Lec 11: Dizziness Flashcards

(26 cards)

1
Q

Best differential when the patient says: “I might fall.”

a. syncope
b. disequilibrium
c. true vertigo
d. just a difficult patient

A

b. disequilibrium

A neurologic kind of dizziness.

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2
Q

Best differential when the patient says: “The room is spinning.”

a. syncope
b. disequilibrium
c. true vertigo
d. just a difficult patient

A

c. true vertigo

A vestibular problem.

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3
Q

Best differential when the patient says: “I’m giddy.”

a. syncope
b. disequilibrium
c. true vertigo
d. just a difficult patient

A

a. syncope.

“I might faint.”
“I’m light-headed.”

This is more of a cardiogenic problem.

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4
Q

Ensures that the visual image that falls on the retina remains focused, regardless of head position.

A

Vestibulo-ocular reflex

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5
Q

Turning the head to the RIGHT, activates which horizontal semicircular canal.

A

RIGHT.

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6
Q

The RIGHT vestibular nucleus activates the LEFT or RIGHT abducens nucleus?

A

LEFT.

R vestibular nucleus -> L abducens nuclues -> lateral rectus of L eye -> medial longitudinal fasciculus -> R oculomotor nerve -> medial rectus of the R eye -> both eyes look to the L (when head is moved to the R)

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7
Q

Controls the accuracy of returning eyes to the midline position.

A

Cerebellum

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8
Q

Turning your head to the right while your head is bent forward activates which semicircular canal?

A

Right Superior

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9
Q

The slow component of eye motion when we move our heads.

A

The drifting of the eyes as a result of the stimulation of the contralateral CN VI.

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10
Q

PERIPHERAL or CENTRAL Vertigo?

Associated with ear problem.

A

PERIPHERAL.

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11
Q

PERIPHERAL or CENTRAL Vertigo?

Sudden onset

A

PERIPHERAL

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12
Q

PERIPHERAL or CENTRAL Vertigo?

Frequent neurologic symptoms

A

CENTRAL

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13
Q

PERIPHERAL or CENTRAL Vertigo?

Spinning or rotating quality.

A

PERIPHERAL

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14
Q

High dipolar lenses that prevent fixation, allowing vestibular nystagmus to be seen clearly and to separate him from the environment.

A

Franzel Lenses

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15
Q

Eyes overshooting towards the Right during a Rapid Impulse Test means that the lesion is on which side?

A

Right.

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16
Q

These are diagnostic maneuvers for Benign Paroxysmal Positioning Vertigo, EXCEPT:

a. Dix-Hallpike Maneuver
b. Caloric Maneuver
c. Rapid Impulse Test
d. NOTA

A

c. Rapid Impulse Test

- it is a test for ocular instability and labyrinthine function

17
Q

The indicator for a positive Dix-Hallpike Maneuver is:

a. (+) falling
b. (+) nystagmus
c. (+) overshooting of eyes
d. (+) dizziness

A

b. (+) nystagmus.

The Dix-Hallpike Manuever is a test for Benign Paroxysmal Positioning Vertigo where a patient is brought up rapidly from a lying position with the head rotated 45 degrees to the left or to the right.

18
Q

During caloric testing, cold water irrigation of the R ear results in nystagmus towards which ear?

A

L ear

For nystagmus:
COWS: Cold Opposite, Warm Same.
Cold water = FAST phase of nystagmus to the side Opposite from the cold water filled ear
Warm water = FAST phase of nystagmus to the Same side as the warm water filled ear

19
Q

Used in NASA to prepare astronauts for zero gravity environments; also for anti-vertigo treatment

20
Q

A patient rotated to the Left during an Unterberger test. The lesion is in the:

21
Q

Most common kind of vertigo in clinical practice.

A

Benign Paroxysmal Positioning Vertigo

22
Q

A maneuver which can be used to treat Benign Paroxysmal Positioning Vertigo.

A

Vestibular Rehabilitation Exercises such as:
Semont Maneuver
Canalith Repositioning Maneuvers.

*

23
Q

Vertigo precipitated or exacerbated by stressors, which can be typical situations.

A

Phobic Postural Vertigo (aka non-otogenic dizziness and psychogenic dizziness)

  • occurs usually in obsessive-compulsive or reactive-depressive types.
24
Q

A disease caused by impaired drainage of endolymph due to lymphatic channel dilation leading to accumulation of endolymph inside the SCC.

A

Meniere’s Disease

25
The triad of inner ear pathology:
1) dizziness 2) tinnitus 3) hearing loss
26
The 5Ds of Cerebrovascular Disease:
1) Dizziness 2) Diplopia 3) Dystaxia 4) Dysphagia 5) Dysarthria