EXAM 2 - BPPV

Question 1

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

Answer 1

dizziness

Question 2

is dizzines ever normal

Answer 2

no

Question 3

what is the most common cause of dizziness

Answer 3

medication

Question 4

what is the basic definition of BPPV

Answer 4

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

Question 5

what is the least common SCC involved in BPPV

Answer 5

superior canal

Question 6

what is the reoccurrence rate of BPPV

Answer 6

15 % recurrency rate

Question 7

what stop the spinning sensation in BPPV

Answer 7

then the debris stops moving

Question 8

is everyone anaytomy of the inner ear the same

Answer 8

no

this may be a reason why people have different presentation

Question 9

how long do BPPV symtoms last for

Answer 9

1 min

Question 10

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

Answer 10

central issue
it is more likely not BPPV

Question 11

what is her def of BPPV

Answer 11

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

Question 12

what is BPPV casued by

Answer 12

free floating crystals - otoconia

Question 13

what is assocciated with BPPV

Answer 13

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

Question 14

season and BPPV

Answer 14

lack of sun can contribute to BPPV

Question 15

VIT D and BPPV

Answer 15

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

Question 16

gait ataxia is a sign of what kind of issue

Answer 16

central isssue not BPPV

Question 17

how long do dizzy symptoms last in BPPV patients

Answer 17

1 min

Question 18

provoking positions

Answer 18

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

Question 19

freq of posterior canal BPPV

Answer 19

81-89%

Question 20

posterior canal position of provaction

Answer 20

dix hall

Question 21

nys seen with posterior canal BPPV

Answer 21

upbeating torsional

Question 22

horizontal canal freq.

Answer 22

8-17%

Question 23

horizontal canal provaction

Answer 23

roll test

Question 24

horizontal canal nys

Answer 24

horizontal directional changing
ageotrophic and geotrophic

Question 25

anterior canal BPPV freq.

Answer 25

1-3%

Question 26

anterior canal BPPV provaction

Answer 26

dix hall

Question 27

anterior canal nys

Answer 27

downbeating torsional

Question 28

why do we perform the the modified dix hall pike

Answer 28

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

Question 29

what is vestibular agnosia

Answer 29

this is where people have nys but they do not spin

Question 30

what causes vestibular agnosia

Answer 30

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

Question 31

what is vestibular agnosia most often associated with

Answer 31

brain injury

Question 32

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

Answer 32

none they are not relateed

Question 33

is nys without movement BPPV

Answer 33

no

Question 34

geotropic nys - what direction is the fast phase

Answer 34

towards the ground

Question 35

for agrotropic nys what direction is the fast phase

Answer 35

toward the ceiling

Question 36

geotropic which side is affected

Answer 36

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

Question 37

ageotropic which side is the effected side

Answer 37

the side has the better. nys/symptoms

Question 38

what kind of nys do we see with HC BPPV

Answer 38

- Direction-changing positional nystagmus

Question 39

do all pt that have BPPV complain of vertigo

Answer 39

no some patient say they are spinning, lightheaded

Question 40

fall risks and BPPV

Answer 40

people with BPPV are at a much higher risk for falls

Question 41

does shaking the head udring the dix hall improve diagonosis rates

Answer 41

yes, can improve the chance by 15%

Question 42

does vibration help does vibration help with repositioning

Answer 42

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

Question 43

how many time should you perform these repositioning manuevers

Answer 43

we do not know - she does them twice

Question 44

what is the most common canal involved in the BPPv presentation

Answer 44

right posterior canal

Question 45

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

Answer 45

no - this can be very difficult for the pt we do not often provide much post repositioning instruction - other then no fast head movement

Question 46

do postural restriction following repostioning help with pt outcomes

Answer 46

no

Question 47

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

Answer 47

no - would not touch the pt with a poll

Question 48

does BPPV take care of itself - no PT management

Answer 48

maybe

Question 49

can you have BPPV in both ear at the same time

Answer 49

yes - normally occurs from head trauma

Question 50

can you fix both BPPV presentation in one session

Answer 50

no - we normally treat one ear at a time

Question 51

does BPPV run in families

Answer 51

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

Question 52

canalithiasis

Answer 52

indicates free‐floating otoconia

Question 53

canalithiasis - type of nystagmus

Answer 53

Geotropic nystagmus

Question 54

cupulolithiasis

Answer 54

indicates otoconia stuck to the cupula

Question 55

cupulolithiasis - type os nystagmus

Answer 55

apogeotropic nystagmu