Vertigo

Question 1

Benign Positional Vertigo lasts _____

Answer 1

A few seconds

Question 2

Meniere’s disease lasts _____

Answer 2

30 min - 12 hrs

Question 3

Viral Labyrinthitis and Vestibular Neuronitis lasts ____

Answer 3

Days

Question 4

Does BPV have hearing loss or tinnitus?

Answer 4

No

Question 5

Dislodged otoconia collect in semicircular canals

Answer 5

BPV

Question 6

WU for BPPV?

Answer 6

Nystagmus with Dix-Hall Pike Test

Question 7

Trmnt for BPPV?

Answer 7

Epley maneuver at home

Question 8

Idiopathic endolymphatic hydrops

Answer 8

Meniere’s disease

Question 9

Hearing loss, low freq SNHL, tinnitus, vertigo, ear fullness

Answer 9

Meniere’s disease

Question 10

Meniere’s disease has ____ frequency hearing loss

Answer 10

Low

Question 11

Meniere’s disease trmnts

Answer 11

Diuretics, avoid caffeine and nicotine, dramamine, meclizine

Question 12

Sudden, single attack of vertigo w/o hearing loss.

Answer 12

Vestibular Neuronitis

Question 13

Vertigo, SNHL, w/o tinnitus

Answer 13

Perilymphatic fluid
- fluid leaks from round or oval window

Question 14

Cervical vertigo cause

Answer 14

Spinal osteoarthritis, spondylosis

Question 15

Temporal bone overlying semicircular canal thins out or just isn’t there

Answer 15

Superior semicircular canal dehiscence

Question 16

Rx for acute severe vertigo

Answer 16

Valium

Question 17

Rx for less severe vertigo

Answer 17

Antiemetics: scopolamine, meclizine

Question 18

Rx nausea and vomiting

Answer 18

Antiemetics: ondansetron (zofran), promethazine (phenegran), prochlorperazine (compazine), trimethobenzamide (tigan)

Question 19

Most common cause of central vertigo

Answer 19

Drugs: NSAIDS, ABX, Muscle Relaxers

Question 20

Vertical, bi-directional, or unilateral nystagmus

Answer 20

Poss central lesion

Question 21

do peripheral or central lesions tend to cause the most system upset?

Pallor, sweats, nausea, and vomiting
Sudden Onset: Hearing Loss, Tinnitus

Answer 21

Peripheral lesion

Question 22

Brainstem symptoms

Answer 22

Diplopia, facial numbness, weakness, dysphasia

Question 23

Meniere’s + bilateral symptoms
But NO hearing loss or tinnitus

Answer 23

Migrainous Vertigo

Question 24

Trmnt for migrainous vertigo

Answer 24

Amitriptyline (antimigraine prophylactic)

Question 25

Vertigo when rotating head

Answer 25

Vertebrobasilar insufficiency (VBI)

Question 26

Mild face numbness and decreased corneal reflex

Answer 26

Acoustic neuroma

Question 27

# populations? Dizziness is more common in ____

Answer 27

woman and elderly

Question 28

___ is the 5th most common chief complaint in those >65yo

Answer 28

Dizziness

Question 29

Vertigo may come from anywhere in the vestibular organs to the ____ of the brain

Answer 29

temporal cortex

Question 30

Top 3 types of peripheral (vestibular) vertigo

Answer 30

1. BPPV 2. Menieres 3. Vestibular Neuritis

Question 31

Vertigo due to inflammation of the vestibular nerve

Answer 31

Vestibular Neuronitis

Question 32

Recent history of viral URI followed by vertigo, tinnitus and SNHL hearing loss

Answer 32

Labyrinthitis inflammation of cochlea and labyrinth. symptoms last days to weeks.