Exam 4 Part 5

Question 1

Inner ear disease characterized by vertigo, hearing loss, tinnitus, aural fullness; episodic low-frequency hearing loss

Answer 1

Meniere’s disease

Question 2

Sudden onset of vertigo with no other auditory symptoms; typically happens due to inflammation of CN VIII

Answer 2

Vestibular neuritis

Question 3

Observed following Dix-hallpike, site of lesion is typically posterior semicircular canal

Answer 3

Benign proximal positional vertigo (BPPV)

Question 4

BPPV at a young age is due to what?

Answer 4

Impact

Question 5

BPPV at an older age is due to what?

Answer 5

Otoliths settle and accumulate

Question 6

Particles in the fluid of the ear

Answer 6

Otoliths

Question 7

When vestibular mechanisms are damaged or diseased, patient experiences whirling or spinning sensation

Answer 7

Vertigo

Question 8

Rapid rocking movement of the eyes. There are connections between the vestibular portion of the 8th nerve and the oculomotor nerve.

Answer 8

Nystagmus

Question 9

Onset of dizziness and vertigo

Answer 9

D: gradual, V: sudden

Question 10

Pattern of dizziness and vertigo

Answer 10

D: Continuous, V: episodic

Question 11

Intensity of dizziness and vertigo

Answer 11

D: mild, V: severe

Question 12

Duration of dizziness and vertigo

Answer 12

D: hours/days, V: minutes/seconds

Question 13

Head motion of dizziness and vertigo

Answer 13

D: slight, V: marked

Question 14

Hearing loss/tinnitus prevalence of dizziness and vertigo

Answer 14

D: rare, V: often

Question 15

Uses cold and warm air or water in ear to stimulate vestibular system; Examiner observes and records patient’s nystagmus to determine if the direction relative toward irrigated ear is normal

Answer 15

Calorics

Question 16

Record’s patient’s ability to visually track eye movement originate in cerebellum and abnormalities usually indicate potential neurological disease

Answer 16

Oculomotor

Question 17

What 3 things make up Video/electronystagmogoraphy (V/ENG)

Answer 17

Calorics, oculomotor, positioning

Question 18

sitting to laying with head to side – looking for the presence of nystagmus and/or dizziness. Vertigo elicited affected ear down

Answer 18

Dix Hallpike maneuver (positioning)

Question 19

Assesses VOR in response to head movements; measures gain, phase, and symmetry

Answer 19

Rotary chair

Question 20

Chair speed and velocity = ___ and _____

Answer 20

Head speed and velocity