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Vestibular Basilar Insufficiency Quiz
37 Questions
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Vestibular Basilar Insufficiency Quiz

Created by
@AffirmativeDandelion

Questions and Answers

What should be assessed in patients with non-specific thoracic spine pain?

  • Neither active nor combined movements
  • Active movements and combined movements (correct)
  • Only active movements
  • Only combined movements

    • Tensioners aim to decrease nerve strain by elongating the nerve bed at multiple joints.

    False

    What type of exercise involves flexion, extension, and rotation movements around the thoracic spine?

    PAVIMs

    The spinous processes of T1 and T2 require a finger-width distance of ____ for assessment.

    <p>one</p> Signup and view all the answers

    Match the following assessments with their descriptions:

    <p>Active movements = Includes flexion, extension, rotation Combined movements = Flexion plus rotation PAVIMs = Passive accessory joint movements PPIVMs = Passive physiological intervertebral movements</p> Signup and view all the answers

    Which of the following treatments aims to stretch and mobilize the thoracic spine?

    <p>Cat/cow</p> Signup and view all the answers

    Flexion and extension combined movements are not relevant for assessing thoracic spine pain.

    <p>True</p> Signup and view all the answers

    What does a positive result in the shoulder abduction test indicate?

    <p>Reduction or disappearance of complaints</p> Signup and view all the answers

    What is the purpose of measuring the range of motion using a tape measure?

    <p>To assess the degree of movement and flexibility in the thoracic spine</p> Signup and view all the answers

    In a neurodynamic test, reproduction of the patient's symptoms is not a must for a test to be considered abnormal.

    <p>False</p> Signup and view all the answers

    What is the main goal of a neurodynamic test?

    <p>To assess how peripheral nerves respond to mechanical stress.</p> Signup and view all the answers

    The __________ test is painful in the mid-section of the upper arm and has high sensitivity and specificity.

    <p>arm squeeze</p> Signup and view all the answers

    Match the following nerves to their palpation location:

    <p>Median nerve = Cubital fossa Ulnar nerve = Guyon's canal Radial nerve = Snuff box Biceps tendon = Medial side of biceps tendon</p> Signup and view all the answers

    What percentage indicates a high rule for cervical spine radiating symptoms if all top tests are positive?

    <p>92%</p> Signup and view all the answers

    Structural differentiation in a neurodynamic test necessarily produces a neural result.

    <p>True</p> Signup and view all the answers

    What is a function of 'sliders' in treatment techniques?

    <p>To induce sliding of the peripheral nerves in relation to surrounding structures.</p> Signup and view all the answers

    Which of the following is NOT a symptom of vestibular basilar insufficiency?

    <p>Abdominal pain</p> Signup and view all the answers

    The chance of death in patients with vestibular basilar insufficiency is 90%.

    <p>True</p> Signup and view all the answers

    What is the recommended period for conservative treatment before considering surgical evaluation?

    <p>6 weeks</p> Signup and view all the answers

    Patients with vestibular basilar insufficiency may experience ________ attacks.

    <p>drop</p> Signup and view all the answers

    Match the symptoms with their possible descriptions:

    <p>Vertigo = A sensation of spinning or dizziness Dysarthria = Difficulty in speaking Hemiparesis = Weakness on one side of the body Visual disturbance = Problems with eyesight or vision</p> Signup and view all the answers

    Which of the following exercises is recommended for patients with vestibular basilar insufficiency?

    <p>Chin tuck</p> Signup and view all the answers

    All exercises for patients with vestibular basilar insufficiency should be performed with pain.

    <p>False</p> Signup and view all the answers

    What kind of manual therapy techniques are mentioned in the context of vestibular basilar insufficiency?

    <p>Tractions and PAIVMs</p> Signup and view all the answers

    What does unilateral PA refer to?

    <p>A technique addressing one side of the spine</p> Signup and view all the answers

    Cranio-cervical movement includes flexion, extension, and rotation.

    <p>True</p> Signup and view all the answers

    What is the assessment tool used to identify neuro examination reflexes?

    <p>Babinski/clonus</p> Signup and view all the answers

    Non-specific lower back pain is often associated with ______.

    <p>movement</p> Signup and view all the answers

    Match each type of pain to its description:

    <p>Non-specific pain = Pain not related to identifiable movement patterns Specific pain = Pain or symptoms radiating down the leg Serious pathology = Indicated by red flags such as severe symptoms Mechanical pain = Pain that is better with rest and related to movement patterns</p> Signup and view all the answers

    Which of the following combined movements aims to increase extension range of motion?

    <p>Extension + Lateral Flexion</p> Signup and view all the answers

    Name one assessment used to determine pain in the thoracic region.

    <p>Thoracic PPIVM</p> Signup and view all the answers

    Central PA is primarily aimed at increasing flexion range of motion.

    <p>False</p> Signup and view all the answers

    What is the main focus of the Kemps test?

    <p>E, LF, Rot with axial pressure</p> Signup and view all the answers

    The Slump test is primarily used for assessing lumbar or cervical paraspinal tone.

    <p>False</p> Signup and view all the answers

    What are two types of exercises included in McKenzie exercises?

    <p>prone puppy and cobra</p> Signup and view all the answers

    The pressure applied between the spinous processes L4-5, L5-S1 during the Bell test is supposed to detect __________.

    <p>symptoms of pain</p> Signup and view all the answers

    Match the following tests with their respective focuses:

    <p>Slump test = Neurodynamic test Bell test = Pressure on spinous processes Hyperextension test = Prone cobra position Kemps test = Combined movement assessment</p> Signup and view all the answers

    Study Notes

    Vestibular Basilar Insufficiency

    • Characterized by insufficient blood supply to the brain, affecting carotid or vertebral arteries.
    • Common symptoms include vertigo, dizziness, unsteadiness, and giddiness.
    • Additional symptoms may be headache or neck pain that differs from previous experiences.
    • Possible visual disturbances, facial numbness or paresthesias, dysphagia, dysarthria, hoarseness, drop attacks, and hemiparesis may occur.
    • Prognosis indicates a 90% chance of conservative treatment leading to improvement in 6-8 weeks.
    • If there’s no improvement within 6 weeks, surgical evaluation is advised.

    Treatment Approaches

    • Manual therapy including traction and PAIVMs (posteroanterior mobilizations).
    • Use sliders and tensioners for median and ulnar nerve mobilization to reduce pain.
    • Exercise prescription tailored to the patient's lifestyle and capability, avoiding pain but allowing for post-exercise soreness.
    • Recommended exercises include isometric upper cuts, four-point kneeling push-ups, and chin tucks.

    Neurodynamic Testing

    • Neurodynamic tests aim to determine peripheral nerve response to mechanical stress.
    • An abnormal (positive) test reproduces patient symptoms and shows structural differentiation.
    • Range of motion reduction is not mandatory for a positive result.
    • Non-abnormal tests could be due to irrelevant testing or equal responses on both sides.

    Assessment Techniques

    • Palpation of nerves at key anatomical sites (e.g., median nerve at cubital fossa).
    • Combination of active movements (flexion, extension, rotation, lateral flexion) with overpressure.
    • Special tests include Spurling's test and median nerve neurodynamic testing for diagnosing cervical radiculopathy.

    Non-specific Thoracic and Lower Back Pain

    • Non-specific thoracic pain may involve movements such as flexibility tests and mobilization assessments focusing on spinous processes.
    • Specific lower back pain might present patterns of movement, neuro examination including reflex and sensory assessments.
    • Red flags to rule out serious pathology include indicators like bilat/unilateral leg pain and specific movement-related pain.

    Treatment Strategies for Back Pain

    • Education on pain neuroscience and advice to remain active are crucial.
    • Manual therapy, including mobilizations and specialized exercises, may alleviate symptoms.
    • Short-term pain relief techniques include massage, heat packs, and manual traction.
    • Specific exercises for rehabilitation involve motor control exercises and McKenzie protocols to enhance functional recovery.

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    Description

    Test your knowledge on vestibular basilar insufficiency, a condition caused by insufficient blood supply to the brain. This quiz covers symptoms like vertigo, dizziness, and other neurological signs. Assess your understanding of the condition and its impact on health.

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