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Adult Neuro > BPPV > Flashcards

BPPV Flashcards

1
Q

BPPV

A

benign paroxysmal positional vertigo

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2
Q

AC

A

anterior semicircular canal, also sometimes called superior canal

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3
Q

DBN

A

down-beating nystagmus

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4
Q

LC

A

lateral or also called horizontal semicircular canal

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5
Q

PC

A

posterior semicircular canal, also sometimes called inferior canal

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6
Q

UBN

A

up-beating nystagmus

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7
Q

BPPV symptoms:

A

Tilting of head
Looking up or down (top-shelf vertigo)
Rolling over in bed
Nausea & vomiting

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8
Q

Canalithiasis

A

Debris floating freely in the endolymph in the long arm of the semi circular canal ( SCC)

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9
Q

Cupulolithiasis

A

Debris, probably fragments of otoconia from the utricle, adhere to the cupula

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10
Q

Positive for Posterior Canal BPPV is

A

Upbeating
Ispilateral Torsional
+ Latency
Patient with c/o vertigo during nystagmus

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11
Q

Positive for Anterior Canal BPPV is

A

Downbeathing
Ispilateral Torsional
+ Latency
Patient with c/o vertigo during nystagmus

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12
Q

Return to play rehab stage 1 objective:

A

recovery

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13
Q

Return to play rehab stage 2 objective:

A

Increase HR

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14
Q

Return to play rehab stage 3 objective:

A

Add movement

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15
Q

Return to play rehab stage 4 objective::

A

exercise, coordination and cognition level

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16
Q

Return to play rehab stage 5 objective:

A

restore confidence and assess functional skills by coaching staff

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17
Q

Return to play rehab stage 1 exercise

A

symptom limited and cognitive test

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18
Q

Return to play rehab stage 2 exercise

A

walking, swimming, cycling, keeping intensity less than 70% permitted HR, no resistance

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19
Q

Return to play rehab stage 3 exercise

A

skating drills in ice hockey, running drills in soccer. no head impact activities

20
Q

Return to play rehab stage 4 exercise

A

progression to more complex training drills, passing in football, start resistance training

21
Q

Return to play rehab stage 5 exercise

A

follow medical clearance participate in normal training activities

22
Q

Return to play rehab stage 6 exercise

A

normal game play

23
Q

Rehab stage 1

A

no activity

24
Q

Rehab stage 2

A

light aerobic exercise

25
Q

Rehab stage 3

A

sport specific exercise

26
Q

Rehab stage 4

A

non contact training drills

27
Q

Rehab stage 5

A

full contact practice

28
Q

Rehab stage 6

A

return to play

29
Q

Tropia

A

overt deviation of the eye

30
Q

Phoria

A

ocular deviation occurs when disassociation occurs

31
Q

What areas are responsible for binocular vision?

A 
accomadative system
oculomotor system
vergence system
ocular alingment
VOR system
32
Q

Manifestation of labyrinthine concussion:

A

ataxia, imbalance, BPPV,

33
Q

Manifestation of skull fracture concussion:

A

UVL or BVL (partial or complete)
Conductive hearing loss
Mixed peripheral or central symptoms

34
Q

Manifestation of hemorrhage into labyrinth

A

post traumatic hydrops (similar to Menieres)
acute vertigo
unilateral hearing loss

35
Q

Manifestation of hemorrhage into brainstem

A

oculomotor signs, poor smooth pursuits, vertigo, perception of tilt

36
Q

Manifestation of increased intracranial pressure:

A

fluctuating hearing loss, ataxia, imbalance

37
Q

Right roll with Canalithiasis

A

right beating geotrophic nystagmus with short duration

38
Q

Left roll with Canalithiasis

A

left beating geotrophic nystagmus with short duration

39
Q

Side involved with horizontal canalithiasis:

A

More sysmtpms/ stronger nystagmus

40
Q

Right roll with Cupulolithiasis:

A

left beating ageotrophic nystagmus with long duration

41
Q

Left roll with Cupulolithiasis:

A

right beating ageotrophic nystagmus with long duration

42
Q

Side involved with horizontal Cupulolithiasis:

A

side that causes fewer symptoms/ nystagmus

43
Q

Posterior canal affected:

A

upbeating and torsional (toward affected ear)

44
Q

Horizontal canalithiasis:

A

geotrophic (right beating in head right position; left beating in left head position

45
Q

Horizontal Cupulolithiasis:

A

ageotrophic (left beating in right head position, right beating in left head position

46
Q

Anterior canal affected:

A

down-beating and torsional (toward affected ear)

Adult Neuro (26 decks)

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