Balance

Question 1

A patient with dizziness describes the sensation as like “being on a swing, moving back and forth.” What type of dizziness did the patient feel?

A. Vertigo
B. Imbalance
C. Near syncope
D. Lightheadness

Answer 1

A

Question 2

64/F with a visibly odd walk. Complains of dizziness on waking, like whirling, along with nausea and slight sensation of movement. What dizzy sensation did she experience?

A. Light-headedness
B. Syncope
C. Vertigo
D. Disequilibrium

Answer 2

C

Question 3

In response to your queries, the patient said that the vertigo spells lasted for 30 seconds, first-time occurrence and provoked with head turning to the left. She also volunteered that she was hypertension and diabetes and taking medications. There was no hearing loss. Diagnosis?

A. Cervicogenic vertigo
B. BPPV
C. Meniere’s syndrome
D. Perilymphatic fistula

Answer 3

B

Question 4

Initial treatment for BPPV

A. Betahistine
B. Epley maneuver
C. Brandt-Daroff exercises
D. Valsalva maneuver

Answer 4

B

Question 5

When the patient is sitting still with the head facing forward, which of the ff vestibular physiologic functions is at work?
a. Both vestibular system sends no signals to the brain since no angular and linear acceleration
B. both vestibular system sends signals to
brainstem that is equal but opposite.
c. both vestibular system sends signals to
brainstem but at higher rate then when the head is moving
d. both vestibular system sends signals to
brainstem, cyclic and something

Answer 5

A

Question 6

A 64 year old female coming to the clinic for severe twirling of the environment, nausea and feeling of motion. What is the sensation the patient feels?
         a. dizziness
         b. syncope
         C. vertigo
         d. light headedness

Answer 6

C

Question 7

In response to your query the patient said the vertigo spells last for 40 secs. She also volunteered that she has hypertension and diabetes and is taking medications. There was no hearing loss. What is the diagnosis?
A.Benign Paroxysmal Positional Vertigo
b.Vestibular neuritis
c.Meniere’s disease
d.acoustic neuroma

Answer 7

A

Question 8

In response to your query the patient said the vertigo spells last for 40 secs. She also volunteered that she has hypertension and diabetes and is taking medications. There was no hearing loss. How will you confirm the patient’s diagnosis?
         a. Semont Maneuver
         b. Epleys maneuver
         c. Valsalva maneuver
         D. Dix Hallpike test

Answer 8

D

Question 9

35 y/o M admitted at the ER, referred to you for evaluation, cleared by the neuro. He had upper respiratory tract infection 2 weeks ago and had severe episodes of vertigo with spinning sensation, with nausea, vomiting and diaphoresis, no auditory symptoms of hearing loss or fullness. What is the most likely diagnosis?
a.Benign Paroxysmal Positional Vertigo
B.Vestibular neuritis
c.Meniere’s disease
d.acoustic neuroma

Answer 9

B