Vestibular

Question 1

Which canal is most common for BPPV?

Answer 1

Posterior

Question 2

What is the differentiating factors for BPPV vs Vestibular Neuritis

Answer 2

• Generally may last a bit longer and take a bit longer to settle
• can have other symptoms: tinnitus, unsteady gait, blurred vision
• may have recent hx of cold/flu/tonsilitis

Question 3

What is Ménière’s disease

Answer 3

Autoimmune response to the inner ear

Question 4

Typical duration of meniere’s disease

Answer 4

Minutes to hours

Question 5

Common giveaway symptom of meneire’s disease ?

Answer 5

Feeling of needing to pop their ears

Question 6

T or F: Ménière’s disease requires recurrent episodes for a diagnosis

Answer 6

T

Question 7

What is the go to test for red flag screening in suspected stroke?

Answer 7

HINTS

Question 8

What does HINTS stand for?

Answer 8

Head Impulse
Nystagmus
Test of Skew

Question 9

What is saccades?

Answer 9

Looking back and forth between two targets

Question 10

Issue with saccades more indicative of central or peripheral ?

Answer 10

Central

Question 11

What is VOR cancellation testing for ?

Answer 11

More central pathology

Question 12

What is a good test to use to differentiate peripheral from central concerns?

Answer 12

Head thrust

Question 13

What drug will mask BPPV findings ?

Answer 13

Stemetil - prochlorperazine