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Flashcards in [vertigo&dizziness] Deck (42)
1

[vertigo]: Is always worsened by?

Movement

2

[vertigo]: define vertigo

the illusion of movement (rotary)

3

[vertigo]: benign postitional vertigo due to ?

canalolithiasis (debris in semi-circular canal)

4

[vertigo]: length of vertigo experience in BPV

seconds (as debris resettles)

5

[vertigo]: Diagnostic test for BPV

Hall Pikes manoeuvre causing nystagmus

6

[vertigo]: Tx for BPV

Epleys manoeuvre

7

[vertigo]: vestibular neuronitis length of symptoms

The severe stage = days
Total recovery = weeks

8

[vertigo]: vestibular neuronitis frequently seen after ... infection

URTI

9

[vertigo]: there is NO deafness or tinnitus in ...

vestibular neuronitis

10

[vertigo]: Name the Menieres triad

Vertigo
Sensorineural hearing loss
Tinnitus

11

[vertigo]: Menieres vertigo length of symptoms

>20 mins (endolymph +perilymph re-equilibration)

12

[vertigo]: Which vertigo cause is associated with recurrent attacks

Menieres

13

[vertigo]: Tx for acute Menieres attack; non-medical

Best rest/reassurance

14

[vertigo]: Tx for prolonged Meneires attack

Cinnarizine (anti-histamine)

15

[vertigo]: Tx for severe Menieres attack

prochlorperazine (buccal) (D2 antagonist)

16

[vertigo]: When is surgery indicated in Menieres

very severe disease

17

[vertigo]: What surgical option is there for Menieres

Endolymphatic sac decompression

18

[vertigo]: Gentamicin plays what role in Menieres

Tx: ablation of the vestibular organs

19

[vertigo]: 3 drugs that are ototoxic

Aminoglycoside (gentamicin)
Loop diuretics
cisplatin

20

[vertigo]: Vestibular nerve Schwannoma aka as?

Acoustic neuroma

21

[vertigo]: first presentation of acoustic neuroma

Unilateral hearing loss

22

[vertigo]: which cranial nerves may also be affected later in an acoustic neuroma (4)

5
6
9
10

23

[vertigo]: A large scwannoma may cause raised ...

ICP

24

[vertigo]: Cerebello-pontine tumours are 80%

acoustic neuromas

25

[vertigo]: trauma to which bone can affect the auditory nerve

petrous temporal

26

[vertigo]: MS, Stroke and migraine are central causes of vertigo T/F

T

27

[vertigo]: describe the Hall pike manoeuvre

sitting, head to one side
lie back quickly
rotational nystagmus

28

[vertigo]: How does the Epley manoeuvre work

relocates the debris

29

[vertigo]: Facial palsy associated with vertigo indicates

Herpes zoster

30

[vertigo]: Herpes zoster vertigo is due to

herpetic eruption of the external auditory meatus

31

[vertigo]: Fluctuating hearing loss suggests

Menieres

32

[vertigo]: Feeling aural fullness (full ears) is a sign of

Menieres

33

[vertigo]: what must you distinguish vertigo from (3)

Faintness
Light headedness
Pre-syncope

34

[vertigo]: Faintness could be due to ...

Anxiety

35

[vertigo]: ... is precipitated by stereotyped head movements

BPV

36

[vertigo]: Why is there no medical Tx for BPV

The otoliths dissolve

37

[vertigo]: Loud noises precipitate

Menieres

38

[vertigo]: Light headedness could be due to (2)

Anaemia
orthostatic hypotension

39

[vertigo]: LOC indicates (2)

Epilepsy
Syncope

40

[vertigo]: Why is there no deafness or tinnitus in vestibular neuronitis

The vestibular nerve is concerned with balance.

41

[vertigo]: The cochlear nerve is concerned with hearing. Which disease affect the cochlear nerve

Menieres
Acoustic neuroma (mass effect)

42

[vertigo]: What dietary change may help in Menieres

Low sodium