24 Questions
What is the gold standard testing for the vestibular system?
Caloric testing
Which technology is used in the assessment of vertigo issues?
Frenzel optical goggles
What does the modified clinical test of sensory integration and balance help understand?
How the individual uses their vision, somatosensory system, and vestibular system
What type of questions are essential in the subjective assessment of vertigo?
Questions regarding presence or absence of auditory symptoms
Which type of vertigo origin involves understanding how the individual uses their vision, somatosensory system, and vestibular system?
Central/non-vestibular origin
What is gathered in the assessment of vertigo to facilitate clinical reasoning during differential diagnosis?
Preceding illness or trauma and other symptoms
What is a key component to include in the subjective assessment of vertigo?
Assessment of vertigo triggers
Which outcome measure is recommended for assessing balance confidence in individuals with vertigo?
Activities-Specific Balance Confidence Scale (ABC scale)
What is the purpose of assessing for red flags in patients with vertigo?
To identify potential CNS involvement
What is the significance of direction-changing nystagmus and skew eye deviation in a patient with vertigo?
They require immediate neurological assessment
Which test should be used to assess the Vestibulo-Ocular Reflex (VOR) system in individuals with vertigo?
Head Impulse Test
Why is it important to perform HINTS + examination in individuals with acute, unrelenting vertigo?
To identify potential vertebral basilar artery stroke
Which type of vertigo is characterized by a 3-5 second delay due to otoconia movement in the canal?
Cupulolithiasis
Which assessment involves rotating the patient's head 45 degrees and then moving them into a supine position to check for nystagmus?
Dix Hallpike test
In which condition do positional changes worsen symptoms and there is no delay in symptom alleviation upon resting?
Cupulolithiasis
Which type of vertigo is more common in elderly or young individuals with TBI?
Cupulolithiasis
What can happen during head extension and rotation over the edge of a bed in relation to the vertebral artery?
Close off one side of the vertebral artery
What characteristic differentiates cupulolithiasis from BPPV in terms of nystagmus?
Fatigable nystagmus in cupulolithiasis vs. non-fatigable in BPPV
What is the most common type of vertigo in adults?
Benign Paroxysmal Positional Vertigo (BPPV)
Where are otoconia located for signaling acceleration in linear movement?
Saccules and utricles
What happens to otoconia in BPPV?
They escape and run into the semicircular canals
Which type of BPPV involves displacement of otoconia in the canals?
Canalithiasis
What occurs during canalithiasis vertigo?
Severe vertigo when moving in the plane of the semicircular canal
What is used for videonystagmography during BPPV assessment?
Goggles with built-in camera
This quiz covers the subjective assessment of vertigo using virtual reality technology, focusing on determining treatment options, referrals for conditions like BPPV, musculoskeletal balance impairments, or cervicogenic dizziness. Key aspects include patient history related to vertigo, associated complaints, triggers, and quality of vertigo. It also evaluates outcome measures like Activities Balance Confidence (ABC scale) and visual assessments.
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