BPPV

Question 1

BPPV

Answer 1

benign paroxysmal positional vertigo

Question 2

AC

Answer 2

anterior semicircular canal, also sometimes called superior canal

Question 3

DBN

Answer 3

down-beating nystagmus

Question 4

LC

Answer 4

lateral or also called horizontal semicircular canal

Question 5

PC

Answer 5

posterior semicircular canal, also sometimes called inferior canal

Question 6

UBN

Answer 6

up-beating nystagmus

Question 7

BPPV symptoms:

Answer 7

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

Question 8

Canalithiasis

Answer 8

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

Question 9

Cupulolithiasis

Answer 9

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

Question 10

Positive for Posterior Canal BPPV is

Answer 10

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

Question 11

Positive for Anterior Canal BPPV is

Answer 11

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

Question 12

Return to play rehab stage 1 objective:

Answer 12

recovery

Question 13

Return to play rehab stage 2 objective:

Answer 13

Increase HR

Question 14

Return to play rehab stage 3 objective:

Answer 14

Add movement

Question 15

Return to play rehab stage 4 objective::

Answer 15

exercise, coordination and cognition level

Question 16

Return to play rehab stage 5 objective:

Answer 16

restore confidence and assess functional skills by coaching staff

Question 17

Return to play rehab stage 1 exercise

Answer 17

symptom limited and cognitive test

Question 18

Return to play rehab stage 2 exercise

Answer 18

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

Question 19

Return to play rehab stage 3 exercise

Answer 19

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

Question 20

Return to play rehab stage 4 exercise

Answer 20

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

Question 21

Return to play rehab stage 5 exercise

Answer 21

follow medical clearance participate in normal training activities

Question 22

Return to play rehab stage 6 exercise

Answer 22

normal game play

Question 23

Rehab stage 1

Answer 23

no activity

Question 24

Rehab stage 2

Answer 24

light aerobic exercise

Question 25

Rehab stage 3

Answer 25

sport specific exercise

Question 26

Rehab stage 4

Answer 26

non contact training drills

Question 27

Rehab stage 5

Answer 27

full contact practice

Question 28

Rehab stage 6

Answer 28

return to play

Question 29

Tropia

Answer 29

overt deviation of the eye

Question 30

Phoria

Answer 30

ocular deviation occurs when disassociation occurs

Question 31

What areas are responsible for binocular vision?

Answer 31

``` accomadative system oculomotor system vergence system ocular alingment VOR system ```

Question 32

Manifestation of labyrinthine concussion:

Answer 32

ataxia, imbalance, BPPV,

Question 33

Manifestation of skull fracture concussion:

Answer 33

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

Question 34

Manifestation of hemorrhage into labyrinth

Answer 34

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

Question 35

Manifestation of hemorrhage into brainstem

Answer 35

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

Question 36

Manifestation of increased intracranial pressure:

Answer 36

fluctuating hearing loss, ataxia, imbalance

Question 37

Right roll with Canalithiasis

Answer 37

right beating geotrophic nystagmus with short duration

Question 38

Left roll with Canalithiasis

Answer 38

left beating geotrophic nystagmus with short duration

Question 39

Side involved with horizontal canalithiasis:

Answer 39

More sysmtpms/ stronger nystagmus

Question 40

Right roll with Cupulolithiasis:

Answer 40

left beating ageotrophic nystagmus with long duration

Question 41

Left roll with Cupulolithiasis:

Answer 41

right beating ageotrophic nystagmus with long duration

Question 42

Side involved with horizontal Cupulolithiasis:

Answer 42

side that causes fewer symptoms/ nystagmus

Question 43

Posterior canal affected:

Answer 43

upbeating and torsional (toward affected ear)

Question 44

Horizontal canalithiasis:

Answer 44

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

Question 45

Horizontal Cupulolithiasis:

Answer 45

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

Question 46

Anterior canal affected:

Answer 46

down-beating and torsional (toward affected ear)