Vestibular System Flashcards

1
Q

Central vs. Peripheral

Severe ataxia

A

Central

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2
Q

Central vs. Peripheral

Mild ataxia

A

Peripheral

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3
Q

Central vs. Peripheral

Abnormal pursuit and saccadic eye movements

A

Central

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4
Q

Central vs. Peripheral

Positional testing may produce nystagmus

A

Peripheral

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5
Q

Central vs. Peripheral

Saccadic eye movemetns and pursuit are normal

A

Peripheral

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6
Q

Central vs. Peripheral

Usually no hearing loss

A

Central

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7
Q

Central vs. Peripheral

Hearing loss is sudden and often permanent

A

Central

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8
Q

Central vs. Peripheral

Hearing loss is usually present

A

Peripheral

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9
Q

Central vs. Peripheral

Hearing loss has an insidious onset

A

Peripheral

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10
Q

Central vs. Peripheral

Fullness of the hear

A

Peripheral

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11
Q

Central vs. Peripheral

Tinnitus

A

Peripheral

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12
Q

Central vs. Peripheral

Diplopia

A

Central

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13
Q

Central vs. Peripheral

Altered consciousness

A

Central

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14
Q

Central vs. Peripheral

Lateropulsion

A

Central

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15
Q

Central vs. Peripheral

Acute vertigo cannot be suppressed by visual fixation

A

Central

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16
Q

Central vs. Peripheral

Acute vertigo suppressed by visual fixation

A

Peripheral

17
Q

Central vs. Peripheral

More intense acute vertigo

A

Peripheral

18
Q

Central vs. Peripheral

Pendular nystgmus

A

Central

19
Q

Central vs. Peripheral

Jerk nystagmus

A

Peripheral

20
Q

Central vs. Peripheral

Vertical nystagmus regardless of positional testing

A

Central

21
Q

Central vs. Peripheral

Horizontal nystagmus

A

Peripheral

22
Q

Vestibular pathologies

Positive Romberg Test

A

Acute UVH

Avute BVH

23
Q

Vestibular pathologies

Negative Romberg Test

A

BPPV
Central lesion
Chronic UVH
Chronic BVH

24
Q

Vestibular pathologies

Positive Tandem Romberg Test

A

Central Lesion
UVH (only at eyes closed)
BVH

25
Q

Vestibular pathologies

Negative Tandem Romberg Test

A

BPPV

26
Q

Vestibular pathologies

Positive Single-leg stance

A

Central Lesion (unable to perform)
UVH (may be positive)
Acute BVH

27
Q

Vestibular pathologies

Negative Single-leg stance

A

BPPV

Chronic BVH

28
Q

Vestibular pathologies

Abnormal gait

A
Central (pronounced ataxia)
Acute UVH (wide base, slow, decreased swing and rotation)
Acute BVH (wide base, slow, decreased swing and rotation)
29
Q

Vestibular pathologies

Normal gait

A
BPPV
Chronic UVH (compensated to normal)
Chronic BVH (compensated, but still with mild deviations)
30
Q

Vestibular pathologies

Positive in Turning head while walking

A

BPPV (may produce slight unsteadiness)
Acute UVH (may not keep balance)
BVH (May not keep balance or slows cadence)
Central Lesion (may not keep balance, increased ataxia)

31
Q

Vestibular pathologies

Negative in Turning head while walking

A

Chronic UVH (compensated to normal)