18 Questions
Which clinical sign is essential in differentiating between central and peripheral vestibular disorders?
Nystagmus patterns
What is the key advantage of the HINTS exam compared to imaging in patients presenting with acute vertigo?
The HINTS exam is more specific for identifying acute stroke
In vestibular neuritis, which direction does the nystagmus beat towards?
Towards the unaffected ear
Which of the following is a key symptom of labyrinthitis?
Sudden onset of vertigo, nausea, and vomiting
What is the primary pathology underlying acoustic neuroma (vestibular schwannoma)?
Slow-growing tumors derived from Schwann cells of the vestibulocochlear nerve
What is the primary pathology underlying a perilymphatic fistula?
An opening between the middle and inner ear
Which of the following statements about benign paroxysmal positional vertigo (BPPV) is true?
Symptoms reoccur whenever moving in the plane of the involved semicircular canal.
What is the pathology underlying BPPV?
Otoconia become dislodged and enter the semicircular canals.
Which of the following is considered a primary theory for the etiology of BPPV?
Vitamin D deficiency
In BPPV, the dislodged otoconia can either:
Float freely in the semicircular canal (canalithiasis) or adhere to the cupula (cupulolithiasis).
Which of the following statements about BPPV is false?
BPPV is more likely to occur in younger adults.
What is the primary symptom of BPPV?
Vertigo (spinning dizziness)
Which of the following is a characteristic symptom of vestibular neuritis?
Sudden onset of vertigo, nausea, and nystagmus
In vestibular neuritis, the direction of the nystagmus is typically:
With the fast phase away from the affected ear
Which of the following is a characteristic of Meniere's disease?
Episodic bouts of vertigo, tinnitus, and ear pressure
What is the pathology underlying Meniere's disease?
Swelling in the inner ear causing increased pressure
Which of the following is a predisposing factor for vestibular disorders?
All of the above
In the later stages of Meniere's disease, what is observed between episodes?
Deficits may remain between episodes
Explore the common peripheral vestibular disorders, focusing on onset, duration, symptoms, and provocation for differential diagnosis based on subjective history. Learn about Benign Paroxysmal Positional Vertigo (BPPV) symptoms and triggers.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free