exam 2 - vestibular testings Flashcards

1
Q

smooth pursuits and saccades are indication of peri of central

A

central issues

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2
Q

VOR cancellation the pt cannot keep their eye on the target

A

central issue

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3
Q

why do we do gaze holding

A

to see if you have central lesion

the cere and the brain stem are essential for gaze holding

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4
Q

what two components are important for gaze holding

A

medial vestibular nucleus

prepositus hypoglossi

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5
Q

what happen if our eye drift from the central position

A

there will be quick corrective saccades that will beat in the opposite direction of the slow drift

this is gaze evoked nys

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6
Q

what is a skewed deviation

A

vertical misalignment of the eyes due to a supranuclear lesion

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7
Q

how is the skewed deviation named

A

for the side of the lower eye

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8
Q

what is the vetical movement of the eye an indication of in the cover test

A

brain lesion or a stroke

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9
Q

what is strabismus

A

an abnormal alignment of the eyes

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10
Q

heterophoria

A

this is the intermittent tendency for misalignment

may develope heaache, double vision, eye strain

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11
Q

what is heteriphoria due to

A

stress
head ache
illness

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12
Q

hterotrophia is seen in what population of children

A

3%
children do not grow out of it

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13
Q

what is a tropia - seen in the test

A

this occurs when the fixating eye is covered and the deviating uncovered eye moves

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14
Q

what is a phoria - seen in the test

A

when the deviating eye is covered - it tends to move

so when we uncover it the examiner can see the eye move back to its original position

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15
Q

what do we see with a positive in HIT

A

corrective saccade
- indicating that they have a vest issue

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16
Q

testing what ear in HIT

A

turn to the left - testing the left ear

17
Q

if only positive on one side for the HIT what does this indicate

A

a UVL

18
Q

for vibration induced nys where is the vibration applied

A

the mastoid

19
Q

with UVL what kind of nys did people have with vibration induced

A

horizontal
fats phase beating toward affected ear

20
Q

long term use of ppresent vestibular medication can

A

impact the indivdual recovery

21
Q

post operative phase and interventions for vest issues

A

may postpone

22
Q

how long can the risk of fall last for for someon who has a UVL

A

one year

23
Q

what is rentinal slip r

A

movement of visual images across the retina

24
Q

what is the impact of rentinal slip

A

error signal that the brain attempts to minimize by icreasing he gain of the VOR

25
Q

when do we refer neuro-optometrist

A

extreme exotropia

pt is not getting better

convergence spasm

26
Q

trophia - eye placement

A

the eyes are alway deviated

27
Q

phoria - eye placment

A

the eyes are sometimes deviated