Dizziness and Syncope

Question 1

sense of motion, spinning, or body being pushed/pulled

Answer 1

vertigo

Question 2

intense/disabling vertigo w/ N/V and inability to stand/walk

Answer 2

acute labyrinthitis

Question 3

vertigo w/ hearing loss/tinnitus

Answer 3

chronic vertigo w/ degeneration/noise damage of CN8 or inner ear

Question 4

vertigo provoked by positional changes

Answer 4

benign positional vertigo

Question 5

benign positional vertigo population

Answer 5

elderly or post-head trauma

Question 6

recurrent subacute attacks of vertigo, deafness, and tinnitus

Answer 6

Meniere’s disease

Question 7

isolated episodic vertigo independent of head movements with diplopia/blindness or dysarthria/ataxia

Answer 7

vertebrobasilar TIA

Question 8

dimmed vision, sweatiness, tachy

Answer 8

presyncope

Question 9

lightheadedness

Answer 9

dizziness

Question 10

dizziness with loss of consciousness

Answer 10

syncope

Question 11

incontinence can occur with

Answer 11

syncope or seizure

Question 12

syncope vs seizure

Answer 12

syncope doesn’t have post-ictal phase

Question 13

fainting after painful or scary/emotional experience

Answer 13

vasovagal syncope

Question 14

syncope when patient wears tight collar

Answer 14

carotid sinus syncope

Question 15

syncope independent of activity, consider…

Answer 15

consider cardiac arrhythmia or heart block

Question 16

systolic bp dec 20 mmHg after standing for 3 min

Answer 16

orthostatic hypotension

Question 17

orthostatic hypotension w/ compensatory pulse inc

Answer 17

intravascular hypovolemia

Question 18

test for positional vertigo

Answer 18

dix hallpike

Question 19

dix hallpike

Answer 19

patient’s head passively turned to one side and supported 30-45 degress below table and they look toward that side

Question 20

dix hallpike finding for positional vertigo

Answer 20

rotatory nystagmus