vestibular

Question 1

where can vestibular causes of dizziness come from

Answer 1

centrally or peripherally

Question 2

most important tool in vestibular and balance assessment

Answer 2

HISTORY is PRIMARY assessment tool

Question 3

Dix Hallpike test

Answer 3

diagnostic for nystagmus
brief (less than 30s) and rotary
accompanied with vertigo

Question 4

what are you looking for on dix hallpike

Answer 4

torsional nystagmus

is positive PC -BPPV in DEPENDENT EAR

Question 5

precautions / contraindication for Dix hallpike

Answer 5

vertebro basilar ischaemia / insufficiency

Question 6

VBI assessment questions

Answer 6

5D
3N (nausea , nystagmus, numbness)
Take them down

Question 7

negative dix hallpiek test

Answer 7

this means non BPPV cause of dizzienss

dizziness without nystagmus
dizziness worse getting to of test position

Question 8

BPPV

Answer 8

benign paroxysmal positional vertigo

Question 9

how to assess BBPV

Answer 9

history and dix hallpike

Question 10

primary systems Of BPPV

Answer 10

short duration vertigo w specific movements

Question 11

treatment of BPPV

Answer 11

for crystals modified epley but they might have other balance, falls and education

Question 12

will epley work no matter what

Answer 12

not if there is error in technique

Question 13

BPPV prognosis

Answer 13

excellent, 75-90% in one treatment, 90-95% with two treatment

Question 14

complications of BPPV

Answer 14

can be in horizontal canal if you do EPLEY wrong

Question 15

VOR is deficient with ___ and ____ patients

Answer 15

unilateral and bilateral vestibular loss

Question 16

patients with VOR present with ___ __ __ __

Answer 16

dizziness im balnce oscillopsia and +- nausea

Question 17

systems of chronic UVL

Answer 17

dizziness 
oscillpsia
imbalnce
motion interolerance
sensitiy

Question 18

what makes UVL worst

Answer 18

repetitive head movements

Question 19

how to treat UVL

Answer 19

resolve the conflict to get ride of symptoms

Question 20

do you do cookery cathrone exericses

Answer 20

not recommended

Question 21

exercises for UVL

Answer 21

adaptation exercises (gaze stability)
balance / gait exercises
walking programme

Question 22

gentamicin

Answer 22

can cause dizziness

can cause BVL

Question 23

example of aminoglycosde antibiotics

Answer 23

gentamicin

Question 24

objective gait assessment in vestibular

Answer 24

walking with eyes open and closed

walking with head turns

Question 25

a good composite test for vestibular dysfunction is

Answer 25

dynamic gait index

Question 26

BVL treatment

Answer 26

``` gaze stability (adoption) exercies balance and gait retraining ```

Question 27

red flags on clinical tests

Answer 27

direction changing nystgmus | inconsistency in test results

Question 28

objective tests for vestibular and balance

Answer 28

vestibular, visual , proprioceptive balance and gait funcional tests

Question 29

most common vestibular signs

Answer 29

vertigo dizziness oscillopsia

Question 30

important questions in vestibular history

Answer 30

``` vertigo diziness oscippolio motion intolerance falls light head nausea 5D 3N onset meds ```

Question 31

whats a central test for vestibular

Answer 31

eye exams

Question 32

mostly which canal has BPPV

Answer 32

posterior

Question 33

whats dix hall pike test

Answer 33

post / ant

Question 34

contraindincdations dix hallpike

Answer 34

VBI | instability (cervical, occipital, fracture, RA), whiplash

Question 35

latent onset from dix hallpike `

Answer 35

1-30 s, occasionally up to 60s

Question 36

transient nystagmus from dix hallpike

Answer 36

1-30s | no>60s

Question 37

negative test dix hallpike

Answer 37

dizziness without nystagmus | dizziness worse getting out of test option than in position

Question 38

UVL is a __ dyfunction

Answer 38

peripheral

Question 39

peripheral tests

Answer 39

dix head thrust dynamic visual acuity balance and gait

Question 40

UVl most common exercis

Answer 40

Adaptaion balance /gait walking functional tasks

Question 41

example of UVL patient

Answer 41

after acoustic neuroma removal

Question 42

menieres disease

Answer 42

cluster of pathologies | do not assume they benefit from VR

Question 43

acute UVL

Answer 43

spontaneous nystagmus, reduced VOT, vertigo, dizziness, osciolpia, imbalance vomtitimg

Question 44

chronic UVL

Answer 44

dizziness, oscilopsia, imanace, motion intolerence | repetion hurts

Question 45

difference UVL and BVL

Answer 45

``` BVL no dizziness or verticgo from drugs (gent) ```

Question 46

treatment UVL BLV

Answer 46

similar

Question 47

cervicogenic dizziness

Answer 47

diagnosis of exclusion

Question 48

treatment of cervicogenic

Answer 48

management vestibular dysfunction | management of proprioceptive