Vestibular System

Question 1

Central vs. Peripheral

Severe ataxia

Answer 1

Central

Question 2

Central vs. Peripheral

Mild ataxia

Answer 2

Peripheral

Question 3

Central vs. Peripheral

Abnormal pursuit and saccadic eye movements

Answer 3

Central

Question 4

Central vs. Peripheral

Positional testing may produce nystagmus

Answer 4

Peripheral

Question 5

Central vs. Peripheral

Saccadic eye movemetns and pursuit are normal

Answer 5

Peripheral

Question 6

Central vs. Peripheral

Usually no hearing loss

Answer 6

Central

Question 7

Central vs. Peripheral

Hearing loss is sudden and often permanent

Answer 7

Central

Question 8

Central vs. Peripheral

Hearing loss is usually present

Answer 8

Peripheral

Question 9

Central vs. Peripheral

Hearing loss has an insidious onset

Answer 9

Peripheral

Question 10

Central vs. Peripheral

Fullness of the hear

Answer 10

Peripheral

Question 11

Central vs. Peripheral

Tinnitus

Answer 11

Peripheral

Question 12

Central vs. Peripheral

Diplopia

Answer 12

Central

Question 13

Central vs. Peripheral

Altered consciousness

Answer 13

Central

Question 14

Central vs. Peripheral

Lateropulsion

Answer 14

Central

Question 15

Central vs. Peripheral

Acute vertigo cannot be suppressed by visual fixation

Answer 15

Central

Question 16

Central vs. Peripheral

Acute vertigo suppressed by visual fixation

Answer 16

Peripheral

Question 17

Central vs. Peripheral

More intense acute vertigo

Answer 17

Peripheral

Question 18

Central vs. Peripheral

Pendular nystgmus

Answer 18

Central

Question 19

Central vs. Peripheral

Jerk nystagmus

Answer 19

Peripheral

Question 20

Central vs. Peripheral

Vertical nystagmus regardless of positional testing

Answer 20

Central

Question 21

Central vs. Peripheral

Horizontal nystagmus

Answer 21

Peripheral

Question 22

Vestibular pathologies

Positive Romberg Test

Answer 22

Acute UVH

Avute BVH

Question 23

Vestibular pathologies

Negative Romberg Test

Answer 23

BPPV
Central lesion
Chronic UVH
Chronic BVH

Question 24

Vestibular pathologies

Positive Tandem Romberg Test

Answer 24

Central Lesion
UVH (only at eyes closed)
BVH

Question 25

Vestibular pathologies Negative Tandem Romberg Test

Answer 25

BPPV

Question 26

Vestibular pathologies Positive Single-leg stance

Answer 26

Central Lesion (unable to perform) UVH (may be positive) Acute BVH

Question 27

Vestibular pathologies Negative Single-leg stance

Answer 27

BPPV | Chronic BVH

Question 28

Vestibular pathologies Abnormal gait

Answer 28

``` Central (pronounced ataxia) Acute UVH (wide base, slow, decreased swing and rotation) Acute BVH (wide base, slow, decreased swing and rotation) ```

Question 29

Vestibular pathologies Normal gait

Answer 29

``` BPPV Chronic UVH (compensated to normal) Chronic BVH (compensated, but still with mild deviations) ```

Question 30

Vestibular pathologies Positive in Turning head while walking

Answer 30

BPPV (may produce slight unsteadiness) Acute UVH (may not keep balance) BVH (May not keep balance or slows cadence) Central Lesion (may not keep balance, increased ataxia)

Question 31

Vestibular pathologies Negative in Turning head while walking

Answer 31

Chronic UVH (compensated to normal)