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Neuromus 1 > EXAM 2 - BPPV > Flashcards

EXAM 2 - BPPV Flashcards

1
Q

what is the common complait of 65+ in the pCP office

A

dizziness

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2
Q

is dizzines ever normal

A

no

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3
Q

what is the most common cause of dizziness

A

medication

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4
Q

what is the basic definition of BPPV

A

when the inner ear send a signal to the brain that we are moving when the individual actually is not

otoconia crystal are moving in the canals - debris moving

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5
Q

what is the least common SCC involved in BPPV

A

superior canal

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6
Q

what is the reoccurrence rate of BPPV

A

15 % recurrency rate

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7
Q

what stop the spinning sensation in BPPV

A

then the debris stops moving

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8
Q

is everyone anaytomy of the inner ear the same

A

no

this may be a reason why people have different presentation

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9
Q

how long do BPPV symtoms last for

A

1 min

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10
Q

what if you see a case where the dizziness last for over an hour

A

central issue
it is more likely not BPPV

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11
Q

what is her def of BPPV

A

mechanical problem with the ear that can cause vertigo with positional chnages

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12
Q

what is BPPV casued by

A

free floating crystals - otoconia

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13
Q

what is assocciated with BPPV

A
  • Age
  • Upper respiratory illness, neuronitis, labyrinthitis
  • TBI
  • Postsurgical
  • Meiners disease
  • Migraines
  • Osteoporosis/osteopenia
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14
Q

season and BPPV

A

lack of sun can contribute to BPPV

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15
Q

VIT D and BPPV

A

insuffiency in VIT D may contribute to this
only works if VIT D levels are low

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16
Q

gait ataxia is a sign of what kind of issue

A

central isssue not BPPV

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17
Q

how long do dizzy symptoms last in BPPV patients

A

1 min

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18
Q

provoking positions

A

getting out of bed
STS
bending over
looking up or reach overhead
rolling in bed
inablity to sleep wiht 3 pillows

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19
Q

freq of posterior canal BPPV

A

81-89%

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20
Q

posterior canal position of provaction

A

dix hall

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21
Q

nys seen with posterior canal BPPV

A

upbeating torsional

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22
Q

horizontal canal freq.

A

8-17%

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23
Q

horizontal canal provaction

A

roll test

24
Q

horizontal canal nys

A

horizontal directional changing
ageotrophic and geotrophic

25
Q

anterior canal BPPV freq.

A

1-3%

26
Q

anterior canal BPPV provaction

A

dix hall

27
Q

anterior canal nys

A

downbeating torsional

28
Q

why do we perform the the modified dix hall pike

A

with the flexion of the neck there is more coverage fo the SCC compare to the standard Dix hall pike

29
Q

what is vestibular agnosia

A

this is where people have nys but they do not spin

30
Q

what causes vestibular agnosia

A

The connections between the parietal frontal area and the cortex are damaged

31
Q

what is vestibular agnosia most often associated with

A

brain injury

32
Q

what is the relationship between the side of a brain lesion and the side of the pt’s BPPV

A

none

they are not relateed

33
Q

is nys without movement BPPV

A

no

34
Q

geotropic nys - what direction is the fast phase

A

towards the ground

35
Q

for agrotropic nys what direction is the fast phase

A

toward the ceiling

36
Q

geotropic which side is affected

A

The side that has worse nys/symptoms is the involved ear

37
Q

ageotropic which side is the effected side

A

the side has the better. nys/symptoms

38
Q

what kind of nys do we see with HC BPPV

A
  • Direction-changing positional nystagmus
39
Q

do all pt that have BPPV complain of vertigo

A

no

some patient say they are spinning, lightheaded

40
Q

fall risks and BPPV

A

people with BPPV are at a much higher risk for falls

41
Q

does shaking the head udring the dix hall improve diagonosis rates

A

yes, can improve the chance by 15%

42
Q

does vibration help does vibration help with repositioning

A

does not effect short term or long term of persons post repositioning

43
Q

how many time should you perform these repositioning manuevers

A

we do not know - she does them twice

44
Q

what is the most common canal involved in the BPPv presentation

A

right posterior canal

45
Q

post repositioning should you tell the pt to sit upright for the next few days

A

no - this can be very difficult for the pt

we do not often provide much post repositioning instruction - other then no fast head movement

46
Q

do postural restriction following repostioning help with pt outcomes

A

no

47
Q

would you ever treat someone with a torn or detached retina before consulting someone

A

no - would not touch the pt with a poll

48
Q

does BPPV take care of itself - no PT management

A

maybe

49
Q

can you have BPPV in both ear at the same time

A

yes - normally occurs from head trauma

50
Q

can you fix both BPPV presentation in one session

A

no - we normally treat one ear at a time

51
Q

does BPPV run in families

A

yes, blood relatives are 5x more likely to get BPPV

52
Q

canalithiasis

A

indicates free‐floating otoconia

53
Q

canalithiasis - type of nystagmus

A

Geotropic nystagmus

54
Q

cupulolithiasis

A

indicates otoconia stuck to the cupula

55
Q

cupulolithiasis - type os nystagmus

A

apogeotropic nystagmu

Neuromus 1 (15 decks)

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