we normally see straight or torsion nys with central issue

A

straight/vertical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

is vertigo common with central issue

A

uncommon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

is vertigo common with peri issue

A

more common

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

do we see issue with saccades and smooth pursuits with central or peri issue more

A

central

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
is a report of LOC every a vestibular issue
no
26
what is positional dizziness assocciated with vertigo normallu caused by
free floating otoconia - it is a mechanical issue
27
how to test for hearing loss
rub your finger near the pt ears
28
is there a test for tinnitus
no
29
what should you test if you thing someone has a vest issue
o Hearing loss o Tinnitus o Gait analysis o Balance test o Positional testing o Dizziness handicap inventory
30
what does DGI stand for
dynamic gait assessment
31
dizziness handicap index number
40 - BPPV 50 or higher - long term issues
32
when do we get imagine for the pt
risk factors for stroke new onset of headaches with vertigo neuro signs vertigo that does resolve for 48 hours
33
do people always report that they have fallen
no this is why we need to ask specific questions
34
what is the clinically important change in gait speed for those with UVL
.2 --> .34 this lead to a large difference in self previeced balance and dizziness
35
tullio phenomanon
eye movement hat are inducced by loud noises associated with an inner ear issue
36
hennebert sign
eye movements due to pressure in the external audiotory canal
37
valsalva manuever
bearing down, glottic pressure, cough, sneeze can elicit vestibular signs
38
who are surgical cadiates for Superior canal dehiscence
Debilitating Auditory and vestibular symptoms physical finding - tuillo, hennebert audiometric findings - low conductive hearing loss, intact stapes reflex CT finding > canal dehisence
39
what does vestibular loss look like in children
increase poor balance 1/2 have vestibular abnormalities with vest testing
40
disequillibrum without vertigo possible causes
parkisons neuropathy senile gait cere disorders dementia - multi infract normal pressure hyrocephalus
41
cenrtal issues and eye changes
pupil changes ptosis
42
throat and central changes
diffuculty swallowing
43
causes of recurrent dizziness
mirgrain VBI panic disorder
44
causes of non-recurrent dizziness
concussion BS stroke cerebellar hemorrhage MS chiair malformation multi-sensory disequilibrium
45
what is a Chiari malformations
structural defects where the lower part of your brain presses on and through an opening in the base of the skull and cerebellum into the spinal cana
46
physchatric dizziness
panic disorders agoraphoria hyperventilation syndrome
47
agoraphoria
A person with agoraphobia is afraid to leave environments they know or consider to be safe
48
what is PPPD
this is a a functional movement disorder these individuals have a vest issue that they have a hard time recovering from
49
what is the cause of the presentation of PPPD
difference in their grey matter so when there is a vestibular issue they are maladpative
50
recurrent attacks of vertigo - neuro signs
MS or VBI
51
recurrent attacks of vertigo - hearing loss
meniere's autoimmune disease syphillis
52
recurrent attacks of vertigo - normal audiogram
meniere's mirgraines VBI
53
what is vestibular mirgaine often confused with
sinus headache
54
benign paroxysmal vertigo of a child - vertigo
5 episode of serve vertigowith no warning
55
benign paroxysmal vertigo of a child - recovery
resolves spontaneously within min to hours
56
benign paroxysmal vertigo of a child - vets testing
when no symptomatic vest testing is normal
57
benign paroxysmal vertigo of a child - migrianes
consider as a precusor of migraines in adulthood
58
vest migraine and BPPV - presentation
vets migraine may demostrate positional vertigo
59
vest migraine and nys
persistant positional nys
60
is dizzines ever normal
no it does not matter the age of the pt
61
if you see gait ataxia is this most likely a central or a peri issue
central dysfunctionn
62
aminoglycosides - vertigo
cause vertigo and disequillibrum
63
what does pure vertical eye nys normally tell us
usually indicates cere atrophy, MS, cere tumor, Chiari malformation
64
Central spontaneous nys indicates
cere ectopia (abnormal positioning), degeneration, or ischemia (inadequate blood supply)
65
Down beating nys indicates
Chiari malformation, bilat BS lesion, bilat floccular lesion, vestibulocerebellum lesion
66
what could be the cause of post traumtic dizziness
perilymphatic dizziness temporal bone fracture post conccussion syndrome labyrinthine concussion BS hemorrhage
67
what is Valsalva
a forceful attempt at expiration when the airway is closed at some point
68
what is - Barotrauma
physical tissue damage caused by a pressure difference between an unvented space inside the body and surrounding gas or fluid

Neuromus 1 (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions