BBPV (FF)

Question 1

Symptoms of BPPV?

Answer 1

• Vertigo
• Nausea
• Nystagmus (most important for diagnosis)

Question 2

Duration differences between Canalithiasis and Cupuloathiasis

Answer 2

Canalithiasis: < 60 Seconds
Cupuloathiasis: > 60 Seconds

Question 3

Latency differences between Canalithiasis and Cupuloathiasis

Answer 3

Canalithiasis: 1-40 seconds
Cupuloathiasis: Immediate

Question 4

Intensity of Nystagmus differences between Canalithiasis and Cupuloathiasis

Answer 4

Canalithiasis: Fluctuation
Cupuloathiasis: No change in intensity

Question 5

What canals will Torsional/rotational nystagmus be present?

Answer 5

Vertical (anterior or posterior canals)

Question 6

What canals are affected with the presence of horizontal nystagmus

Answer 6

Horizontal Canals

Question 7

Up-beating torsional nystagmus will indicate which canal?

Answer 7

Posterior Canal

Question 8

Down-beating torsional nystagmus will indicate which canal?

Answer 8

Anterior Canal

Question 9

Which way is the head turned during the Dix-Hallpike Test?

Answer 9

Head turned (45 degrees) towards the affected side/ear

Question 10

The Epley maneuver is primarily used to treat which canal?

Answer 10

Posterior Semicircular Canal (mainly), but can be used for anterior

(Canalithiasis)

Question 11

How long to maintain head positions during the Epley Maneuver?

Answer 11

1 - 2 minutes or until nystagmus has stopped

Question 12

The Supine Roll Test is used to test which canals?

Answer 12

Horizontal Canals

(Head down first on affected side)

Question 13

What is considered a positive Supine Roll Test

Answer 13

Horizontal Nystagmus Without Torsion

Question 14

What is Geotropic Nystagmus, what is indicated?

Answer 14

Canalithiasis

• Horizontal Nystagmus beating towards the ground

Question 15

What is Ageotropic Nystagmus, what is indicated?

Answer 15

Cupuloithiasis

• Horizontal Nystagmus beating away from the ground

Question 16

How to determine the involved ear during Horizontal Geotropic Nystagmus?

Answer 16

Involved ear; side with stronger nystagmus

(Canalithiasis)

Question 17

How to determine the involved ear during Horizontal Ageotropic Nystagmus?

Answer 17

Involved ear; side with weaker nystagmus

(Cupuloithiasis)

Question 18

What is the BBQ Roll/Lempert Maneuver used to treat?

Answer 18

Horizontal Canal BBPV

Question 19

The Liberatory (SEMONT) Maneuver is used for the treatment of?

Answer 19

Treatment of Cupulolithiasis of the Anterior or Posterior Canals

Question 20

During the Semont Maneuver which way is the head turned towards?

Answer 20

Head is turned AWAY from affected side

• Prognosis is not great with this maneuver

Question 21

What technique can be used to treat Posterior SCC BPPV as an home remedy?

Answer 21

Brandt-Daroff Exercise

(Head Rotated Towards the Other Side in which they lay to)

Question 22

Clinical Decision Making Flow Sheet (IMAGE)

Answer 22